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Click here or scroll down to respond to this candidateCandidate's Name
Chicago, ILTo obtain a position that will allow me to utilize my leadership, professional and interpersonal skills. I would like to add value to an organization with my excellent communication skills, attention to detail and effective team building skillsPROFESSIONAL WORK EXPERIENCEPatient Access Specialist April/2024 to 10/2024Advocate Christ Medical HospitalChicago, ILResponsible for the complete registration of patients who are receiving services at Hospital.Have excellent organizational and communication skills and must exhibit courteous, caring guest relations skills, use good judgment regarding confidential information and be team oriented.Work well with others to ensure a pleasant, positive patient experience and serve as a trainer and mentor for new employees.During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.Manage incoming and outgoing calls in order to complete pre-registrations with patientsFunctions at the Point of Service (POS) front desks, walk-in registration areas, or emergency room settings.Enters and/or updates all required data in multiple hospital computer systems to activate accounts and notify clinical department of patient arrival.Maintain knowledge of State & Federal regulations governing Medicare, Medicaid and Mental Health registrations.Participated in departmental team building activities and other miscellaneous duties as assigned by leader.Destiny Healthcare Inc., - Chicago, ILHome Care Specialist (Part-time) November 2022 to PresentTransported clients to locations outside the home such as MD office, grocery store., etc using a motor vehicle.Scheduled medical appointments for the clients.Planned, shopped for, and prepared nutritious meals on behalf of client.Performed housekeeping duties; cooking, cleaning, washing clothes or dishes and running errands.Cook County Hospital Chicago, ILUnit Secretary (Contract Position) November 2022 to February 2023Answered inbound phone calls.Greeted patients and gathered their personal information necessary for their appointment.Provided administrative support as needed for the department and clinical team.Made sure all documentation: paperwork, copies of power of attorney, patients labels, etc. was obtainable and in order for the hospital staff.Northwestern Hospital - Chicago, ILPatient Access Specialist (Contract Position) September 2021 to June 2022Daily use of EPIC for inbound calls in order to assist patients with scheduling, and canceling appointments.Provided information to patient inquiries about providers. Transferred calls to appropriate departments as needed.Transferred calls to the MD office when a patient has missed MD or Nurse calls.Maintained a 90% call quality score.Registered patients for MyChart as well as utilizing the EpicCare-Link functionality as appropriate.PCG International - Chicago, ILProvider Claims Specialist June 2020 to April 2021Assisted Illinois residents apply for State benefits. Filed Illinois unemployment insurance claims.Assisted claimants in resetting passwords and guiding them through the state website.Responsible for providing claimant s information on their claim and account status.Assisted claimants in certifying for weekly benefits.Handled inbound and outbound calls, with a heavy call volume.HealthCare Support Staffing Agency - Downers Grove, ILTelephonic Clinical Administrator Coordinator (Contract Position) November 2019 to April 2020Handled inbound calls from providers that needed chemotherapy authorizations for patients.Ensured providers every call was accurately documented in the system.Navigated programs such as ICUE, MBM NOW, and CISCO JABBER to perform job duties.NThrive - Downers Grove, ILPatient Responsibility Specialist May 2019 to November 2019Daily use of Epic and Allegra systems. Inbound/Outbound Calls leveraging an auto-dialer.Verified Advocate patients information.Maintained company compliance by adhering to policies and procedures pertaining to HIPAA Laws.Negotiated affordable payment plans with Advocate customers by reviewing accounts history.Executed appropriate procedures to follow-up on third-party approvals, billing, and collection of delinquent accounts.Amita Health - Lisle, ILPatient Access Specialist (Contract Position) December 2018 to May 2019Utilized excellent customer service skills to gather needed patient information. Input patient data into Amita Health electronic system.Assisted with insurance eligibility verification.Good knowledge of medical terminology.Demonstrated strong understanding of patient confidentiality & HIPAA rules. Additional duties as assigned.Option Care Health - Lisle, ILMedical Document Coordinator/Prior Authorization Specialist (Contract Position) July 2018 to December 2018Faxed confidential medical documents to MD offices.Called MD offices to verify confirmation of receiving documents.Followed up on Denied Claims of Service for patients needing home feedings. Submitted and maintained prior authorizations and all certificates of medical necessity (CMN). Received appropriate paperwork and prescriptions as required.Entered all patient notes into EMR and verified all information was complete and accurate. Uploaded required documents to the patients account.Advocate Medical Group Rolling Meadows, ILPatient Advocate SpecialistLaSalle Network (Contract Position) February 2018 to July 2018Daily use of Epic.Handled high-volume inbound calls from providers, managed care organizations, members, and vendors with various concerns and questions.Performed eligibility verification/validation for members, using various web-based systems.Assisted members with primary care selection and changes.Educated members on how to use the self-service physician finder website.Reach out to Providers and the Managed Care Organization to assist members with eligibility issues. Escalated calls to appropriate departments that fell outside of eligibility.Illini-Care Health Naperville, ILMember Service Representative (Contract Position) February 2017 to February 2018Handled inbound calls to assist with a variety of needs.Assisted members and providers with HIPPA verifications. Provided information on claim status.Assisted members with finding a provider, website support, billing inquiries, and authorizations. Performed as Nurse-Wise (Triage nurse department) to complete Health Risk Assessments for new members.EDUCATIONGeorge Westinghouse College Prep Chicago, IL (Diploma) |
