Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Suzanne Krystaszek

Howell,MI

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

22
22
years of professional experience

Work History

Precert Specialist - Contract Position

Walker Healthcare IT - BCBSM
05.2023 - 08.2023
  • These duties include but are not limited to: initial certification, collection of necessary information to initiate and/or complete authorizations as required by assignment/procedure, regulatory compliance, related denial management issues, and associated tracking/reporting efforts.
  • Gathered, organized and input information into digital database.
  • Organized and detail-oriented with a strong work ethic.

Patient Care Coordinator

Care Centrix
12.2022 - 03.2023
  • Facilitate conversations between interdisciplinary Care Teams (including Patient Navigators, Care Coordinators, primary care physicians, and additional health care providers) and expedite client services referrals.
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.

Prior Authorization Specialist - Contract Position

Medix Temp Agency - CVS Health
11.2021 - 01.2022
  • As a prior authorization specialist I am responsible for verifying benefit coverage
  • I share this information with our Sales and branch personnel in order to ensure excellent service for our members.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
  • Established strong relationships with key contacts at insurance companies, streamlining communication channels when resolving issues pertaining to approvals or denials.

Front Desk Receptionist/Check-in/out

Millennium Physician Group
01.2019 - 04.2021
  • As a front office check-in and check-out employee, I greet patients with a warm smile and pleasant voice
  • I am responsible for verifying/updating patient information, confirming accuracy of all registration data and paperwork on file, communicating with Billing office regarding appropriate insurance changes and notifying nursing staff of patient's arrival
  • I also assist with phone coverage and overflow, schedule/reschedule appointments, take messages, and monitor lobby and doorways for patient activity and maintain the patient waiting area so it is clean and comfortable for patients
  • I also perform check-out duties while working at check-in position as patient flow dictates
  • I schedule follow up appointments, pull/post/verify charges and collect co-pays, deductibles and balances as noted in account, run/verify end of day reports and balance cash drawer
  • I also assist with answering phones and phone call overflow as needed
  • I perform check-in duties while working check-out as needed and I am flexible, may work late hours as needed or schedule may change
  • I do other duties as assigned.
  • Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
  • Organized, maintained and updated information in computer databases.
  • Collected and distributed messages to team members and managers to support open communication and high customer service.
  • Streamlined office operations for improved productivity with effective organization and communication skills.

PBX Switchboard Operator

Physicians Regional Medical Center
09.2017 - 11.2018
  • Answer incoming calls, route calls to a desired department, and respond to callers' questions
  • Work closely with security to secure patient valuables during patient stay.
  • Supported customers by managing 100 calls per day efficiently while maintaining professionalism and upbeat tone.

Patient Service Representative

NCH
11.2014 - 08.2017
  • Job responsibilities include: Scheduling patient appointments, answering a very high volume of calls, EHR maintenance, scanning documents into EHR, insurance verifications, working closely with other medical personnel to provide the patient with the best experience possible while at the doctor's office
  • As a lead PSR I'm responsible for the training of new hires, help in obtaining referrals and prior authorization for medical service for our patients, and supervising our front office staff.
  • Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
  • Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
  • Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.

Medical Secretary/Receptionist

Gulf Coast Foot and Ankle
11.2013 - 04.2014
  • Job responsibilities included: Answering high volume of calls, scheduling new and follow-up appointments, greeting patients in a friendly and courteous manner, entering new patient paperwork into patient EMR, scanning paperwork into patient EMR, insurance verification, assisting MA with various administrative tasks, maintaining doctor surgery schedule.
  • Located, checked in, and pulled medical records for patient appointments and incomplete charts.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.

Medical Secretary

Center for Advanced Foot and Ankle Care
07.2004 - 09.2005
  • Job responsibilities included: Setting up medical filing system, scheduling patient appointments, insurance verifications, checking patients in/out, medical transcription, exam room prep, filing, faxing, scanning, and handling multi line phone system.

Full Time Key Holder

Little Me
09.2002 - 05.2003
  • Job responsibilities included: supervision of sales associates, inventory, payroll, and cashier, rectifying customer complaints, customer service, and stocking merchandise.
  • Swept and mopped floor, wiped windows and fixtures after closing to maintain organized and tidy store.

Sales Associate

Etienne Aigner
06.2001 - 09.2002
  • Job responsibilities included: cashier, customer service, inventory, stocking of merchandise, order filling, and store maintenance.

Education

Currently working towards B.S. Degree in Health Information Management -

Davenport University

Skills

  • 55 wpm (Less than 1 year)
  • Medical Transcription (1 year)
  • Customer Service Skills
  • Microsoft Office
  • Insurance Verification (5 years)
  • Office Administration
  • Medical Scheduling
  • Medical Terminology
  • HIPAA
  • Athenahealth (3 years)
  • Cerner
  • AS400 (Less than 1 year)
  • EHR systems
  • ICD-10

Timeline

Precert Specialist - Contract Position

Walker Healthcare IT - BCBSM
05.2023 - 08.2023

Patient Care Coordinator

Care Centrix
12.2022 - 03.2023

Prior Authorization Specialist - Contract Position

Medix Temp Agency - CVS Health
11.2021 - 01.2022

Front Desk Receptionist/Check-in/out

Millennium Physician Group
01.2019 - 04.2021

PBX Switchboard Operator

Physicians Regional Medical Center
09.2017 - 11.2018

Patient Service Representative

NCH
11.2014 - 08.2017

Medical Secretary/Receptionist

Gulf Coast Foot and Ankle
11.2013 - 04.2014

Medical Secretary

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 - 09.2002

Currently working towards B.S. Degree in Health Information Management -

Davenport University

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Suzanne Krystaszek