Summary
Overview
Work History
Education
Skills
Timeline
Generic

Julia Bowen

Liberty Center,Ohio

Summary

Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. I am professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Motivated with experience successfully managing and monitoring eligibility information for members and groups. Highly skilled at facilitating program approval or denial through qualifications assessment, fact checking and record keeping. Confident and committed to promoting positive customer outcomes through dynamic communication and exemplary engagement skills. Astute professional highly skilled at handling patient issues and questions. Hardworking brings top-notch abilities in reception and clerical work. Equipped to handle fast-paced office operations with continuous flow of patients and assignments. Meticulous in completing assignments and always ready to help team members.

Overview

33
33
years of professional experience

Work History

Precertification Specialist

McLaren St Luke's Hospital
Maumee, Ohio
04.2022 - Current

Verified all Inpatient Emergent Patient insurance coverage's and submitted all clinicals for this process. Completed all notifications on the web and in some cases by phone calls to the payers and supplied all of the requested information to the payer's for this process.

Intergrated Care Management Specialist

St Luke's Hospital
Maumee, Ohio
09.2021 - 04.2022
  • Followed all company policies and procedures to deliver quality work.
  • Listened and responded to customer requests and forwarded necessary information to superiors.
  • Interpreted clients' needs and introduced services to fit specific requirements.
  • Attended training programs to deepen professional skillset and assisted in training fellow store associates on existing and new training programs.
  • Was the gate keeper for all of the Denial Management claims and appeals
  • Processed all Denial's mail documentation, scanned and uploaded and reassigned for processing.
  • Verified EOB's and adjusted to corrected balances
  • Contacted insurance payer's if payment is not correct.
  • Submitted reports and figures to upper management when requested.
  • Created all cases in the Intersect Health System(Verasity)
  • Evaluated diverse organizational systems to identify workflow, communication and resource utilization issues.
  • Provided suggestions for and actively participated in improving and execution of all programs.
  • Handled proper storage and rotation of all office supplies.
  • Kept track of Denial trends.

Management Specialist

St Luke's Hospital
Maumee, Ohio
07.1989 - 09.2021
  • Boosted customer experiences by delivering superior customer service, issue resolution..
  • Collected, arranged and input information into database system.
  • Gathered, organized and input information into digital database.
  • Generated reports detailing findings and recommendations.
  • Developed and updated tracking spreadsheets using Excel and Word.
  • Worked with multiple program applications, Chartmax, Affinity, Epic, Insight, DataArch, Fed X, UPS, Intersect Health, EHR, Scanned and Documented all denials and approvals.

Education

High School Diploma -

Liberty Center High School
Liberty Center, OH
05.1979

Skills

  • Flexible and Adaptable
  • Self-Motivated
  • Teambuilding
  • Loyal
  • MS Office
  • Data Entry
  • Active Listening
  • Multitasking Abilities
  • Excellent Communication
  • Dependable and Responsible
  • Planning and Coordination
  • Organization and Time Management
  • Attention to Detail
  • Good Telephone Etiquette
  • Decision-Making

Timeline

Precertification Specialist

McLaren St Luke's Hospital
04.2022 - Current

Intergrated Care Management Specialist

St Luke's Hospital
09.2021 - 04.2022

Management Specialist

St Luke's Hospital
07.1989 - 09.2021

High School Diploma -

Liberty Center High School
Julia Bowen