Seeking a position in the medical field/customer service industry in a professional environment.
Overview
10
10
years of professional experience
Work History
Patient Access/Outpatient Supervisor
Prime St Joe's Hospital
Joliet, IL
06.2025 - Current
Supervised outpatient front desk and clinical support staff at Prime St Joe's Hospital
Coordinated patient scheduling, registration, and referral workflows across outpatient services
Reviewed insurance verification and authorization requests for outpatient visits
Hired and trained new employees across multiple locations, enhancing team capability and service delivery
Managed operations across three locations: Joliet, Plainfield, and Romeoville
Facilitated weekly meetings with management team to align on objectives and address operational challenges
Generated daily reports to track operational performance and support decision-making
Implementing new products and procedures
ReferralAuthorization Lead/Supervisor
Elmhurst/Edward Hospital (Pain Clinic)
Naperville, IL
08.2023 - Current
Working on referral that are placed in the queue from 3-4 different Dr's.
Called various insurance companies to verify authorization and predetermination status.
Starting auth through online portal such as ( cohere,evicore,valenz,carlen)etc.
Weekly meeting with providers/office manager regarding auth/referrals
Filed appeals for providers and followed up to ensure timely processing.
Conducted onboarding sessions for new hires and provided comprehensive training.
Onboarding of new hire/training new hires
Patient Service Rep Lead
Elmhurst/Edward Hospital
Warrenville, IL
02.2022 - 08.2023
Coordinated insurance verification across 5-6 clinics to ensure patient coverage
Verified insurance information through RTE daily to maintain accurate patient records
Working out of 5-6 different clinics to find insurances for the patients
Checked patient eligibility using OneSource software to ensure accurate insurance coverage.
Scheduling PSR/approving time
Trained new employees on processes and procedures to enhance team efficiency
Referral Supervisor
Greatland Home Health Service
Naperville, IL
08.2020 - 12.2022
Input the new referral that comes in from the different agency
Checking patient eligibility to make sure we in network
Checking patient eligibility to make sure we are in network
Coordinated with hospital staff and patients to clarify discharge instructions and ensure smooth transitions
Generated daily reports to track performance metrics
Running daily report
Assist with the team meeting on a weekly basis
Program Coordinator I
Illinicare Health/Centene Corporation
Westmont, IL
07.2019 - 01.2020
Answering calls from the reps that are out in the field (safety calls)
Assign different tasks to the reps from the queue
Made outbound calls to members for enrollment in coaching programs to enhance participation
Distributed daily log to team members
Distributed daily log/spreadsheet to ensure timely task management
Customer Service Specialist II/Team Leader
Illinicare Health/Centene Corporation
Naperville, IL
04.2017 - 07.2019
Answered 40-50 calls daily, assisting members with insurance inquiries
Identified local PCP, vision, dental, and specialist providers for members
Changing PCP checking eligibility and benefits
Facilitated team meetings to ensure adherence to schedules and project goals.
Managed supervisor and escalation calls to resolve member issues effectively.
Checked and processed claims, ensuring timely resolution for members
Education
Proviso East H.S.
Skills
I have over 20 years' experience in Customer Service Medical field experience 5 years years of Leadership roles Excellent communications, people, interaction, listening, typing multitasking, typing skills
Proficient in Word, Excel, PowerPoint, Access, patient scheduling, data analysis, and Office Outlook Able to navigate around the computer well