Summary
Overview
Work History
Education
Skills
Timeline
Generic

Amanda Schad

Franklin,WI

Summary

Dynamic professional with extensive experience at Advocate Health as an Insurance Clearance Specialist II, excelling in service excellence and problem-solving. Proven track record in optimizing authorization processes and enhancing patient access to financial assistance programs. Strong attention to detail and effective communication skills drive successful outcomes in fast-paced environments.

Overview

16
16
years of professional experience

Work History

Insurance Clearance Specialist II

Advocate Health
10.2021 - Current
  • Accurately collects and analyzes clinical data in support of insurance authorizations for inpatient and outpatient services required by the plan guidelines, ensuring chart documentation supports coverage of services. Uses resources to determine appropriate procedure codes for authorization to ensure appropriate reimbursement.
  • Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility for authorizations and hospital billing. Manages workload to ensure timeliness of authorization requests and communicates with physician and patients regarding status.
  • Maintains knowledge of all stand-alone computer software programs to verify eligibility and authorization.
  • Identifies and assist patients with access to internal and external financial assistance programs.
  • Partners with post service teams to ensure appropriate documents are submitted for claim review. Notifies providers and patient of prior authorization denials and manages submission of appeals to insurance.


Operations Manager

Redwall Screen Printing
10.2019 - 07.2023
  • Supervised operations staff and kept employees compliant with company policies and procedures.
  • Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes.
  • Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them.
  • Managed inventory and supply chain operations to achieve timely and accurate delivery of goods and services, specifically for our embroidery department.
  • Led hiring, onboarding and training of new hires to fulfill business requirements.
  • Developed and maintained relationships with external vendors and suppliers.
  • Enhanced customer satisfaction by establishing clear communication channels and addressing concerns promptly.
  • Identified and resolved unauthorized, unsafe, or ineffective practices.
  • Directed initiatives to improve work environment, company culture or overall business strategy.
  • Researched, purchased and implemented a streamlined Software system for tracking all facets of the business.
  • Developed strong relationships with vendors, resulting in better pricing and improved service quality.
  • Interacted well with customers to build connections and nurture relationships.
  • Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.

Operations Coordinator

Safeway Pest Management
07.2018 - 10.2019
  • Led successful projects from conception to completion, achieving objectives on time and within budget constraints.
  • Developed strong relationships with clients, maintaining open lines of communication to promote loyalty and retention.
  • Boosted productivity by establishing effective communication channels between departments.
  • Acquired and maintained structural Chemical Application License.
  • Ensured compliance with industry regulations, keeping accurate records and managing audits on technician timecards, vehicles and inventory as required.
  • Provided direction and guidance to internal teams in order to achieve targets.
  • Improved employee performance by implementing training programs and conducting regular performance reviews.
  • Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
  • Direct sales of our services and products with residential and large business clients

General Manager

Trevor Place Pub
07.2016 - 07.2018
  • Managed budget implementations, employee reviews, hiring, training, schedules.
  • Developed and implemented strategies to increase sales and profitability. Including print and social media marketing.
  • Cultivated strong relationships with clients, vendors, and partners to ensure long-term success and loyalty.
  • Obtained and held all licensure for Serve-Safe and Liquor board
  • Managed budget development, forecasting, and financial reporting processes to track progress towards organizational objectives accurately.
  • Implemented effective cost-saving measures to reduce overhead expenses without compromising quality or service.
  • Provided thoughtful guidance to personnel in navigating and resolving snags in productivity.
  • Processed all payroll and maintained employee records.
  • Built and maintained community outreach programs, while hosting fundraisers and community events.

Optician/Supervisor

Wisconsin Vision
06.2009 - 04.2017
  • Calibrated seg heights, vertex, and pupillary distance and pantoscopic tilt to customize eyeglass orders and create perfect fit.
  • Evaluated incoming prescriptions from optometrists for accuracy before dispensing eyewear to prevent potential errors or dissatisfaction.
  • Provided exceptional customer service by attentively listening to patient concerns and addressing them promptly.
  • Filed claims with vision and medical insurance companies to garner payment for optical services.
  • Troubleshot issues with prescription eyewear, offering swift resolution to maintain customer satisfaction levels.
  • Aided patients in selection of flattering eyeglass frames appropriate for prescription and style preferences.
  • Verified and updated patient records promptly to guarantee accurate prescription information.
  • Increased sales by effectively communicating the benefits of various lens coatings, materials, and frames to customers.
  • Educated patients on proper use, care and maintenance of eyeglasses and contact lenses.
  • Conducted thorough frame adjustments to ensure optimal comfort, fit, and functionality for each customer.
  • Maintained safe, clean and organized environment to increase patient comfort.
  • Suggested optional items such as lens coatings and lightweight lenses to improve patient experience with eyeglasses.
  • Instructed patients on proper insertion, removal, and cleaning techniques for contact lenses.
  • Set up attractive displays, shared current promotions, and offered excellent customer service to increase satisfaction.
  • Stayed current on industry advancements and emerging trends through continuous professional development opportunities, enhancing the overall quality of service provided to clients.
  • Managed inventory levels efficiently to guarantee adequate stock availability while minimizing excess supply expenses especially in our contact lens stock.
  • Managed staff relations and training of new hires.
  • Ensured accurate accounting of the daily cash drawers, secured bank deposits.

Education

High School Diploma -

East Troy High School
East Troy
06-2002

Skills

  • Service excellence
  • Problem-solving and critical thinking
  • Time management
  • Attention to detail
  • Team collaboration
  • Customer service excellence
  • Multitasking skills
  • Effective communication
  • Active listening
  • Self-motivation

Timeline

Insurance Clearance Specialist II

Advocate Health
10.2021 - Current

Operations Manager

Redwall Screen Printing
10.2019 - 07.2023

Operations Coordinator

Safeway Pest Management
07.2018 - 10.2019

General Manager

Trevor Place Pub
07.2016 - 07.2018

Optician/Supervisor

Wisconsin Vision
06.2009 - 04.2017

High School Diploma -

East Troy High School

Similar Profiles

CREATE PROFILE