Suzanne Krystaszek
Howell,MI
Summary
Detail-oriented professional with over 8 years of experience in patient services and administrative support within complex healthcare settings. Skilled in responding to patient inquiries and concerns while providing comprehensive clerical support. Proficient in medical terminology and prior authorization processes, with exceptional interpersonal skills that enable effective teamwork in fast-paced, multidisciplinary environments. Proficient in Microsoft Office and multiple EHRs, with a solid commitment to identifying and implementing practical solutions to enhance patient experiences andstreamline office operations.
Overview
24
24
years of professional experience
Work History
Case Manager
Eversana
01.2025 - Current
- Serve as a primary point of contact for patients and caregivers, advocating and providing patient-centered support throughout their healthcare journey.
- Field and triage incoming calls from patients, caregivers, and providers, directing inquiries to appropriate departments.
- Conduct welcome calls for newly registered patients, providing relevant support materials and information on available resources.
- Assess patient needs related to social determinants of health (SDOH), such as socioeconomic status, housing, and access to healthcare, and match patients with appropriate resources.
- Review and process patient data (e.g., enrollment forms, insurance cards), ensuring accurate documentation and routing to relevant teams.
- Conduct benefit investigations and prior authorizations with payers to facilitate access to healthcare services.
- Assist patients in accessing SDOH resources by identifying support services and scheduling necessary appointments.
- Maintain compliance with company policies, business rules, and SOPs, ensuring patient confidentiality and privacy.
- Collaborate with internal and external teams to resolve patient issues and ensure timely service.
- Participate in department projects, contributing to the success of patient support programs and initiatives.
- Consistently demonstrate professionalism, empathy, and effective communication in all patient and team interactions.
Precertification Specialist
Walker Healthcare IT
05.2023 - 08.2023
- Key responsibilities encompass initial certification and comprehensive authorization processes, ensuring adherence to regulatory requirements
- Proficient in gathering and validating essential information for assigned procedures, with a proactive approach to denial management
- Skilled in meticulous tracking and detailed reporting to support operational efficiency and compliance
- Increased accuracy of submitted claims through meticulous attention to detail in verifying insurance eligibility and benefits.
Patient Care Advocate
Care Centrix
12.2022 - 03.2023
- Facilitated seamless communication among interdisciplinary Care Teams, including Patient Navigators, Care Coordinators, primary care physicians, and other healthcare providers, to ensure timely client service referrals
- Effectively liaised with insurance companies to verify coverage and secure medical treatment and procedure authorizations
- Demonstrated empathy toward diverse patient populations, building trust through compassionate interactions.
Prior Authorization Representative
Medix
12.2021 - 01.2022
- As a prior authorization specialist, I verified benefit coverage and communicated this information effectively to Sales and branch personnel to enhance service delivery for members
- I meticulously inputted patient data for claims and prior authorizations, ensuring accuracy in the system
- I closely monitored pending cases, taking proactive steps to obtain the necessary documentation for successful approval outcomes
- I cultivated strong relationships with key contacts at insurance companies, facilitating streamlined communication and effective resolution of approval and denial issues
- Verified eligibility and compliance with authorization requirements for service providers.
Front Office Receptionist
Millennium Physician Group
01.2019 - 04.2021
- As a front office check-in and check-out employee, I welcomed patients with a friendly smile and a pleasant voice
- I updated their information, ensured all registration details and paperwork were accurate, and contacted the Billing office about any insurance changes
- I also let the nursing staff know when patients arrived
- Besides that, I helped with answering phones, scheduling and rescheduling appointments, taking messages, and keeping an eye on the lobby and doorways
- I made sure the waiting area was clean and comfy for everyone
- When needed, I handled check-out duties too
- This included scheduling follow-up appointments, posting and verifying charges, collecting co-pays and other balances, running end-of-day reports, and balancing the cash drawer
- I was always flexible, ready to switch between check-in and check-out tasks, work late hours, or adjust to any schedule changes
- I also took on other tasks as they came up
PBX Operator
Physicians Regional
09.2017 - 11.2018
- I answered incoming calls, routed them to the appropriate departments, and responded to callers' questions
- I also worked closely with security to secure patient valuables during their stay.
