Summary
Overview
Work History
Education
Skills
Websites
Certification
Timeline
Generic

EMME C

Bloomington,IL

Summary

Experienced with patient financial navigation, providing clear guidance on financial processes and support. Utilizes effective communication to resolve billing issues and enhance patient satisfaction. Knowledge of healthcare billing systems and insurance protocols, ensuring accurate and compliant financial management. Experienced with supervising team activities, ensuring operational efficiency and smooth shift transitions. Utilizes strong communication and organizational skills to maintain high-performing team environment. Track record of effective problem-solving and conflict resolution, ensuring consistent quality and productivity.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Patient Financial Navigator I

OSF HealthCare
12.2023 - Current
  • Obtain prior authorizations and review, process, and follow up on provider referrals through Epic EMR, fax and phone
  • Coordinate with clinic point of contact to reach agreement for peer-to-peer consults for appealed authorizations
  • Obtain medical insurance benefit information
  • Generate medical service estimates based on Coordination of benefits (COB)
  • Collect payments over the phone, review payment plan options with patients
  • Manage then disposition or route inbound calls to appropriate Financial Clearance sector or clinic/facility

Shift Lead

Sonic Drive In
05.2024 - Current
  • Manage up to 8 team members, count funds and maintain transaction records
  • Safely prepare food items within health regulations
  • Serve customers
  • Provide hands-on training for employees
  • Maintain employee and labor cost ratios with 2% variance

Lead Surgery Scheduler/Registrar (Gastroenterology)

OSF HealthCare
04.2020 - 12.2023
  • Assist, inform, and support patients and their families throughout the entire Gastroenterology procedure process
  • Schedule the procedures, coordinate pre-op appointments, procedure reminder calls
  • Obtain prior authorizations and review, process, and follow up on provider referrals through EMR, fax and phone
  • Created and deployed various training materials specific to current position; routinely edit and upgrade materials, train peers on utilization including following updates

Subrogation Support Specialist

Afni
11.2017 - 03.2020
  • Utilized available resources to prepare then submit suspension requests for applicable uninsured motorist claims for numerous risk management clients
  • Maximized efforts to recover costs associated with insurance claims, verify associated address(es) of claimants are matched as a deliverable location, cross-reference listed claimant information
  • Routinely assisted training new hires processes required for suspension requests
  • Consistently maintained 98% or greater quality reviews under demonstration of 130% or greater productivity monthly
  • Maintained detailed documentation of support interactions, ensuring valuable insights are preserved for future reference and analysis
  • Managed high-priority tickets with professionalism, ensuring timely resolutions while maintaining excellent rapport with clients

Linguist I

Lionbridge
12.2016 - 03.2018
  • Transcribed various audio sessions projects
  • Provided over 100 audio tracks for data comparison and transcription builds for early AI variations in popular large-model voice response systems
  • Translated complex texts for clients, ensuring accurate representation of source material in target languages and sub variations

Education

Undergraduate Certificate - Health Information Coding

DeVry University
Tinley Park, IL
10.2019

Undergraduate Certificate - Medical Billing and Coding

DeVry University
Tinley Park, IL
04.2019

Project Management - Basics of Project Management

ECornell
Remote
11.2023

Software Engineering Prep Course - Basics of Python

Hackbright Academy
Remote
04.2023

Skills

  • Transcription
  • Medical Terminology
  • Medical Records
  • Leadership
  • Time Management
  • Advanced Microsoft Office
  • Novice G Suite Applications
  • Customer service focus
  • Employee training
  • Conflict resolution
  • Workplace safety
  • Staff supervision
  • Industry expertise
  • Cash handling
  • Creative problem solving
  • Strong verbal and written communication
  • Customer service management
  • POS system operation
  • Staff education and training
  • Client support
  • HIPAA compliance
  • Payment collection
  • Registration and scheduling
  • Multi-faceted Organizational skills
  • Active listening
  • Adaptability and flexibility
  • Detail-oriented
  • Patient education
  • Documenting and recording information
  • Insurance verifying
  • Patient confidentiality and data security
  • Insurance verification and authorization
  • Medical billing

Certification

  • American Health Information Management Association (AHIMA) Certified Coding Specialist, CCS February 2020
  • Certified Coding Associate, CCA September 2019
  • Colorado Department of Health Certified Nurse Aide, CNA December 2012
  • Community Intersections QMAPP December 2012

Timeline

Shift Lead

Sonic Drive In
05.2024 - Current

Patient Financial Navigator I

OSF HealthCare
12.2023 - Current

Lead Surgery Scheduler/Registrar (Gastroenterology)

OSF HealthCare
04.2020 - 12.2023

Subrogation Support Specialist

Afni
11.2017 - 03.2020

Linguist I

Lionbridge
12.2016 - 03.2018

Undergraduate Certificate - Medical Billing and Coding

DeVry University

Undergraduate Certificate - Health Information Coding

DeVry University

Project Management - Basics of Project Management

ECornell

Software Engineering Prep Course - Basics of Python

Hackbright Academy

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