Open To Work
Fanazia Johnson
Atlanta,GA
Summary
Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Prior Authorization Specialist
McKesson
01.2026 - 03.2026
- Evaluated and processed prior authorization requests to uphold compliance with established guidelines.
- Engaged with healthcare providers to collect required documentation, ensuring timely approvals.
- Trained new staff on prior authorization protocols and system navigation.
- Analyzed trends in authorization denials to identify improvement opportunities.
- Process high-volume prior authorization requests for medical procedures, diagnostic tests, and medications
- Verify patient insurance eligibility, benefits, and coverage to ensure accurate submissions
- Submit and track authorizations through payer portals, reducing delays and turnaround time
- Follow up on pending, denied, and incomplete requests to improve approval rates
- Review clinical documentation and medical records to meet payer requirements
- Collaborate with providers, clinical staff, and billing teams to prevent claim denials
- Maintain accurate documentation in EHR systems while ensuring HIPAA compliance
CRM- CUSTOMER SERVICE REPRESENTIVE
Progressive
Ohio
09.2024 - 03.2025
- Managed customer inquiries and resolved issues efficiently, ensuring high satisfaction rates.
- Developed and maintained positive relationships with clients, leading to a 20% increase in customer retention.
- Utilized CRM software to track customer interactions and analyze data for personalized service.
- Conducted follow-up calls to ensure customer satisfaction and gather feedback for service improvement.
- Created and implemented customer service strategies that improved response times by 30%.
- Analyzed customer service trends and prepared reports for management to inform decision-making.
- Managed daily customer interactions through phone, email, and live chat, ensuring prompt and courteous responses.
- Trained new team members on customer service best practices and company policies.
- Provided exceptional customer service support by resolving inquiries and complaints efficiently.
- Maintained accurate records of customer interactions and transactions using CRM software.
CUSTOMER SERVICE
AAA
Dearborn, MI
02.2022 - 12.2023
- Resolved customer complaints quickly and effectively to ensure customer satisfaction.
- Demonstrated strong communication skills and empathy in handling diverse customer inquiries.
- Utilized CRM software to manage customer information and track interactions for efficient service.
- Collaborated with cross-functional teams to address complex customer issues and provide solutions.
- Analyzed clients' needs to provide tailored insurance solutions for property and casualty coverage.
- Conducted annual policy reviews to ensure clients had appropriate coverage for changing circumstances.
- Collaborated with underwriters to negotiate terms and secure competitive rates for clients.
SERVER
Nancy's Pizza
East Point, GA
03.2020 - 07.2021
- Excellently handle orders and multitask in fast-paced restaurant environments.
- Provide excellent customer service and ensure guest satisfaction.
- Collaborate with team members to ensure smooth service and dining experience.
UNIT SECRETARY
Piedmont Hospital
Atlanta, GA
10.2019 - 03.2021
- Managed incoming calls and directed visitors in a professional and courteous manner.
- Coordinated patient appointments, examinations, and medical records with accuracy and efficiency.
- Assisted nursing staff with clerical tasks, ensuring smooth operations within the unit.
- Maintained confidentiality of patient information and adhered to HIPAA regulations at all times.
- Epic
- Maintained professional conversations for incoming calls for PTS Care from family members or patients themselves.
- Reviewed insurance for Blue Cross Blue Shield and United Healthcare.
- Insured patients checking in signed HIPPA, Consent, & Financial Agreement paperwork.
Education
High School Diploma -
Marietta High School
Marietta05.2017
High School Diploma -
Georgia Highlands College
Rome, GASkills
- Building professional relationships
- Analytical problem solving
- Insurance services
- Effective communication
- Detail-oriented approach
- Proficient in computer applications
- Customer support
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
- Data entry
Certification
Property & Casualty License
LANGUAGES
Spanish | Elementary
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteHybridSalary Range
$23/hr - $1000/hrTimeline
Medical Prior Authorization Specialist
McKesson
01.2026 - 03.2026
CRM- CUSTOMER SERVICE REPRESENTIVE
Progressive
09.2024 - 03.2025
CUSTOMER SERVICE
AAA
02.2022 - 12.2023
SERVER
Nancy's Pizza
03.2020 - 07.2021
UNIT SECRETARY
Piedmont Hospital
10.2019 - 03.2021
High School Diploma -
Marietta High School
High School Diploma -
Georgia Highlands College