Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic

Lydia Sosa

Chicago,IL

Summary

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.
  • Initiates precertification cases for outpatient surgery, admission authorizations, , Sleep Studies, Inpatient VEEG, Autonomic Medicine.
  • 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
09.2006 - Current

Medicaid Liaison

HRM Inc
01.2001 - 08.2006

No Degree - Business Management

Wright College

High School Diploma -

Carl Schurz
Lydia Sosa