Megan Hunter
Appleton,WI
Summary
Detail-oriented Eligibility Specialist with 8 years of experience. Hardworking and passionate job seeker with strong communication skills. Company longevity and willingness to learn and utilize new skills at forefront of new employment.
Overview
24
24
years of professional experience
Work History
Senior Claims Analyst
Aspirion Health Resources
10.2017 - Current
- Assist in/outpatients with program screening and application submission.
- Follow up with federal/state and/or local program applications for approval or denial of programming
- Work hand in hand with hospital Care Managers and Financial Counselors to determine Patient needs and ability to offer assistance
- Understands and can easily identify patients needs and can direct them to appropriate agency when needed
- Communicate regularly with County offices on Patient behalf to clear up discrepancies and communicate to PT verifications needed for approval/denial process
- Assist Patients with explaining and obtaining needed verifications to provide for submitted applications
- Verify and update insurance coverage
- Pull and invoice insurance payments monthly
Patient Service Representative
Primary Care Associates of Appleton
06.2015 - 10.2017
- Interacts and communicates with patients and other department teams and leaders.
- Participates in team interactions through communication-receptive to giving and receiving feedback
- Verify and update patient insurance at time and prior to patient appointment
- Answer phones and direct patients to proper department
- Assist patients and clinics with scheduling appointments
PM Shift Supervisor
Prairie Homes Assisted Living
08.2014 - 06.2015
- Communication with MD's and pharmacy regarding patient orders & Order entry
- Assisting Directors with day to day Medication management & clinical staff as needed
- Assign clinical staff daily assignments and verification of completion
- Verification that documentation to MD's is accurate and complete
- Monitor patient residents are in good health, and contacting MD when problems arise
- Keep resident families up to date on current health issues
Assistant Manager
Tom's Drive In
03.2002 - 08.2014
- Maintained necessary level of communications between shifts.
- Train staff of direct employees to perform daily responsibilities.
- Ensured that all health and safety guidelines were followed.
- Reviewed schedules and production orders concerning inventory requirements, staffing requirements, work procedures and duty assignments
Education
High School Diploma -
Appleton East High School
Appleton, WISkills
- Professionalism and integrity
- Continuous improvement mindset
- Team leadership experience
- Customer service
- Problem-solving
- Teamwork and collaboration
- Skilled in Microsoft/Excel, Epic and SalesForce
Timeline
Senior Claims Analyst
Aspirion Health Resources
10.2017 - Current
Patient Service Representative
Primary Care Associates of Appleton
06.2015 - 10.2017
PM Shift Supervisor
Prairie Homes Assisted Living
08.2014 - 06.2015
Assistant Manager
Tom's Drive In
03.2002 - 08.2014
High School Diploma -
Appleton East High School
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