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Click here or scroll down to respond to this candidate7/2024 to PresentCandidate's Name
Street Address
PHONE NUMBER AVAILABLE EMAIL AVAILABLEObjectiveHighly detailed individual looking to make a difference in peoples lives with a vast amount of experience in customer service, business administration, and sales experience seeking to obtain a career position using my exemplary customer service abilities, and administration experience to provide the most positive experience as possible.Key Qualications Customer Service SME BLS Certied Experienced with EPIC Medical Insurance Eligibility Medical Insurance Authorization Medical Scheduling Multitasking & Prioritizing Root Cause AnalysisEmployment ExperiencePatient Access SpecialistUniversity of Michigan Health - Sparrow Clinton Pre-Registration of patients over phone (primary responsibility). Covers both Emergency Department as well as Scheduled Hospital Appointments. Interviews patients for the purpose of collecting complete and accurate condential demographic and nancial information to comply with regulatory agencies and billing requirements. Provide Excellent Customer Service to patients and families for individual needs, with empathy. Assign appropriate ICD-10 for registration and billing compliance purposes at the point of scheduling and registration. Obtain signatures and information as required by regulatory agencies while in compliance with federal regulations such as HIPAA, EMTALA and Identity Theft (Red Flag) reporting. Verify insurance eligibility and covered benets by using all electronic systems available to them or by phone. Educate the patient as to their nancial responsibility & collect prepayment for hospital services that are not covered by the patients insurance, including co-pays, deductibles, or good faith deposits. Work exception accounts held internally or rejected by payers for errors related to registration. Supports continuous improvements and lean initiatives implemented in Patient Access 3/2024 to 7/20243/2023 to 7/20242/28/2022 to 8/5/2022Department. Provides excellent customer service to patients and their families Emergency Department Unit SecretaryUniversity of Michigan Health Sparrow Carson Uses computer to verify physician orders and coordinates the execution of those orders with various departments. Assumes all other duties and responsibilities as necessary. Attends all required safety training programs. Follows the hospital exposure control plans/bloodborne and airborne pathogens. Promotes effective working relations and works effectively as part of a department/unit team to facilitate the department's/unit's ability to meet its goals and objectives. Patient Access SpecialistUniversity of Michigan Health Sparrow Carson Covers both Emergency Department as well as Scheduled Hospital Appointments. Interviews patients for the purpose of collecting complete and accurate condential demographic and nancial information to comply with regulatory agencies and billing requirements. Provide Excellent Customer Service to patients and families for individual needs, with empathy. Assign appropriate ICD-10 for registration and billing compliance purposes at the point of scheduling and registration. Obtain signatures and information as required by regulatory agencies while in compliance with federal regulations such as HIPAA, EMTALA and Identity Theft (Red Flag) reporting. Verify insurance eligibility and covered benets by using all electronic systems available to them or by phone. Educate the patient as to their nancial responsibility & collect prepayment for hospital services that are not covered by the patients insurance, including co-pays, deductibles, or good faith deposits. Work exception accounts held internally or rejected by payers for errors related to registration. Supports continuous improvements and lean initiatives implemented in Patient Access Department. Provides excellent customer service to patients and their families CERA Specialist (COVID Emergency Rental Assistance) EightCAP LLC Receive applications and/or referrals for households who are in danger of eviction. Review submitted documents for accuracy and reliability according to program guidelines. Collaborate with other departments, local resources, legal aid, and District Court to maximize a positive outcome for the client. Ensure payments and billings are processed in a timely manner. Maintain accurate client records for all clients. Responsible for all required reports to be completed and submitted in a timely and organized manner. Entering of real-time data into FACSPro or required data systems. Ensure all grant requirements are met. *** This was a temporary position.2/2003 to 3/20078/2023 to present11/200209/200212/199901/1995 to 05/1997Corporate Program Specialist/Program SpecialistWISH Center Handled all Insurance functions for all local patients, including but not limited to; benet & eligibility verications, organization and submission of all prior authorizations & pre- determinations as well as follow-up on both. Explanation of pre-determination coverage and pre-surgical nancial responsibilities. Charge entry and coding (ICD-9, ICD-10 & CPT coding). Fee disclosures & insurance appeal assistance & organization. Appointment Scheduling. Corporate Level responsibilities included all of the above plus overseeing and managing all program specialists at 10 other locations throughout the USA. This included writing all training materials, weekly conferences by phone, daily email contact, and organizing all details of an annual training weekend help at our corporate location in the Chicagoland area. EducationCandidate For Bachelors DegreePublic & Non-Prot Administration Taking classes to complete this degree, received academic honors last semester. Need to complete 24 additional credits at this time. (Switching to Healthcare Administration in the fall of 2024.) Emergency Medical Technician-Basic CerticationMorton CollegeFire Fighter II CerticationOak Lawn Fire AcademyCandidate For Bachelor Of ScienceUniversity of Wisconsin- Milwaukee Had to leave school in my last semester (6 credits left) due to my mothers terminal diagnosis.Associate In Science DegreeMorton CollegeSkills & Abilities EPIC ICD-09 & ICD10 CPT coding Kaizen Microsoft Ofce Products Microsoft Word Microsoft Excel Microsoft Outlook PowerPoint Google Drive Skype Zoom Kronos FACSPro/DBA Previously Licensed Real Estate Agent Fireghter II Trench Rescue Fire Investigation EMT-B CPR ACLS |
