1. SANTRAIL JOHNSON
1035 Pine log Road NE Apt 14 Conyers, GA 30012 · 678-768-9485 · sanjohnson25@gmail.com
HEALTHCARE AMDINISTRATION PROFESSIONAL
Self-motivated, results driven, detail oriented professional with experience in client relationship management, customer
service and project management within the healthcare field.
PROFESSIONAL EXPERIENCE
Anthem Inc., Atlanta, GA
Utilization Management Representative I Jan 2013 -Present
 Work independently handling incoming calls accurately and in a positive way, routing them to the correct
team as needed; Determine contract and program benefit eligibility as part of the outreach process.
 Refer calls and cases requiring clinical review to a Case Manager reviewer as needed through performing
outreach, working faxes, account pool callouts and incoming calls.
 Maintains a solid knowledge of Medical Terminology, CPT/ICD-9 and ICD-10 coding.
 Accurately and completely document work in all appropriate systems.
 Respond to telephone and written inquiries from clients, providers and in-house departments including task,
letter, predetermination and UMR creation.
 Develop and maintains positive customer relations and coordinates with various functions within the
company to ensure customer requests and questions are handled appropriately and in a timely manner.
 Responsible for tracking production, running and working reports, actively participating in team planning.
Certified Pharmacy Technician II Jan 2013- Nov 2014
 Educated members on prescriptions; advised members of available resources and assistance programs;
interpreted moderately complex prescriptions.
 Responded to inquiries from physicians related to formulary and benefits questions.
 Researched and interpreted claims issues while ensuring timely and accurate responses.
 Identified, documented and reported transaction and communications errors in a timely manner.
 Maintained positive customer relations while supporting a consistent service experience across
departments.
 Coordinated and conducted internal and external client meetings, audits or training sessions.
Wal-Mart Superstore, Conyers, GA
Certified Pharmacy Technician Feb 2007 – Oct 2012
 Distributed pharmacy products and services to customers in accordance with local, state, and federal laws and
within company policies and procedures
 Maintained pharmacy inventory by checking pharmaceutical stock to determine inventory level; anticipating
needed medications and supplies; placing and expediting orders; verifying receipt; removing outdated drugs.
 Maintained merchandise presentation in the pharmacy thru stocking and rotating merchandise,
removing damaged or out-of-date goods, setting up, cleaning, and re-organizing merchandise.
 Maintained a safe and clean pharmacy by complying with procedures, rules, and regulations.
 Protected patients and employees by adhering to infection-control policies and protocols.
 Maintained up to date and accurate records by recording and filing physicians' orders and prescriptions.

2. Kohl’s, Conyers, GA
Customer Service Associate Aug 2005 – May 2006
 Performed daily activities in line with set operational efficiencies including but not limited to maximizing
inventory, merchandising, cash control and loss prevention
 Ensured quality and consistent customer service experience for customers
EDUCATION
University of Phoenix, B.S., Health Administration Phoenix, AZ
Pharmacy Technician Certification Board, CPhT Washington, DC