- Maintained a high level of professionalism while assisting callers in various situations, including emergencies and complaints.
Patient Service Representative
Naples Community Hospital
09.2014 - 08.2017
- My responsibilities included scheduling patient appointments, managing a high volume of calls, maintaining electronic health records (EHR), and scanning documents into the EHR
- I also verified insurance information and collaborated closely with other medical personnel to ensure patients had the best experience possible at the doctor's office
- As the lead Patient Service Representative (PSR), I trained new hires, assisted with obtaining referrals and prior authorizations for medical services, and supervised the front office staff
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
Receptionist
Florida Gulf Coast Foot and Ankle
11.2013 - 08.2014
- My job responsibilities included answering a high volume of calls, scheduling new and follow-up appointments, and greeting patients in a friendly and courteous manner
- I entered new patient paperwork into the electronic medical records (EMR) system and scanned documents into the EMR
- Additionally, I verified insurance information, assisted medical assistants with various administrative tasks, and maintained the doctor's surgery schedule.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Receptionist
Center for Advanced Foot and Ankle Care
07.2004 - 09.2005
- My responsibilities included setting up a medical filing system, scheduling patient appointments, and verifying insurance
- I also checked patients in and out, performed medical transcription, and prepared exam rooms
- Additionally, I handled filing, faxing, scanning, and managing a multi-line phone system.
Sales Associate
Etienne Aigner
06.2001 - 09.2003
- My responsibilities included working as a cashier, providing customer service, managing inventory, stocking merchandise, filling orders, and maintaining the store.
Full-Time Key Holder
Little Me
09.2002 - 05.2003
- My responsibilities included supervising sales associates, managing inventory, handling payroll, and overseeing cashiers
- I also resolved customer complaints, provided excellent customer service, and stocked merchandise.
- Resolved customer complaints professionally, resulting in increased customer satisfaction and loyalty.
Education
Bachelor of Science - Health Information Management
Davenport University
Grand Rapids, MI01-2026
Skills
- Medical Terminology
- Medical Transcription
- ICD10
- Insurance Verification/Authorization
- HIPAA
- EHR
- Customer Service
- Typing Speed 50 WPM
- Microsoft Office Suite
- Interpersonal Communication
- Patient scheduling
- Remote Work Space
- Problem-solving
- Case management
- Time management
- Active listening
- Organization and multitasking
Timeline
Case Manager
Eversana
01.2025 - Current
Precertification Specialist
Walker Healthcare IT
05.2023 - 08.2023
Patient Care Advocate
Care Centrix
12.2022 - 03.2023
Prior Authorization Representative
Medix
12.2021 - 01.2022
Front Office Receptionist
Millennium Physician Group
01.2019 - 04.2021
PBX Operator
Physicians Regional
09.2017 - 11.2018
Patient Service Representative
Naples Community Hospital
09.2014 - 08.2017
Receptionist
Florida Gulf Coast Foot and Ankle
11.2013 - 08.2014
Receptionist
Center for Advanced Foot and Ankle Care
07.2004 - 09.2005
Full-Time Key Holder
Little Me
09.2002 - 05.2003
Sales Associate
Etienne Aigner
06.2001 - 09.2003
Bachelor of Science - Health Information Management
Davenport University
Similar Profiles
Danielle LockhartDanielle Lockhart
SUPERVISOR, PROGRAM MANAGEMENT at EVERSANASUPERVISOR, PROGRAM MANAGEMENT at EVERSANA
Priyanka ChavanPriyanka Chavan
Senior Analyst at EversanaSenior Analyst at Eversana
Ethan SchaalEthan Schaal
Program Specialist II at EversanaProgram Specialist II at Eversana