JESSICA MENDEZ
New Lenox,IL
Summary
Dynamic professional with extensive experience in healthcare and financial services, including a proven track record at the University of Illinois Hospital. Skilled in medical insurance verification and patient eligibility determination, I excel in problem-solving and maintaining compliance with HIPAA regulations, ensuring exceptional service and support for patients and healthcare providers alike.
Overview
11
11
years of professional experience
Work History
Admitting Officer, I
University Of Illinois Hospital
Chicago, IL
05.2023 - Current
- Maintain applicable assigned work queues, and expected lead times.
- Within UI Health, work queues document and close tasks upon completion.
- Monitors ongoing tasks to ensure timely updates.
- Consistently performs and exceeds departmental minimum expected productivity goals.
- Ability to complete registration and coverage verification, as necessary.
- Determines if a patient is eligible for intended care at UI Health. If necessary, contact the patient to obtain correct insurance information, or inform the patient of the UI Health self-pay policy.
- Contact insurance providers to obtain any applicable authorization types prior to third-party payers' authorizations for services. Secure HMO referrals as necessary, based on the plan and service, prior to the date of service.
- Verified insurance eligibility for all patients admitted to the hospital.
- Ensured compliance with HIPAA regulations by maintaining confidentiality of patient records at all times.
- Facilitated communication between physicians, nurses, social workers and other healthcare providers regarding patient care needs.
- Monitors expirations of authorizations, and initiates requests for extensions.
- Answered telephones and directed calls to the appropriate medical or administrative staff.
Patient Resource Consultant
CHICAGO FAMILY HEALTH CENTER
Chicago, IL
01.2021 - 05.2023
- Conducts financial assessment interviews and screens patients for healthcare benefits/coverage and/or eligibility to participate in available programs.
- Explains financial requirements and answers all patient questions to ensure full understanding of benefit programs and patient responsibilities.
- Obtains all necessary forms, documents, and signatures, as required.
- Assist patients with program enrollment by initiating applications for Medicaid, Medicare, Marketplace plans, Sliding Scale, SNAP benefits, housing assistance, etc. based on financial assessment results and option selection.
- Records and maintains accurate and complete demographic and financial documentation in the electronic health record, as well as other coverage systems.
- Compiles and distributes literature about benefits, eligibility requirements, and availability of health coverage programs and supportive resources.
- Files complete applications to ensure coverage of all dates of service.
- Maintains current knowledge of Medicare, Medicaid, private insurance, and Sliding Fee Scale rules and regulations, including HRSA sliding fee discount requirements.
- Addresses and resolves complex enrollment and financial questions and concerns.
Universal Banker II
ROYAL SAVING BANK
Chicago, IL
01.2018 - 12.2021
- Knowledgeable and proficient in the account opening process for all deposit accounts, including savings, checking, money market, and club accounts.
- Maintained vault and ATM cash in an accurate and responsible manner.
- Verified cash shipments from Federal Reserve under dual control system.
- Responsible for security of vault cash, Travelers Checks, Money Orders, Cashier’s Checks, and any other consigned items.
- Proficiency in identification and new account screening methods and being able to fully explain regulatory requirements on all accounts and services.
- Resolved and followed up on client complaints and issues to provide and ensure the highest quality client service.
Lead Shift Supervisor
MARIANO’S FRESH MARKET
Chicago, IL
01.2015 - 12.2018
- Responsible for opening/closing store during normal business hours.
- Operated and balanced cash register for opening and closing duties.
- Completed voids, refunds, and daily cashier’s exception reports.
- Trained several associates to become cashiers and shift leaders.
Education
Associate of Applied Science - Medical Assistant
EVEREST UNIVERSITY
01.2014
Skills
- Adaptable learner
- Banking
- Customer relations
- Experience in financial services
- Proficient in Excel
- Proficient in Microsoft Word
- Solid business ethics
- Organizational time strategies
- Prioritization
- Medical insurance verification
- HIPAA compliance
- Patient eligibility determination
- Time management
- Problem solving
- Insurance verification
- Verifying insurance
- Checking in patients
- Collecting co-pays
- Eligibility requirements
- Verifying eligibility
- Microsoft Office Suite
Languages
Spanish-Fluent
English-Fluent
Timeline
Admitting Officer, I
University Of Illinois Hospital
05.2023 - Current
Patient Resource Consultant
CHICAGO FAMILY HEALTH CENTER
01.2021 - 05.2023
Universal Banker II
ROYAL SAVING BANK
01.2018 - 12.2021
Lead Shift Supervisor
MARIANO’S FRESH MARKET
01.2015 - 12.2018
Associate of Applied Science - Medical Assistant
EVEREST UNIVERSITY