LaVonda Johnson
Saint Louis,Missouri
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Senior Prior Authorization Representative
Cigna-Evernorth
07.2021 - Current
- Verified eligibility and compliance with authorization requirements for service providers.
- Fielded telephone inquiries on authorization details
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
- Developed and maintained courteous and effective working relationships.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
- Carried out day-day-day duties accurately and efficiently.
- Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints.
Prior Authorization Representative
Cigna-Express Scripts
10.2013 - 07.2021
- Verified eligibility and compliance with authorization requirements for service providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Assistant Sales Manager
RAC Acceptance
11.2011 - 05.2013
- Completed store opening and closing procedures by counting drawers and managing security.
- Assisted sales team with completing customer transactions and managing issues.
- Trained new associates in successful sales and performance strategies.
- Demonstrated exemplary customer service by engaging clients on sales floor.
- Worked diligently to resolve unique and recurring complaints, promoting loyalty and enhancing operations.
Education
Business Administration And Management
University of Phoenix
08-2011
High School Diploma -
Roosevelt High School
St Louis, MO06-1991
Skills
- Ability to Be Flexible
- Ethical Standards
- Customer Accounts Management
- Problem Resolution
- Customer Complaint Resolution
- Microsoft Excel
- Client Satisfaction
- Customer Needs Assessments
- Effective Problem-Solving
- Data Accuracy
- Teamwork Skills
- Performance Goals
- Performance Feedback
Timeline
Senior Prior Authorization Representative
Cigna-Evernorth
07.2021 - Current
Prior Authorization Representative
Cigna-Express Scripts
10.2013 - 07.2021
Assistant Sales Manager
RAC Acceptance
11.2011 - 05.2013
Business Administration And Management
University of Phoenix
High School Diploma -
Roosevelt High School