Summary
Overview
Work History
Education
Skills
Timeline
Generic

Emily Johnson

Sturgeon Bay

Summary

Professional catering specialist with proven expertise in delivering exceptional service and ensuring guest satisfaction. Adept at coordinating with team members to meet diverse client needs and achieve high-quality results. Possesses strong skills in food preparation, event setup, and customer interaction, with flexible approach to adapting to changing requirements. Highly reliable and focused on contributing to seamless event operations.

Healthcare professional prepared for role with strong background in managing prior authorizations and fostering positive relationships with healthcare providers and insurance companies. Known for collaborative approach and consistently achieving results despite changing needs. Proficient in medical coding, insurance guidelines, and effective communication.

Experienced with managing cashier operations and leading teams to ensure smooth workflow. Utilizes communication and leadership skills to enhance team performance and customer service. Track record of resolving issues promptly and maintaining high standards of accuracy and reliability.

Professional in branch management with strong expertise in operations and team leadership. Skilled in customer service, financial oversight, and staff development. Adept at fostering collaboration and driving results. Reliable, adaptable, and focused on meeting organizational goals.

Overview

13
13
years of professional experience

Work History

Catering Staff Member & Bartender

Thyme
01.2015 - Current

I help plate food at events we cater, making sure that buffets are set and help replenish appetizers and drink stations when needed, hauling equipment and supplies from the restaurant to the events if off site. When bartending serving customers and pouring drinks for the servers.

Medicare D Prior Authorization Specialist

Navitus
11.2022 - 08.2025
  • Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
  • Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
  • Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
  • Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
  • Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.

Assistant Branch Manager

North Shore Bank
10.2018 - 10.2022
  • Supported the Branch Manager with daily tasks, ensuring smooth branch functioning and effective communication amongst team members.
  • Trained and developed new team members in alignment with branch service standards and objectives.
  • Monitored daily branch activities, quickly identifying areas requiring improvement or corrective action to maintain operational excellence.
  • Oversaw successful completion of internal audits with minimal findings, demonstrating strong adherence to bank policies and regulations.
  • Sales
  • Account opening and closing for both personal and business accounts
  • Handled customer grievances and problems
  • Loans, working on applications, helping customers find the right fit for them with a loan, helping them get approved, and doing the loan closing.

Cashier Supervisor

Piggly Wiggly
01.2013 - 01.2016

Handling refilling the tills for the other cashiers, helping with cashier errors, handling the morning and evening money reconciliation and dropping off nightly or afternoon deposits, getting change from the bank, helping stock and face shelves as needed and standard cashier duties, along with monitoring and supervising the cashiers and their duties.

Education

No Degree - Anthropology

North Central College
Naperville, IL

Bachelor of Science - Hospital Administration

Southern New Hampshire University
Hooksett, NH
06-2029

Associate of Science - Radiography Technician

NWTC
Sturgeon Bay, WI
06-2027

High School Diploma -

Gibraltar
Fish Creek, WI
06-2009

Skills

  • Table setting
  • Food safety
  • Food presentation
  • Sanitation practices
  • Order taking
  • Food preparation
  • Allergy awareness
  • Portion control
  • Special diets
  • Food storage
  • Wine pairing
  • Menu planning
  • Table preparation
  • Food restocking
  • Bartending
  • Cashier training
  • Cash handling expertise
  • Complaint resolution
  • Cash register maintenance
  • POS system proficiency
  • Policy enforcement
  • Bank deposit preparation
  • Store operations
  • Task delegation
  • Medical terminology
  • Prior authorization process
  • Authorizations
  • Effective communication skills
  • Data entry
  • Electronic health records proficiency
  • Medical terminology knowledge
  • Benefit coverage
  • Professionalism and ethics

Timeline

Medicare D Prior Authorization Specialist

Navitus
11.2022 - 08.2025

Assistant Branch Manager

North Shore Bank
10.2018 - 10.2022

Catering Staff Member & Bartender

Thyme
01.2015 - Current

Cashier Supervisor

Piggly Wiggly
01.2013 - 01.2016

No Degree - Anthropology

North Central College

Bachelor of Science - Hospital Administration

Southern New Hampshire University

Associate of Science - Radiography Technician

NWTC

High School Diploma -

Gibraltar