Marayda Graciano
Arlington Heights,IL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
23
23
years of professional experience
Work History
Referral Specialist
Optum/Duly Health & Care
Downers Grove, IL
11.2020 - Current
- Verifying medical insurance policies, Processing authorizations for Outpatient, Observation, and Inpatient surgeries, Processing authorizations for Oncology Chemo and Infusion therapies, Assisted in training new employees in Surgery pod and helped monitor assignments in workques
Insurance Verification
Northwest Community Hospital
Arlington Heights, IL
03.2019 - 03.2020
- Verifying medical insurance policies, Processing authorizations for patient exams, Completing urgent accounts for hospital Inpatient and Observation stays
Community Resource Representative
Presence Health Info Line
Morton Grove, IL
02.2017 - 11.2018
- Providing physician referrals to patients needing Presence Health physicians, Collecting demographic/insurance information, Assisting with Event/Class pre-registration and Orthopedic/Cardiology campaigns, Assigned with training new employees
Patient Access Coordinator
Rush University Medical Center/Affiliated Radiologists
Chicago, IL
04.2012 - 02.2017
- Manage and oversee front desk scheduler team and assist with duties (answering phones, scheduling MRI/CT appointments, and check-in patients for exams), Collect demographic and insurance information using Epic EMR systems, Verify insurance plans to ensure coverage for patient services via the web (ECARE) and (CMS, CONNEX), Obtain prior authorizations for exams by working directly with the medical offices and insurance companies
Medical Office Receptionist/Referral Coordinator
Doctor Divas
Oak Park, IL
02.2010 - 03.2012
- Managed busy front desk for multi-physician office, Collect demographic and insurance information using Safari, Phreesia, and Practice Fusion EMR internet systems, Verifying medical insurance policies, Process and post insurance co-pays and self-pay payments, Experience in triaging patient phone calls and assist nursing staff as needed, As referral coordinator, enter patient referrals using ICD-10 & CPT coding
Patient Access Registrar
Presence Sts. Mary & Elizabeth Hospitals
Chicago, IL
09.2006 - 02.2009
- Worked directly in the ER, Admitting, Outpatient, and Detox departments, Collected demographic and insurance information using Meditech, McKesson, & Nebo systems, Processed and posted insurance co-pays and self-pay payments, Transcribed and entered physician orders based on prescriptions allowing patients to receive medical procedures, lab work, etc., Called physician/MD office to clarify prescription or to obtain verbal authorization for order
Administrative Assistant/Receptionist/Certified Nursing Assistant
Presence Resurrection Life Center
Chicago, IL
10.2001 - 09.2006
- Managed front lobby and Administration offices, Responsible for answering phones, greeting visitors, facility tours, filing, and data entry, Responsible for notifying residents and families of monthly care plan meetings, Worked directly with Administrator in recruiting for Nursing Assistant classes, Assisted other departments with projects as needed, As a C.N.A., provided care and assistance to residents with their daily activities (Skilled and Dementia care units)
Education
Nursing Program -
Oakton Community College
01.2005
Resurrection High School
01.2000
Skills
- Insurance Verification
- Follow-up skills
- Medical terminology knowledge
- Insurance precertification processes
- Referral tracking
- Caseload Management
- Outbound calls
References
Available upon request
Timeline
Referral Specialist
Optum/Duly Health & Care
11.2020 - Current
Insurance Verification
Northwest Community Hospital
03.2019 - 03.2020
Community Resource Representative
Presence Health Info Line
02.2017 - 11.2018
Patient Access Coordinator
Rush University Medical Center/Affiliated Radiologists
04.2012 - 02.2017
Medical Office Receptionist/Referral Coordinator
Doctor Divas
02.2010 - 03.2012
Patient Access Registrar
Presence Sts. Mary & Elizabeth Hospitals
09.2006 - 02.2009
Administrative Assistant/Receptionist/Certified Nursing Assistant
Presence Resurrection Life Center
10.2001 - 09.2006
Nursing Program -
Oakton Community College
Resurrection High School
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