Highly organized professional with proven track record in coordinating complex tasks and ensuring seamless operations. Adept at managing schedules, resources, and stakeholders to achieve project goals effectively. Renowned for fostering teamwork and adapting to dynamic environments, making significant contributions to organizational success.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Financial Clearance Coordinator Level II
Ann & Robert H. Lurie Children's Hospital of Chicago
09.2006 - Current
Serves as a resource person for department.
Management of assigned Epic WQs for follow up on outstanding cases or for resolution of authorization/billing issues.
Handles escalation situations and processes those calls/cases requiring expert knowledge.
Coordinates the training and orientation of new staff with the department manager.
Provides input and feedback on department workflows and identifies opportunities for process improvement.
Participates in interviews and helps to select prospective employees.
Participates in project teams as appropriate related to implementation of new revenue cycle initiatives.
Ensures pre-certifications are completed prior to visit for all admission.
Current knowledge of insurance requirements, benefit provisions and pre-certification.
Contacts patient and/or division teams to provide updates on precertification status and timeliness.
Updates and or correct patient registration in Epic to reflect up to date demographic/insurance information to ensure claim is claim is submitted timely and accurately.
Improved team productivity with regular communication and progress updates, fostering a collaborative work environment, as well as Monitors and coaches staff to ensure competency standards are met and provide feedback to Manager.
Super User for the department.
Other job functions as assigned.
Medicaid Liaison
HRM Inc
01.2001 - 08.2006
File applications to the Illinois Department of Human Services for Patients that have no medical insurance and meet the requirements or if they want to apply secondary to their insurance.
Follow up with the submission of applications until a final decision is made.
Document in Epic.
Education
No Degree - Business Management
Wright College
Chicago
High School Diploma -
Carl Schurz
Chicago
06-1998
Skills
Bilingual
Multitasking and organization
Customer service
Data entry
Decision-making
Microsoft Teams/Office Outlook/Excel
Epic
Team leadership
Staff training/Management
Effective Communication
Quick Learner
Accomplishments
Supervised team of 8 staff members.
Collaborated with team in Leadership in the development of Department SOP's.
Certification
Medical Terminology
Languages
Spanish
Full Professional
Timeline
Financial Clearance Coordinator Level II
Ann & Robert H. Lurie Children's Hospital of Chicago
PATIENT SERVICE REPRESENTATIVE at Ann & Robert H. Lurie Children's Hospital of ChicagoPATIENT SERVICE REPRESENTATIVE at Ann & Robert H. Lurie Children's Hospital of Chicago
Patient Service Representative at Ann & Robert H. Lurie Children's Hospital of ChicagoPatient Service Representative at Ann & Robert H. Lurie Children's Hospital of Chicago
Emergency Department Partner at Ann & Robert H. Lurie Children's Hospital of ChicagoEmergency Department Partner at Ann & Robert H. Lurie Children's Hospital of Chicago
Resource Team Registered Nurse at Ann & Robert H. Lurie Children's Hospital of ChicagoResource Team Registered Nurse at Ann & Robert H. Lurie Children's Hospital of Chicago