Summary
Overview
Work History
Education
Skills
Timeline
Generic
Michele Isanski

Michele Isanski

Philadelphia,PA

Summary

Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.


Overview

20
20
years of professional experience

Work History

Revenue Cycle Specialist

Medical Guardian
07.2024 - Current
  • Increased revenue by identifying and resolving billing errors in a timely manner.
  • Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
  • Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
  • Reached out to insurance companies to verify coverage.
  • Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
  • Ensured accurate billing with thorough audits of patient accounts and insurance claims.
  • Provided regular updates on billing status to upper management through detailed reports.
  • Led successful project completions under tight deadlines, coordinating effectively across multiple teams.

Lead Medical Service Coordinator

LifeStance Inc
08.2020 - 07.2025
  • Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual patient needs.
  • Assisted in the development of performance improvement initiatives, resulting in higher quality healthcare services for patients.
  • Assisted in the recruitment and onboarding of new staff members, ensuring a seamless integration into our team and a strong foundation for future success.
  • Managed caseloads effectively to ensure timely access to care for all assigned patients.
  • Facilitated insurance authorizations for medications, reducing delays in treatment and minimizing patient frustration.
  • Reviewed and explained insurance plans to patients to guarantee full understanding of payment policies and procedures.
  • Improved patient satisfaction by efficiently managing medical appointment schedules and ensuring timely followups.
  • Prepared patient charts by properly filing charts and transcribing pertinent information.
  • Assisted over 60 psychiatrists and RNs.
  • Lead a team of 11 to effectively complete tasks by the end of the work day.
  • Enhanced communication between healthcare providers and patients, streamlining the coordination of care for optimal outcomes.
  • Collaborated with team members to deliver quality health care to patients.
  • Mentored new clinical staff members for proper onboarding and orientation processes.
  • Developed and implemented efficient workflows that streamlined operations within the department while maintaining high-quality service delivery standards.

Authorization Specialist

Rothman Orthopaedics
10.2019 - 07.2020
  • Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
  • Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
  • Assisted in training new team members on company policies and procedures for handling authorization requests.

Authorization Specialist

HealthPartners Plans
11.2018 - 09.2019
  • Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
  • Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
  • Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
  • Trained staff on current eligibility requirements and policies.
  • Maintained full knowledge of current regulatory environment and made proactive adjustments to meet changing requirements.

Supervisor Administrative Coordinator

United Health Group, Optum
11.2018 - 09.2019
  • Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
  • Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
  • Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
  • Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
  • Implemented safety protocols to minimize workplace accidents and maintain compliance with industry standards.
  • Reduced employee turnover by fostering a positive work environment and providing ongoing feedback to staff members.
  • Developed staff skills through targeted training programs, resulting in improved performance and career growth opportunities.
  • Enhanced team productivity by streamlining workflow processes and implementing efficient scheduling systems.
  • Reduced conflict incidents significantly, fostering cohesive team environment through effective conflict resolution strategies.
  • Achieved significant improvements in operational efficiency, introducing and enforcing quality control measures.
  • Maintained high safety standards to ensure secure workplace for all employees and visitors.

Behavioral Intake Counselor

United Health Group, Optum
01.2014 - 11.2018
  • Boosted staff morale through active participation in team-building activities and sharing insights on successful counseling techniques during meetings or trainings sessions.
  • Elevated overall service quality through regular evaluations of counseling methods and continuous improvements in response to feedback from both clients and supervisors.
  • Increased successful referrals to community resources through comprehensive research and collaboration with local agencies.
  • Supported diverse clientele by tailoring communication strategies based on individual needs, backgrounds, and preferences.
  • Conducted comprehensive assessments of client needs, skillfully navigating sensitive topics while gathering essential information for accurate evaluation purposes.
  • Became Ambassador for new system. Maximized program effectiveness by testing and reporting errors while suggesting changes to the system to maximize efficiency cause over all reduction in call times.
  • Implemented evidence-based therapeutic interventions to promote positive behavior change.

Authorzation Manager

Wives Self Help Foundation
05.2005 - 01.2014
  • Managed and motivated employees to be productive and engaged in work.
  • Accomplished multiple tasks within established timeframes.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Cross-trained existing employees to maximize team agility and performance.
  • Developed and maintained relationships with customers and suppliers through account development.
  • Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
  • On-board and credentialed new therapist and psychiatrists
  • Created reports and intake forms to reduce work load on staff by 10%
  • Facilitated team brainstorming sessions that led to innovative solutions for long-standing operational challenges.

Education

Bachelor of Science - Applied Psychology

Kaplan University
Philadelphia, PA

Kaplan University
Philadelphia, PA

Skills

  • Claims processing proficiency
  • HIPAA compliance
  • Professionalism and ethics
  • Insurance verification
  • Customer service
  • Credentialing
  • Salesforce
  • Authorization
  • Leadership skills
  • Problem-solving abilities
  • Multitasking
  • Excellent communication

Timeline

Revenue Cycle Specialist

Medical Guardian
07.2024 - Current

Lead Medical Service Coordinator

LifeStance Inc
08.2020 - 07.2025

Authorization Specialist

Rothman Orthopaedics
10.2019 - 07.2020

Authorization Specialist

HealthPartners Plans
11.2018 - 09.2019

Supervisor Administrative Coordinator

United Health Group, Optum
11.2018 - 09.2019

Behavioral Intake Counselor

United Health Group, Optum
01.2014 - 11.2018

Authorzation Manager

Wives Self Help Foundation
05.2005 - 01.2014

Bachelor of Science - Applied Psychology

Kaplan University

Kaplan University

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