Jennifer Phillips
Yucaipa,CA
Summary
Experienced healthcare professional with a 25-year in hospital and managed care settings. Skilled in establishing strong relationships and providing comprehensive customer service to patients and fellow healthcare professionals. Proficient in problem-solving, conflict resolution, and delivering impactful presentations. Demonstrated ability to network with public organizations and businesses to foster successful partnerships. Adept at handling confidential and sensitive information with utmost discretion. Seeking a position where I can contribute my expertise and make a positive impact in the healthcare industry.
Overview
25
25
years of professional experience
Work History
Authorization Specialist
Redlands Community Hospital
Redlands, CA
01.2025 - Current
- Obtain timely and accurate Inpatient and Observation authorizations.
- Coordination with revenue cycle departments to help obtain correct authorization
- Focused / detailed attention to payer requirements regarding authorization: completed in accordance to the individual payer plans.
- Maintaining strong documentation and communication.
- Coordinate with multiple departments to maintain compliance with payer and regulatory requirements.
- Denial prevention and resolution.
- Process appeals.
- Provide updated information to payers as well as coordination peer to peer request.
- Demonstrating good problem-solving skills on a daily basis
Case Management Assistant
Redlands Community Hospital
01.2014 - 01.2025
- Provide support for patients and senior staff to assist in a transfer of care
- Insurance eligibility & benefits verification
- Epic Systems experience
- Document Verification and procurement
- Knowledge of commercial and medicare guidelines
- Initiate and process high volume referrals for inpatient hospital stays, outpatient, skilled services and DME.
- Developing assistance plans in conjunction with case workers.
- Work collaboratively with case management and interdisciplinary staff to coordinate patient care.
- Enhanced patient care by efficiently coordinating case management processes and collaborating with healthcare professionals.
- Facilitated smooth transitions between care settings by arranging necessary transportation and communicating relevant information to receiving facilities.
- Ensured timely communication between healthcare providers, fostering a collaborative care environment for patients.
- Assisted with the development and implementation of case management policies and procedures, contributing to a more efficient department.
- Safeguarded patient privacy by adhering to HIPAA regulations during all aspects of case management activities.
- Streamlined service delivery for patients by organizing and maintaining accurate case records and documentation.
- Notice of Medical Non-Coverage.
- Hospital Electronic Medical Records (EMR) and Medical Group EMR access
Human Resources Assistant
Redlands Community Hospital
Redlands
01.2013 - 01.2014
- Maintaining employment records and personnel-related data
- Completing special projects, such as research, analysis, and report preparation. Closing out retirement plans
- Efficiently managed personnel files, maintaining confidentiality while keeping records up-to-date and organized
- Filed paperwork, sorted, and delivered mail and maintained office organization
- Answered and redirected incoming phone calls for office
- Developed strong relationships with employees through consistent communication and support
- Responded to employee inquiries regarding benefits and other HR topics.
Cardiopulmonary Administrative Assistant
Redlands Community Hospital
Redlands
01.2006 - 01.2013
- Providing administrative support to the Director of the department, such as answering phones and calendaring.
- Leading administrative functions for assigned areas and working independently to manage tasks.
- Preparing documents, presentation materials, invoices, and reimbursements.
- Creating and maintaining spreadsheets.
- Managing payroll, ensuring employees are paid correctly and on time.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
- Supported executive staff through scheduling meetings, and preparing crucial documents.
EKG Technician
Redlands Community Hospital
Redlands
03.2001 - 01.2006
- Apply electrodes to the patient's skin according to established protocols.
- Performed EKG tests to monitor patients' heart rhythms and detect abnormalities and notify the physician if necessary.
- Document the procedure and results in the patient's medical record.
- Maintain EKG equipment and ensure its proper functioning.
- Boosted patient satisfaction through effective communication and empathy during EKG procedures.
- Increased efficiency in daily operations by organizing supplies inventory and restocking as needed.
- Provided instruction on Holter monitor and connected patient to analyzer.
Education
Associate of Science - General Education
Crafton Hill College
Yucaipa, CA12.2022
High School Diploma -
Yucaipa High School
Yucaipa12.2000
Skills
- Teamwork and collaboration
- Time management
- Attention to detail
- Effective communication
- Document management
Timeline
Authorization Specialist
Redlands Community Hospital
01.2025 - Current
Case Management Assistant
Redlands Community Hospital
01.2014 - 01.2025
Human Resources Assistant
Redlands Community Hospital
01.2013 - 01.2014
Cardiopulmonary Administrative Assistant
Redlands Community Hospital
01.2006 - 01.2013
EKG Technician
Redlands Community Hospital
03.2001 - 01.2006
Associate of Science - General Education
Crafton Hill College
High School Diploma -
Yucaipa High School