Rose Davis
Calumet Park, IL Relocating To Elizabethtown, KY
Summary
Excellent verbal and written communication skills necessary to communicate with all levels of staff and patients population composed of diverse cultures and age groups. Strong customer service skills, and great phone and email etiquette skills. Excellent computer and typing skills to support thorough documentation of phone calls. Problem solving, critical thinking, and conflict resolution skills.
Overview
11
11
years of professional experience
Work History
Patient Service Representative
Duly Healthcare
Oak Lawn, IL
09.2025 - Current
- Assisted patients with scheduling appointments and managing inquiries.
- Verifies patient information, while documenting in their Electronic Health Record (EPIC).
- Answered incoming calls in a professional manner.
- Assisted with scheduling follow-up appointments according to provider availability.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Adhered to HIPAA regulations when handling confidential patient information.
- Verified insurance eligibility and coverage for patients.
Caregiver QLS
Clarendale of Mokena
Mokena, IL
04.2025 - Current
- Assisted residents with daily living activities and personal hygiene.
- Monitored health conditions and reported changes to nursing staff.
- Supported bathing, dressing and personal care needs
- Performed light housekeeping tasks related to the client's care such as laundry and changing linens.
- Observed patients for changes in physical, emotional, mental or behavioral condition and injuries.
- Respected the rights of each individual client while maintaining confidentiality of all personal information.
Preauthorization Specialist
Blue Cross Blue Shield of Illinois
Chicago, IL
04.2024 - 12.2024
- Verifying patient information, confirming patient insurance coverage and benefits, and identifying patient information.
- Processed inbound prior authorization requests via phone and fax.
- Handle inbound telephone calls from doctors regarding prior authorization by screening and reviewing requests based on benefit plan design, client specifics, and clinical criteria.
- Determining patient payer authorization requirements, and confirming if an authorization is required.
- Reviewing the patient's medical history, and insurance coverage for approval.
Customer Service Representative
Cook County Health
Matteson, IL
11.2023 - 04.2024
- Responsible for outbound and inbound calls, center-based education, proactive outreach, and enrollment of eligible enrollees into the financial assistance program.
- Inform non-Medicaid individuals about application screening questions, and details on how to apply for Medicaid or financial assistance programs.
- Assist with the Medicaid re-determination process, and handle patient complaints to provide a suitable solution.
Office Assistant
Cook County Housing Authority
Chicago Heights, IL
07.2023 - 11.2023
- Under the direction of the assigned supervisor, provides administrative support to the housing application process.
- Answering outbound calls from clients about their housing applications and paperwork that was mailed to their housing specialist.
- Perform general clerical duties, including but not limited to filing, answering telephones, photocopying, preparing mailings, typing, greeting visitors, entering codes into the computer system, and file routing, retrieval, and replacement.
Patient Service Representative
IKS Health
Burr Ridge, IL
09.2018 - 07.2023
- Received inbound calls from patients, facilities, and professionals regarding billing statements, claim status, and eligibility.
- Review the account to confirm that the demographic and billing information are updated, and also review the patient EOB.
- Receive escalated calls to resolve complex situations, or customer complaints.
- Review all claims and obtain proper attachments to ensure timely reimbursement.
- Verify printed claims and claims status report for accuracy to assure prompt payment.
- Ensure proper ICD-10 and CPT codes are used for diagnoses and procedures.
Patient Account Representative
Harris & Harris
Chicago, IL
07.2015 - 09.2018
- Contact patients regarding billing for first-party collection on outstanding balances.
- Made outbound calls to patients regarding their past-due balance to collect the full amount or make payment arrangements.
- Communicate with internal and external contacts to explain primary, secondary, and tertiary billing, collection, and resolution of claims, including Medicare and other government and non-government accounts.
- Verify demographic information.
- Review the EOB to determine the patient's responsibility.
Education
Certificate - Business
The College of Office Technology
Chicago, IL06-1996
Skills
- Epic
- Siemens and Cerner Application
- NextGen
- EMR Software
- GE Centricity
- ICD-10/CPT
- Microsoft Suite
- Medical billing
- Customer service
- Scheduling appointments
- Insurance verifying
- HIPAA compliance
Timeline
Patient Service Representative
Duly Healthcare
09.2025 - Current
Caregiver QLS
Clarendale of Mokena
04.2025 - Current
Preauthorization Specialist
Blue Cross Blue Shield of Illinois
04.2024 - 12.2024
Customer Service Representative
Cook County Health
11.2023 - 04.2024
Office Assistant
Cook County Housing Authority
07.2023 - 11.2023
Patient Service Representative
IKS Health
09.2018 - 07.2023
Patient Account Representative
Harris & Harris
07.2015 - 09.2018
Certificate - Business
The College of Office Technology