Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Licenses
Skill Highlights
Proficient in all versions of Microsoft Windows
*Skillful with Microsoft Word, Outlook and Internet Navigation
*Experienced multi-tasking with numerous computer applications
Professional Experience
Financial Clearance Specialist, 12/2014 to Present Northwestern Medicine – Carol Stream, IL,
Responsible for reviewing scheduled appointments, planned surgeries to ensure all aspects of insurance approval have been met for each encounter Review each patient's treatment plan and insurance benefits to ensure that all information is accurate and that pre-certification or authorization is obtained from the payer and/or primary care physician Contacted insurance carriers or other sources and acts as an advocate for the patient.
Initiated the pre-authorizations/pre-determinations for insurance to get verified and processed correctly Initiate pre-certification request via call, fax or web with various insurance carriers prior to scheduled services Communicated with both patients and primary care physicians (PCP's) and/or specialists in regards to standings Followed up with doctors office with authorizations Faxed and emailed LOMN (letter of medical necessity) with clinical notes to provider for authorizations Support the unique needs of cancer patients by remaining calm under pressure and work comfortably with tight deadlines and competing priorities.
Verifications Specialist, 01/2012 to 12/2014 Hms – Topeka, KS,
Coordinate nationwide home health services including but not limited to respiratory and other home medical equipment, in addition to skilled nursing and home therapy.
Consult with discharge planners, medical offices, and/or healthcare providers to ensure patients receive timely care or equipment as ordered by their physician, often time sensitive.
Verify health plan coverage to ensure all services are billable under current medical policy.
Selected for a specific internal team that focuses solely on a very detail-oriented process of homecare verifications for a health plan with strict guidelines.
Receptionist, 10/2001 to 10/2012 – Henderson, NV,
Managed front desk of a busy dermatology practice Greeted patient's upon their arrival of the office, verified their insurance, accepted co-payments Answered phones, scheduled appointments and handled daily confirmations for the next day General office duties including but not limited to faxing, mail handling, filing Helped to maintain a neat and orderly work environment as the front desk was the patients' first impression of the office.
Receptionist, 06/1999 to 09/2001 Green Thumb Industries (Gti) – Lake In The Hills, IL,
Directed customer inquiries to the appropriate person.
Scheduled appointments for clientele to discuss their personal needs.
Education and Training
Completed certificate program for Medical Billing and Coding: , Expected in Touro College - New York, GPA:
Languages
Bilingual English and Italian
Skills
attention to detail, benefits, cancer, computer applications, clientele, excellent customer service, dermatology, detail-oriented, Bilingual English, fax, faxing, filing, General office duties, home health services, homecare, insurance, Internet Navigation, Italian, notes, Medical Billing, mail, office, Outlook, Microsoft Windows, Microsoft Word, multi-tasking, neat, next, nursing and home, primary care, Coding, phones, therapy, treatment plan, unique
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School Attended
Touro College
Job Titles Held:
Financial Clearance Specialist
Verifications Specialist
Receptionist
Receptionist
Degrees
Completed certificate program for Medical Billing and Coding
