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Click here or scroll down to respond to this candidateCandidate's Name
Oak Park, IL Street Address EMAIL AVAILABLE PHONE NUMBER AVAILABLEWORK EXPERIENCE:NORTHWESTERN HOSPITAL CHICAGO, IL August 2022 October FINANCIAL CLEARANCE SPECIALIST (Contract) Performs pre-certification notification via telephone or electronically Verifies insurance eligibility and benefits through online portals EPID, NDAS, ONE SOURCE, AVAILITY, AIM, EVICORE, and more. Review patient electronic medical record for accurate diagnosis and pre-treatment rendered Has thorough understanding and working knowledge of CPT and ICD-10 Coding. Monitors referral In-Basket in EPIC to ensure work is consistently completed in a timely manner. RUSH NEUROBEHAVIORAL CENTER-SKOKIE, IL October 2021 February 2022 ADMINISTRATIVE COORDINATOR (Contract) Performs clinic activities including scheduling, message taking, greeting and acknowledging patients throughout the check-in and check-out process, and managing referral and insurance authorizations. Coordinates administrative office functions as assigned including completion of EPIC administrative in-box messages. Maintains and retrieves medical records per HIM and office protocol. Problem solves issues by seeking out the appropriate resources. Works cooperatively in a team environment.AMITA Cancer Center Chicago, IL May 2021 July 2021 Patient Financial Counselor (Contract) Working through an aging report list to follow up on Patient accounts and counsel patients through payments and payment options Working with patients to set up payment plans, assisting with Medicaid applications, following up on payments, receiving payments, and sending collections letters Working through daily cash receipts report and adjustment reports to verify payment accuracy, working to verify insurance, processing admissions documentation, and working to secure payment by discharge Advocate Christ Medical Center Palos Heights, IL August 2020 December 2020 Pre-Certification Rep / Authorization Specialist (Contract) Obtain accurate and detailed information, verify demographics, pre-certify insurance, Verify authorization, code ICD-9, ICD-10, Using EPIC Software, One source, Passport. Log patient appointment and procedures onto the Log Communicator. Log onto Insurance Portal for further insurance update. Loyola University Medical Center Westchester, IL November 2019 April 2020 Administrative Assistant / Pre-Cert/Authorization Specialist (Contract) Provided administrative support and utilize authorization requests for outpatient services. Handling incoming calls about appointments, making requests for patients Verify authorization, code ICD-9-10, using EPIC system, one source, passport. Test and updating patients record with information from doctors and nurse. Pre-certify insurance. Assist in training development assignments that support the overall training including creation of training content. Centene Westmont, IL April 2019 October 2019Referral Specialist (Contract) Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer phone queues and process faxes within established standards 2023 Data enters authorizations into the system. Using: FileNet, TruCare, Portico.Rush Medical Center Chicago, IL January 2019 March 2019 Patient Scheduling (Contract) Focus on helping the medical facility unit with administrative tasks. Handling incoming calls about appointments, making requests for patients test and updating patients records with information from doctors and nurses, precertify insurance manage paperwork such as patient history forms, and admission and discharge documents using: EPIC, and Passport.LaSalle Network Chicago, IL July 2018 October 2018 Insurance Verification Specialist (Contract) Provided accurate and detailed information, verify demographics, precertify insurance, Verify authorization, code ICD-9, ICD-10, Using EPIC Software, One source, Passport. Log patient appointment and procedures onto the Log Communicator. Log onto Insurance Portal for further insurance update. Loyola Medical Center Maywood, IL March 2018 July 2018 Patient Access / Scheduler (Contract) Provided administrative support in the call center department. Obtain accurate and detailed information verifies demographics, schedule appointment and return appointments also schedule certain procedures. Surgery, X-Ray, Radiology, Physical Therapy, Mammogram. Using the EPIC Software, Passport, One source, alone with other office equipment. Answer inbound/outbound calls send out correspondents to patients prior to visit.South Shore Hospital Chicago, IL January 2018 March 2018 Patient Access Representative (Contract) Register patient, obtain accurate and detailed information, verify demographics, precertify insurance, collect co-pay, verify authorization, and answer inbound / outbound calls Send out correspondents to patient prior to visit Using Meditech softwareCommunity First Medical Center Addison, IL March 2017 November 2017 Patient Access Representative (Contract) Arrive patient immediate Obtain accurate and detailed information, Demographic, Insurance, and Picture ID, and Verify Information Use Epic, e-Verify, Passport System.University of Illinois at Chicago Chicago, IL March 2014 July 2014 Medical Claims Specialist (Contract) Registered students for School physical at The Art Institute of Chicago Processed medical claims, verified Insurance, coded at University of Illinois at Chicago in the call center Answered Inbound / Outbound calls, sent out correspondents to patients prior to visit Provided administrative support in various companies as assigned by the agency Resurrection of St. Mary Hospital Chicago, IL January 2013 March 2013 Administrative / Clerical Specialist (Contract) Obtained accurate and detailed information, verified demographics, pre-certified insurance, collected co-pay, verified documents were completed and signed Used the EPIC software program alone with scanning proper documents Scheduled for Home Health Aide, Register Nurse, Physical Therapy, C.N.A, Social Worker, Occupational Therapy and Physician visit for patients / clients for Elmhurst Memorial Hospital Answered Inbound/Outbound calls, sent out correspondents to patients prior to visit University of Chicago Medical Center Lombard, IL March 2012 May 2012 Administrative Support / Clinical Coordinator (Contract) Obtained accurate and detailed information, Demographic, picture ID, Insurance info, pre-certified insurance Scheduled return appointments also scheduled certain procedures such as: Surgery, X-Ray, Radiology, Physical Therapy, Sleep apnea, Bone Density, Mammogram Used the Epic software program alone with other office equipment Answered Inbound/Outbound calls, sent out correspondents to patients prior to visit Mercy Hospital Chicago, IL April 2006 June 2010 Unit Clerk Coordinator Responsible for maintaining patients records transcribing and entering Orders into the computer system, responsible for facilitation of the patients admission process Assisted the clinical staff by collecting accurate demographic information Provided and maintained an accurate daily patient census for admission, transferred and discharged on the unit Communicated with clinical staff and other department and referral agencies to facilitate seamless transition to other levels of care Assisted the clinical staff by coordinating the transport of patients within the hospital and to out/patients setting for treatment and diagnostic procedures Performed duties and tasks in accordance performance standards established for the job Responsible for participation in and completion of all patient safety initiatives appropriate to the position Medical terminology, Cerner works, Navigate, Meditic, Microsoft office, Star navigator (2), Data entry, Answer Inbound / Outbound calls, sent out correspondents to patient prior to visit. Word Perfect 9.0, CPT& ICD-9 coding Advocate Bethany Hospital Chicago, IL November 2004 September 2005 Patients Access Representative Obtained accurate and detailed demographic, Financial and clinical information to perform accurate and complete admissions/registrations Three to Five year in Health care/Scheduling, assigned rooms to patients as needed according to order Medical terminology, Allegra NEBO, NDAS, Meditic, Data entry, Word Perfect 9.0, Typing (45) wpm Answered Inbound/Outbound calls, Send out correspondents to patients prior to visit TECHNICAL SKILLS / SYSTEMS: Epic EMR Cerner Works Navigate Meditech Allegra NEBO / Passport NDAS Star Navigator (2) Word Perfect 9.0 CPT & ICD-9 Coding Microsoft Office Suite(Power Point, Word, Excel,Access, Outlook) Medical Terminology Patient Support |
