Summary
Overview
Work History
Education
Skills
Timeline
Generic

Caroline Gall-Kichurchak

Middleburg Hts.,OH

Summary

Experienced Supervisor leading team members on-time job completion. Assign tasks, train employees, provide feedback, mediate interpersonal conflicts and implement company procedures. Excellent communication and listening skills. Provide leadership and vision which drives teams to meet goals.

Overview

16
16
years of professional experience

Work History

Supervisor, Revenue Cycle Management

Option Care Health/Clinical Specialties
09.2018 - 08.2023
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
  • Monitored workflow to improve employee time management, increase productivity, and performing audits as designated.
  • Evaluated employee performance and coached and trained to improve weak areas.
  • Develops, monitors, coaches and manages staff, ensuring the develop of employees through orientation, training establishing objectives, communication of rules, constructive discipline. Builds employee morale, motivation and loyalty and fosters a team-like environment.
  • Overseen 3 departments Intake, Benefits, Authorizations of 28 employees.
  • Overseen Hiring process and disciplinary of 3 departments.

Benefit/Prior Authorization Coordinator

Option Care Health/Clinical Specialties
09.2013 - 09.2018
  • Obtain Home Health Care and Hospice benefits by verifying eligibility and compliance with authorization requirements for service providers.
  • Obtain initial/ongoing Home Health Care and Hospice prior authorizations.
  • Train fellow coworkers on new changes and procedures with different insurances.
  • Process escalated cases for home healthcare agencies.
  • Work internal projects as needed.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Input all patient data prior authorizations into system accurately.

Prior Authorization Coordinator

Apple Connections LLC
06.2013 - 09.2013
  • (temp agency Clinical Specialties used at this time)
  • After my schools externship with Clinical Specialties I was brought on as a temporary worker. Obtained ongoing prior authorization for Home Health Care and Hospice. Obtained ongoing Pharmacy report prior authorization. Loaded new referrals for the Intake Department. Processed initial prior authorization for Aetna insurance.

Shift Supervisor

Panera Bread
08.2007 - 06.2013
  • Opening café manager. Made employee schedules. Conducted first interviews and hired two employees. Balanced cash drawers. Made bank deposits and change orders. Took orders and deliveries. Created deployment chart for daily schedule for staff and assigned cleaning duties to staff. Verified time and attendance for staff on duty. Handled disciplinary actions as needed.

Prior Authorization Coordinator

Clinical Specialties
04.2013 - 05.2013
  • 5 week externship from Sanford Brown College
  • My externship took place in the ongoing prior authorization department. Where I trained and obtained ongoing prior authorization from Aetna, Humana, UHC, and Anthem for ongoing authorization requests from Home Healthcare agencies. Trained on how to process Pharmacy reports.

Education

Diploma - Medical Billing And Coding

Sanford Brown College
Middleburg Hts. OH
05.2013

Diploma - High School in Education

Midpark High School
Middleburg Hts. OH
05.2001

Diploma - High School in Early Childhood Education

Polaris Career Center
Middleburg Hts OH
05.2001

Skills

  • Build Customer Relationships
  • Excellent Team Leadership
  • Time Management
  • Communication
  • Attention to detail
  • Adaptability

Timeline

Supervisor, Revenue Cycle Management

Option Care Health/Clinical Specialties
09.2018 - 08.2023

Benefit/Prior Authorization Coordinator

Option Care Health/Clinical Specialties
09.2013 - 09.2018

Prior Authorization Coordinator

Apple Connections LLC
06.2013 - 09.2013

Prior Authorization Coordinator

Clinical Specialties
04.2013 - 05.2013

Shift Supervisor

Panera Bread
08.2007 - 06.2013

Diploma - Medical Billing And Coding

Sanford Brown College

Diploma - High School in Education

Midpark High School

Diploma - High School in Early Childhood Education

Polaris Career Center
Caroline Gall-Kichurchak