Collect medical provider credentialing information and input provider details into the database.
Update and submit provider rosters monthly, per the health plans' requirements.
Assist with onboarding and termination of providers.
Conduct monthly meetings with Provider Groups, Office Managers, and Care Teams training via Microsoft Teams.
Identify opportunities for improving processes.
Engage in strategic planning with risk/non-risk to boost enrollment numbers for specific products unique to Provider Groups.
Act as a liaison between contracted health plans, providers, and ancillary providers to promote client success through excellent, superior customer service.
Performed insurance verification, negotiated settlements, and updated patient information.
Vendor Manager Representative Team Leader/Supervisor
Presence Health Hospital/Amita Health
Chicago, IL
05.2017 - 01.2019
Reconciled the monthly account inventory and provided reports to vendors' supervisors.
Resolved discrepancies with vendors and inventory and performed third-party follow-ups.
Assisted with developing and drafting policies and procedures for department leadership.
Approved administrative write-offs and bad debt adjustments and resolved conflicts among team members.
Supervised and led a team of 10 and served as a backup for the customer service team.
Conducted staff productivity and quality reviews of the reconciliation process.
Senior Financial Analyst - Psych Admitting and Registration
Northwestern Memorial Hospital
Chicago, IL
01.1998 - 08.2009
Register incoming patients, verify insurance coverage, and collect payments from self-pay patients.
Provide financial application packages to patients and initiate MANG and Charity Care applications, self-pay collections.
Report to medical staff and financial services management once a patient's financial clearance for service is obtained.
Make financial decisions as a Financial Counselor.
Train staff on policies and procedures and perform any other assigned duties.
Senior Financial Assessor - Billing Inquiring Unit
Northwestern Memorial Hospital
Chicago, IL
01.1995 - 12.1997
Updated patient demographic information.
Handled resolving complaints related to patient issues, verifying insurance, self-pay collections, investigating clinical and financial problems, and approving or denying charity care.
Responsible for third-party follow-up, self-pay collection, and setting up payment plans.
Trained staff on policies and procedures and performed other duties as required.
Education
MBA -
National Louis University
09.2025
Organization Behavioral Leadership -
Northwestern University
09.2013
Skills
Microsoft Office Suite
Web Pay
EPIC
IDX
Cerner Clinical Systems
Power chart
First Net
NDAS
Cadence
IVR
ACD
NEIC
ECARE
IDPA Illinois
Transunion
Search America
MEDITECH
Frontrunner
Passport OneSource
EZCAP
EZNET
Conflict Management
Public Speaker
Organizational Leadership Skills
Credentialing for Healthcare Providers
Insurance Specialist for all Health Plans
Medical Billing
Self -Pay Collection
Third-Party Follow-up
Financial Counselor
Admitting Registration
Insurance Verification
Vendor Management
Claim Inquiry Tracker
Network Reimbursement Tracker
Location
Chicago, IL
Timeline
Provider Relation Representative - Remotely
Innovista Health
06.2022 - Current
National Notary Association (NNA)
Joszy Mobile Notary LLC
02.2021 - Current
Vendor Management Representative II - Remotely
R1 RCM Inc.
01.2019 - 06.2022
Vendor Manager Representative Team Leader/Supervisor
Presence Health Hospital/Amita Health
05.2017 - 01.2019
Senior Financial Analyst - Psych Admitting and Registration
Northwestern Memorial Hospital
01.1998 - 08.2009
Senior Financial Assessor - Billing Inquiring Unit