Susan Walden
Peoria Heights,IL
Summary
Organized and dependable. Successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Strong communication, and teamwork skills, with ability to adapt to new environments. Eager to contribute to team success and further develop professional skills. Positive attitude and commitment to continuous learning and growth. Organized and dependable. Willing to take on added responsibilities to meet team goals.
Overview
31
31
years of professional experience
Work History
Admin Asst - M/Clinical Denial Mgmt
Carle Health
10.1993 - Current
Administrative/Clerical Support
- Answers telephones (for Methodist, Proctor,Pekin, BroMenn and Eureka): Screens calls and callers, referring them to appropriate person/department in timely manner.
- Responds to fax requests in timely manner.
- Performs other related clerical/administrative functions as requested
Client/Customer Excellence
- Creates a welcoming environment for people served. Effectively manages positive relationships with staff, physicians, ancillary staff, and third-party payers.
- Monitors and completes accounts on multiple work queues in EPIC.
- Monitors requests in work queue for clinical information. Prepares/faxes documents for review, to third party payers. Ensures receipt of documents. Documents sending of clinical information in patient chart in EPIC.
- Monitor/document third party payers approved days, denials, requests for further information.
- In coordination with Utilization Management nursing staff, communicate opportunities for Peer to Peer from third party payers, with our physicians (Methodist, Proctor, Pekin, BroMenn, Eureka). Document requests/results of Peer to Peer conversation.
- Communicate denial information with Utilization Management nursing staff for follow up when necessary
Education
High School Diploma -
Peoria Heights High School
Peoria Heights, ILSkills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Flexible and adaptable
- Dependable and responsible
- Multitasking Abilities
- Computer skills
- Organizational skills
- Calm under pressure
Timeline
Admin Asst - M/Clinical Denial Mgmt
Carle Health
10.1993 - Current
High School Diploma -
Peoria Heights High School
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