Results-driven Financial Clearance Specialist with extensive experience at Trinity Health, specializing in insurance verification and revenue cycle management. Proven ability to enhance operational efficiency through healthcare finance expertise and professionalism. Successful in training and leading teams while ensuring compliance with Medicare and Medicaid regulations. Aiming to leverage these skills to drive further improvements in financial operations.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Financial Clearance Specialist II
Trinity Health
Livonia, MI
08.2023 - Current
Utilized analytical skills for effective management of insurance verifications.
Conducted insurance verification, coordinated clinically, and utilized patient benefits to ensure financial clearance.
Secured pre-authorization and determinations while coordinating with insurance companies to gather essential patient visit information.
Facilitated new hire training sessions.
Post-Acute Care Operations Assistant
St. Joseph’s/Candler Health System
Savannah, USA
11.2016 - 09.2022
Maintained documents for key managerial roles in rehabilitation departments.
Gathered comprehensive financial data for operational budgets.
Oversaw budget allocation for various units.
Organized meeting spaces, meeting schedules and records for Nursing Governance and Patient Care Services.
Compiled and recorded statistics for NDNQI.
Directed all procurement operations for units.
Oversaw all aspects of payroll processing while serving as the main point of contact for employee-related insurance claims.
Facilitated accreditation efforts aligned with Nursing Magnet and CARF standards.
Handled all aspects of Nursing staff members' credentialing procedures.
Upheld standards and efficiency in office operations.
Financial Clearance Specialist/Patient Access Representative at Rush Oak Park HospitalFinancial Clearance Specialist/Patient Access Representative at Rush Oak Park Hospital