To secure a role in your organization where I can utilize my experience and skills to provide quality customer care. I will make an significant effort and contribution to the continued success of this organization.
Overview
23
23
years of professional experience
Work History
Manager
Fillmore Transportation, Hedwig
01.2010 - Current
Collaborating with staff members to formulate and implement transportation-related procedures as well as company revenue goals and customer service objectives.
Complying with transportation-related policies, as well as safety rules, union contracts, and government regulations.
Weekly scheduling, recruitment HR system administration.
Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Cross-trained existing employees to maximize team agility and performance.
Managed and motivated employees to be productive and engaged in work.
Financial Clearance Team Lead
Roswell Park Comprehensive Cancer Center
02.2015 - 08.2023
Initiated the prior authorization process with health insurance providers regarding coverage for patient’s medications
Assist in supervision with daily operations and administrative functions
Acted as primary communications liaison between staff such as Department Heads, clinical administrators/clinical staff, patient insurance companies, retail or specialty pharmacies, using one or more technological touch points including EMR, email, web, chat and, patient portal and phone
Documented results of both authorizations for medications, and financial assistance where requests for authorizations/assistance where sent, approvals, denials and appeals in a timely manner into the electronic medical record (EMR)
Uses analytical and creative skills, ability to multitask and able to problem solve complex issues efficiently and promptly working independently or as a team
Maintains a high level of technological competency by utilizing available tools and applications
Documents results of both authorizations and financial assistance in Excel and EMR in a timely manner, document are then filed electronically Triaged phone calls inbound and outbound, submitted and received high volume faxes, and organized high volume emails
Assist uninsured patients with obtaining financial assistance, also assist the insured with financial assistance when challenged with unaffordable co-pays
Audited clinical data, matched diagnoses codes, and prior authorization documentation before transmitting to insurance providers
Collaborated with the pharmacy to create daily reports detailing the life of a prescription including prior authorization updates, payment updates and refill activities
Facilitated the appeals process for denied prior authorizations when requested by physicians or clinical staff.
Patient Access Representative
Admissions Roswell Park Comprehensive Cancer Center via Selective Staffing Solutions
01.2014 - 02.2015
Registered new and established patients before entering the clinic for appointments and procedures also when being admitted in hospital
Verified patient demographics, including name, address, date of birth, phone number, emergency contacts and current insurance
Obtained signed consents and DNR forms
Obtained and verified insurance information using insurance verification systems including Healthnet, OMNIPRO, and EPACE.
Operations and Customer Service Representative II
Loans, M&T Bank
08.2000 - 12.2009
Direct New Loans &
Indirect, Was the lead trainer of new and current employees
Trained on products and procedures, provided updates when products and procedures changed
Audited documents and data entries for accuracy and compliance, to obtain a loan, i.e., paystubs, tax returns, licenses for proof of income, and proof of address
Followed up with clients to ensure receipt of proper documentation
Assisted auto and RV dealerships with closing documents and funding of loans
Assigned projects from senior management such as drafting notes to document testing of new systems implementations and workflow procedures.
Education
College - Science
Business
Administration
Stratton
Skills
Managing Multiple Tasks
Supplier Relations
Income and Expense Management
Collaborate Cross-Functionally
Timeline
Financial Clearance Team Lead
Roswell Park Comprehensive Cancer Center
02.2015 - 08.2023
Patient Access Representative
Admissions Roswell Park Comprehensive Cancer Center via Selective Staffing Solutions