WILLIAM JOHNSON
Pittsburgh
Summary
Social Services professional with expertise in client outreach, program coordination, and customer service. Recently completed a Master of Science in Cybersecurity, targeting entry-level roles in the cybersecurity field. Demonstrates strong motivation and adaptability, with a commitment to mastering cybersecurity best practices and technologies. Open to relocation for career opportunities.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Income Maintenance Caseworker
Commonwealth of Pennsylvania
Pittsburgh
08.2023 - Current
- Interviews applicants to determine eligibility for financial assistance and related income maintenance programs, such as, but not limited to, Cash Assistance, Medical Assistance, Food Stamps, Nursing Home Care, and Employment Referrals.
- Determines eligibility for various categories of assistance based on such factors as income, personal property, real property, legally responsible relatives and employment status.
- Obtains medical, employment, educational, vocational and financial resource data, from other agencies as necessary to determine eligibility; records relevant case information on case records.
Patient Access Specialist
AmerisourceBergen
Remote
10.2022 - 04.2023
- Provide exceptional customer service to internal and external customers; resolves any customer request in a timely and accurate manner, and escalate complaints accordingly.
- Maintain confidentiality in regard to all patient-sensitive information.
- Proform related duties as assigned, including well-defined services generally performed by other program representatives.
Benefits Verification Specialist
AmerisourceBergen
Remote
02.2021 - 10.2022
- Processing cases to verify patient insurance benefit information in the Sales Force system
- Triage cases with missing information to appropriate program associates
- Precisely review a patient's specific benefits and documentation for payer plans including patient coverage, cost share, and access/provider options
- Documenting and initiating prior authorization process and claims appeals
- Escalating any reimbursement trends or delays to management
Program Coordinator
PA Health & Wellness
Pittsburgh
08.2020 - 08.2020
- Coordinate services with community based organizations.
- Attend marketing and outreach meetings as directed to represent Strategic plans.
- Initiate authorization requests for output/input services
- Research claims inquiry specific to the department
- Screen members for eligibility and benefits by priority for case management (CM) assessment
Program Supervisor
The Mentor Network
Pittsburgh
05.2019 - 05.2019
- Coordinate services with community based organizations.
- Attend marketing and outreach meetings as directed to represent Strategic plans.
- Initiate authorization requests for output/input services
- Research claims inquiry specific to the department
- Screen members for eligibility and benefits by priority for case management (CM) assessment
Service Coordinator
PA Health Management
Lancaster
11.2018 - 11.2018
- Complete a person-centered assessment and a level of care evaluation at least annually
- Develop and modify service plans for each participant
- Monthly calls and biannual face-to-face visits are required
- Work with varying agencies to assist participant to obtain all approved and authorized services requested
Service Coordinator
Service Coordination Unlimited, Inc.
Pittsburgh
03.2016 - 03.2016
- Provides service coordination services to participants through the OLTL, Aging or Bureau of Autism Services (BAS)
- Securing and monitoring the services provided to each participant based on their unique situations
- Prepares and completes all forms and documentation as required in HCSIS, SAMS/Harmony, SC Database and any other system used to ensure accurate and timely information
- Creates plans and obtain state approval on budgets that range from $50-$100,000 or more per participant.
Education
Master of Science - Cyber Security
Southern New Hampshire University
Hooksett, NH08-2025
Bachelor of Arts - Social Work
Slippery Rock University
Slippery Rock, PA01.2006
High School Diploma -
Woodland Hills High School
Pittsburgh, PA01.2000
Skills
- 10 years of experience support, coordination
- Problem-solving abilities
- Computer Proficiency in Sales Force, and Microsoft Office including Word, Excel, Access and Powerpoint
- Ability to perform tasks both independently or apart of a team
- Proven ability to work with diverse clients to assess needs, answer inquiries and resolve conflicts
- Sports Coaching
- Case Management
- Social Work
- Case management
- Customer service
- Communication skills
- Interviewing techniques
- HIPAA
- Reporting
- Customer service experience
- Documentation and paperwork
- Attention to detail
- Insurance Verification
- Cybersecurity (Beginner): Basic Network Security, Risk Assessment Awareness, Data Protection Principles,
Familiarity with SIEM tools, Eagerness to Learn and Train
Certification
- CPR Certification
- Driver's License
Timeline
Income Maintenance Caseworker
Commonwealth of Pennsylvania
08.2023 - Current
Patient Access Specialist
AmerisourceBergen
10.2022 - 04.2023
Benefits Verification Specialist
AmerisourceBergen
02.2021 - 10.2022
Program Coordinator
PA Health & Wellness
08.2020 - 08.2020
Program Supervisor
The Mentor Network
05.2019 - 05.2019
Service Coordinator
PA Health Management
11.2018 - 11.2018
Service Coordinator
Service Coordination Unlimited, Inc.
03.2016 - 03.2016
Master of Science - Cyber Security
Southern New Hampshire University
Bachelor of Arts - Social Work
Slippery Rock University
High School Diploma -
Woodland Hills High School
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