Summary
Overview
Work History
Education
Skills
Community Service
Timeline
Generic

Sheila Lachcik

Lowell,IN

Summary

Operations professional with strong grasp of process optimization, strategic planning, and project management. Known for effective team collaboration and delivering consistent results in dynamic environments. Adept at improving operational efficiency, managing cross-functional teams, and adapting to evolving business needs. Recognized for leadership, problem-solving abilities, and excellent communication skills.

Overview

14
14
years of professional experience

Work History

Operations Lead

Franciscan Health
2434 Interstate Plaza Ste. 2 Hammond, IN 46323
07.2023 - Current
  • Inter-dept inquires and questions relating to payment, adjustment, and denial accuracies.
  • HAR Audits via various WQs (Undistributed payments, Zero Pay Denials and Self-Pay Discounts)
  • Entity Payment Transfer Reporting
  • Collaboration with various department to identify funds received without EOBs
  • EFT ERA enrollments for new payers and renewal requests
  • Virtual Credit Card payment conversions
  • Enhanced team productivity by providing ongoing training and development opportunities.
  • Manage and allocate staff and material resources
  • Create and manage audit project plans and timelines

Maternity Leave / Caring for Family

03.2015 - 07.2023
  • Dedicated 7 years to providing full time care to my children
  • During this time, I volunteered with local community programs and studied for my coding certificate

Prior Authorization Specialist

Franciscan Alliance
Hammond, IN
07.2014 - 03.2015
  • Verified patient insurance coverage for surgeries and procedures on behalf of Franciscan Alliance hospitals
  • Communicated with doctor offices when pre-certification was incomplete or not submitted
  • Communicated with financial counselors when high patient financial responsibility was recognized or coverage was denied

Operation Specialist

Franciscan Alliance
Hammond, IN
02.2012 - 07.2014
  • Processed insurance payments
  • Processed ACH payments and recorded on excel spreadsheets
  • Pulled in electronic files for daily processing
  • Reviewed patient accounts for accuracy

Refund Specialist

Franciscan Alliance
Hammond, IN
04.2011 - 02.2012
  • Reviewed hospital accounts in credit status and issued refunds when applicable
  • Reviewed and reprocessed returned refunds
  • Reviewed and processed refund requests when applicable

Education

Certified Professional Coder -

AAPC
01.2021

High School Diploma -

Cobden High School
Cobden, IL
01.1993

Skills

  • Epic System
  • Microsoft Office
  • Google Suites
  • Team work
  • Time Management
  • Interpersonal Skills

Community Service

  • Board Member, Lake County Right to Life, 09/18, 05/19
  • Counselor/Trainer, Sidewalk Advocate, 11/18, 11/19
  • Board Member, Outreach Innovation, 10/18, Current
  • Parish Coordinator, Respect Life Ministry, 2021, Current
  • Facilitator, Rachel Vineyard, 2023, Current

Timeline

Operations Lead

Franciscan Health
07.2023 - Current

Maternity Leave / Caring for Family

03.2015 - 07.2023

Prior Authorization Specialist

Franciscan Alliance
07.2014 - 03.2015

Operation Specialist

Franciscan Alliance
02.2012 - 07.2014

Refund Specialist

Franciscan Alliance
04.2011 - 02.2012

High School Diploma -

Cobden High School

Certified Professional Coder -

AAPC
Sheila Lachcik