Sandra Wilson
Chicago,IL
Summary
Accomplished Prior Authorization Specialist with extensive experience in analyzing trends and collaborating with healthcare providers. Skilled in multitasking and maintaining professionalism, driving improvements in authorization processes and team training.
Overview
1
1
Certification
40
40
years of professional experience
Work History
Prior Authorization Specialist
Advocate Medical Group (Beverly)
Chicago, IL
05.2016 - 02.2026
- Reviewed and processed prior authorization requests for medical procedures and services.
- Collaborated with healthcare providers to ensure compliance with insurance policies and protocols.
- Trained new staff on prior authorization processes and software systems to improve team efficiency.
- Analyzed trends in authorization denials to identify opportunities for process improvement initiatives.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Program Manager/Instructor
Computer Systems Institute
Chicago, IL
06.2012 - 05.2016
- Led cross-functional teams to develop and implement program initiatives.
- Streamlined project management processes to enhance operational efficiency.
- Mentored junior staff on best practices in program execution and management.
- Analyzed program performance metrics to identify areas for improvement.
- Facilitated stakeholder meetings to ensure alignment on project goals and deliverables.
- Manage 12 Instructors 350+students
- Managed and supervised administrative and daily program operations, complying with policies and regulations.
Program Manager/Instructor
Everest College
Chicago, IL
07.2002 - 05.2012
- Coordinated resource allocation and scheduling for multiple programs simultaneously.
- Developed training materials and conducted workshops for staff development.
- Managed budgets and financial reporting for various educational programs across the institution.
- Established strong relationships with key stakeholders, ensuring support for program initiatives.
- Identified program obstacles and communicated possible impacts to team.
- Management attrition, attendance violation, and SAP reports
Certified Medical Assistant/Surgical Scheduler Coordinator
Advocate Health Care
Chicago, IL
01.1986 - 07.2006
- Surgical Coordinator for OB/Gyn, GI, Cardiology and Dermatoloy.
- Administered patient care and maintained accurate medical records in compliance with healthcare regulations.
- Assisted physicians during examinations and procedures, ensuring efficient workflow and patient comfort.
- Managed appointment scheduling and coordinated follow-up visits to enhance patient experience and care continuity.
- Educated patients on treatment plans, medications, and preventive care strategies to promote health literacy.
- Sanitized, restocked, and organized exam rooms and medical equipment.
Education
No Degree - Health And Science
University of Phoenix
Arizona City, AZ01-2008
Medical Assistant - Health
Illinois Medical Training Center
Chicago, IL06-1985
Hospital Administration
Malcome X College
Chicago, IL06-1983
High School Diploma -
Jones Commercial High School
Chicago, IL06-1979
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
- Insurance verification
- Medical office procedures
- Professionalism and ethics
- Prescription coordination
- Knowledgeable in [Microsoft]
- Multitasking
- Telephone etiquette
Certification
- Certified Medical Assistant
Timeline
Prior Authorization Specialist
Advocate Medical Group (Beverly)
05.2016 - 02.2026
Program Manager/Instructor
Computer Systems Institute
06.2012 - 05.2016
Program Manager/Instructor
Everest College
07.2002 - 05.2012
Certified Medical Assistant/Surgical Scheduler Coordinator
Advocate Health Care
01.1986 - 07.2006
No Degree - Health And Science
University of Phoenix
Medical Assistant - Health
Illinois Medical Training Center
Hospital Administration
Malcome X College
High School Diploma -
Jones Commercial High School