Experienced individual providing high-quality administrative support to various departments. Highly organized and detail-oriented with great multitasking and task prioritization skills.
Work History
Program Support Assistant
UCHealth University Of Colorado Hospital
Aurora , CO
02.2016 - 06.2024
Provided Utilization clinical review of initial, concurrent, denials, and approval notifications to program management and providers for all in-patient care services contributing to overall success
Answered and delegated inquiry inbound calls on dedicated voicemail lines
Utilized and maintained nursing staff schedules in comprehensive master spreadsheet
Assessed and processed utilization review of 3 regional work queues and 14 Satellite locations meeting Revenue Cycle goals
Created initial Training Manual for Program Support Assistant Team to enhance processes and implement time-saving strategies
Ran and worked daily fax report to prevent adverse determinations
Insurance Verification Specialist
UCHealth University Of Colorado Hospital
04.2005 - 02.2016
Assured timely verification of insurance benefits by 10% prior to procedures or appointments
Communicated verification and authorization status updates with Surgery department to facilitate decision-making for patient admissions and insurance coverage
Updated patient records with accurate, current insurance policy information
Train and educate new employees
Managed high-volume insurance verifications within pressured timeframes for productive medical operations
Established and maintained relationships with insurance providers for productive communication
Assist with surgery check-in for Inpatient and Outpatient surgeries by confirming patient demographics, insurance, collecting co-pays and payments.
Skills
Attention to Detail
Organizational
Customer Service
MS Office
Patient confidentiality
HIPAA Compliance
Interpersonal Skill
EPIC, Access, SSI, MC Remote, and Medicaid
Education
General Studies
Community College of Aurora
Aurora, CO
Sociology
University of Colorado Denver
Denver, CO
Professional Development
Various Career and Development workshops, seminars and online courses