Candidate Information Title Authorization Representative Data Entry Target Location US-IN-Crown Point Email Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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MIA A.STANSILEMAIL AVAILABLE(Street Address ) 458-868St. John, IN Street Address
Results-driven professional with 20 years of experience and focus on performance. Results-driven and hardworking with top-notch communication and organization skills. Diligent and forward-thinking professional with attentive and team-oriented nature.PROFESSIONAL SUMMARYCommunity Healthcare System - Engagement CenterScheduler/Prior Authorization RepresentativeMunster, Indiana  06/2021 - CurrentPinnacle Hospital - Medical Records ClerkCrown Point, IN  02/2020 - 02/2021WORK HISTORYContacted insurance companies to obtain priorauthorization for medical procedures.Tracked referral submission during facilitation of prior authorization issuance.Input all patient data regarding claims and priorauthorizations into system accurately.Reached out to insurance carriers to obtain priorauthorization for testing and procedures.Verified eligibility and compliance with authorization requirements for service providers.Processed medical records requests from outsideproviders according to facility, state and federal law.Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.Reviewed charts and flagged incomplete or inaccurate information.Delivered charts to assigned areas of hospital byfollowing established routing procedures. Uploaded physician progress notes, history and physicals SKILLS Authorizations Patient Scheduling Benefit Coverage Basic medical terminology Insurance authorization Proficiency in EpicEffective communicationskills Medical terminologyUnderstanding of insurancedetailsVisitor and CustomerRelationsVerbal and WrittenCommunication Courteous and ProfessionalMultitasking andPrioritizationHammond High SchoolHammond, IN  06/2021High School DiplomaBryman CollegeChicago, IL  05/2021EDUCATIONCertification: DentalLaboratory TechnologyIndiana University NorthwestGary, IN  05/2011Certification: Unit SecretaryCommunity Care Network - Patient RegistrationRepresentativeMerrillville, Indiana  02/2019 - 02/2020into electronic medical records.Maintained patient confidence by keeping patientrecords information confidential.Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.Accurately pulled patient records for upcomingappointments and procedures, typically within 8-hour period.Followed exact procedures for handling transfers and other releases of medical records.Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.Accurately inputted patient and insurance information into company's computer system using Epic.Visited patients' rooms to collect insurance and financial information required for registrations.Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.Scheduled Epic+ appointments using computerizedcalendars in Epic System.Imaged and scanned patient and registrationdocumentation into electronic patient record via Epic.Identified non-participating and out-of-networkinsurance plans and worked with patients and providers to address situations.Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.Completed administrative patient intakes with case histories, insurance information and mandated forms. Frequently double-checked patient histories and current information while scheduling follow-ups and otherappointments.Carried out front office duties utilizing data entry skills in framework of medical database.Obtained payments from patients and scannedidentification and insurance cards.Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.Managed office logistics by scheduling appointments, maintaining files and collecting payments.Received, recorded and addressed incoming andoutgoing communication via telephone and email.