Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

JULIANN NOWOTNIAK

Medina

Summary

Efficient Insurance Verification and Authorization Specialist with 22 valuable years of knowledge and expertise in patient access, benefits explanation, eligibility and prior authorizations in multiple settings including Emergency, Admissions, Primary Care, Radiology, Cardiovascular Services and Home Health. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. Interested in developing my career to utilize my background and skill set for a new challenge in healthcare.

Overview

22
22
years of professional experience

Work History

Insurance Authorization and Intake Specialist

Southwest Community General Hospital
12.2021 - Current
  • Enhanced patient experience and efficient access to home health services by conducting thorough intake assessments and accurately identifying their needs.
  • Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.
  • Assisted patients with complex situations by providing clear guidance on the intake process and available services, resulting in increased understanding and engagement.
  • Supported team members through collaborative problem-solving, leading to enhanced productivity and overall workplace morale.
  • Reduced errors in documentation through diligent proofreading before submission, maintaining high standards of quality control throughout the entire intake process.
  • Streamlined insurance authorization processes by implementing efficient workflow strategies.
  • Expedited claim approvals by maintaining strong relationships with insurance representatives.
  • Managed high-volume caseloads to meet strict submission deadlines, prioritizing tasks accordingly.

Cook

Buckeye Local School District
10.2020 - 11.2021


  • Cooked meals according to administrative policies, health code regulations and food service standards.

Referral Coordinator

Summa Health System
10.2016 - 09.2020
  • Weighed patient need, location accessability, provider availability and insurance coverage to determine optimal scheduling.
  • Called insurance companies and utilized online verification services to get precertification and other benefits information on behalf of patients.
  • Organized clinical documentation, treatment plans, and referrals.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Obtained insurance authorization for Radiology/Imaging and other exams and assisted patients in scheduling exams.
  • Coverage for multiple areas in the practice, including scheduling, registration and copay collection.
  • Covered referral services for multiple offices within Summa in addition to maintaining the needs of my assigned location and trained new hires for these positions.

Patient Access Rep, Admissions Coordinator and Scheduler

UNIVERSITY HOSPITALS PARMA MEDICAL CENTER
11.2002 - 10.2016
  • Greet and assist patients in multiple clerical departments, including Emergency, Radiology, Outpatient Scheduling, Cardiovascular Services and Hospital Admissions.
  • Collect and verify personal information, verify insurance and eligibility, schedule appointments, explain detailed prep instructions for exams, process admissions, and multiple other duties requiring quick thinking, multi-tasking, and a pleasant and caring demeanor towards patients.
  • Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.

Education

Health Information Technology

Cuyahoga Community College
Cleveland, OH

Skills

  • I have a strong background in providing Patient Access in various departments and possess a vast understanding of Healthcare Access
  • Excellent communicator with a strong attention placed on details and accuracy along with ensuring patient needs are met with kindness
  • Admissions Coordinator working closely with the Operations Supervisor of Parma Hospital to provide bed assignments for a high volume of internal and external transfer admissions from other facilities and direct physician admissions
  • Insurance coding (ICD-9 and CPT)
  • Networking with staff for positive patient outcomes
  • Appointment Scheduling and Reminders
  • Electronic Health Records-EPIC and Cerner
  • Medical Coding
  • Medical Records Management, data entry
  • Proficient in Microsoft, Basic Excel skills
  • Provided registration services in Radiology, Laboratory, Emergency Services, Cardiovascular Services, Internal Medicine and Admissions I am knowledgeable in the collection of copays and insurance reimbursement
  • Admitting processes
  • Physician Authorizations, Insurance Verification and Prior Authorizations for diagnostic testing, referrals, and home health
  • Professional and pleasant communication skills for in person and telephone patient encounters
  • Insurance Knowledge
  • Medical Terminology
  • HIPAA Compliance Understanding

Additional Information

  • I am motivated and willing to participate in any continuing education opportunities towards billing, coding or any other certifications to increase my knowledge and value as an employee.

Timeline

Insurance Authorization and Intake Specialist

Southwest Community General Hospital
12.2021 - Current

Cook

Buckeye Local School District
10.2020 - 11.2021

Referral Coordinator

Summa Health System
10.2016 - 09.2020

Patient Access Rep, Admissions Coordinator and Scheduler

UNIVERSITY HOSPITALS PARMA MEDICAL CENTER
11.2002 - 10.2016

Health Information Technology

Cuyahoga Community College

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JULIANN NOWOTNIAK