Samantha Evans
Fisher,IL
Summary
Personable Office Administrator with 20 years of experience prioritizing multiple tasks requiring prompt solutions. Talented problem-solver managing workloads while greeting visitors, answering incoming phone calls and fulfilling staff members' requests. Professional and welcoming in creating upbeat work environment.
Overview
24
24
years of professional experience
Work History
Prior Authorization Coordinator
Gibson Area Hospital
2022.08 - Current
- Verified eligibility and compliance with authorization requirements for service providers.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Tracked referral submission during facilitation of prior authorization issuance.
- Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Authorized surgical requests in accordance with applicable plan guidelines.
- Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Orthopaedic Department Manager
Gibson Area Hospital
2022.02 - 2022.07
- Managed inventory and receiving operations to maintain optimal stock levels and meet expected demands.
- Communicated with managers of other departments to maintain transparency.
- Created and enforced department policies, procedures and standards to establish productivity and quality.
- Kept employee workloads fair and balanced to achieve objectives while maintaining high job satisfaction.
- Developed and managed department budget to monitor financial performance and minimize expenses.
- Prepared annual budgets with controls to prevent overages.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Established team priorities, maintained schedules and monitored performance.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Successfully managed budgets and allocated resources to maximize productivity and profitability.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Completed payroll for employees, physician assistants, and surgeons.
- Created expense reports and submitted them for reimbursement.
Collections Manager
Credit Union 1
1999.10 - 2022.01
- Trained and mentored new employees on collection methods, documentation requirements and performance strategies.
- Researched accounts and completed due diligence to resolve collection problems.
- Supervised staff of collectors, monitoring phone calls and letters.
- Contacted customers to discuss late payments and options for remitting amounts due.
- Reviewed, researched and corrected discrepancies and customer concerns.
- Conducted investigations of customer accounts and payment histories.
- Documented interactions in computer database and updated information.
- Contacted customers to collect outstanding payments via one-time or negotiated installment methods.
- Worked with legal resources and recovery teams to manage default issues.
- Contacted clients with past-due payments and actively monitored payments due from clients.
- Established procedures for collection of past due amounts.
- Followed prescribed scripts and maintained friendly but firm attitude with full knowledge of contractual requirements and legal remedies.
- Accessed credit records to evaluate customer credit histories.
- Reviewed expense reports for accuracy and proper expense disclosure.
- Successfully implemented new technologies and process automations to encourage continuous improvement.
- Supervised invoice processing, purchase orders, expense reports, credit memos and payment transactions.
- Performed administrative tasks such as recordkeeping, writing correspondence and gathering materials.
- Completed training in credit management and civil court practices to maintain up-to-date legal knowledge involving collection practices.
- Filed and addressed employee complaints in accordance with company policies and government regulations.
- Facilitated successful internal and external audits through sound and thorough documentation.
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Developed strategic plans for day-to-day financial operations.
- Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
- Created financial dashboards to provide insights into key performance indicators.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
- Performed banking, business administration and financial tasks to guarantee five-star service for clients.
- Balanced monthly general ledger accounts to accurately record cost and month end accruals.
- Reconciled vendor statements and handled payment complaints or discrepancies.
- Researched and resolved accounts payable discrepancies.
- Completed payroll and expense reports for department.
Education
No Degree - Marketing
Parkland College
Champaign, ILHigh School Diploma -
Fisher High School
Fisher05.1998
Skills
- Coordinate Events
- Team Leadership
- Information Confidentiality
- Business Planning
- Financial Management
- Verbal and Written Communication
- Staff Management
- Train Employees
- Performance Tracking and Evaluations
- Coaching and Mentoring
- Time Management
- Detail oriented
Timeline
Prior Authorization Coordinator
Gibson Area Hospital
2022.08 - Current
Orthopaedic Department Manager
Gibson Area Hospital
2022.02 - 2022.07
Collections Manager
Credit Union 1
1999.10 - 2022.01
No Degree - Marketing
Parkland College
High School Diploma -
Fisher High School
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