Dedicated authorizations professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
13
years of professional experience
1
Certification
Work History
Sutter Shared Services
Roseville, CA
Financial Clearance
05.2013 - Current
Job overview
Serves as the pre-service point of contact for patients to obtain all necessary information to pre-register and financially clear patients prior to day of service delivery.
Preforms activities that relate to pre-registration and financial clearance for multiple patient types (e.g Inpatient Admissions, Diagnostic Outpatients, Ambulatory Surgery and supports coverage of departmental divisions
Obtains non-clinical referrals and authorization coordination and unbilled account follow-up.
Frequent communications will occur with patients/ family members/ guarantors, and physicians/ office staff
Maintains knowledge of applicable Federal, State and local laws and regulations in addition to Sutter policies and procedures.
Pocono Medical Center
Stroudsburg, PA
Emergency Room Registration & Admissions
09.2008 - 08.2012
Job overview
Collected, organized and entered patient data into medical systems for proper treatment.
Retrieved medical data for physicians, nurses and patients.
Catalogued patient data in clinical databases and registries according to regulatory practices.
Performed regular quality and validation assessments on patient data/ insurance to verify accuracy/coverage and obtain authorization for patients procedures and hospital stays.
Finance Team Member III (Revenue Integrity Department) at Sutter Shared ServicesFinance Team Member III (Revenue Integrity Department) at Sutter Shared Services
Main Teaching Assistant/ Math and Reading Tutor at Kumon Math and Reading Center of AntelopeMain Teaching Assistant/ Math and Reading Tutor at Kumon Math and Reading Center of Antelope