Summary
Overview
Work History
Education
Skills
Assessments
Timeline
Generic

Taylor Hutchinson

Gurnee,IL

Summary

Referral Specialist adept with bridging the gap between the health plan client and medical professional. Works to assist medical providers in obtaining pre-authorization through meeting the insurance criteria and demonstrating medical necessity. Though entry-level at this position, background in biology as a pre-medical student, nearly 10 years in customer service and skills in communication time-management, and problem-solving have accounted for success at company.

Overview

10
10
years of professional experience

Work History

Referral Specialist

Elevance Health-Remote
07.2023 - Current
  • Assists with clinical referrals for pre-authorizations
  • Responsibilities include:
  • Initiating cases and managing pre-existing cases:
  • Assists in facility/provider changes for pre-existing cases
  • Provides referral sources with resources to help meet and achieve medical necessity and site-of-care criteria on pending cases
  • Connects callers to clinical teams to assist with more complex cases.
  • Verifies pre-authorization requirements as determined by health plan for ordered exams
  • Contacting provider offices on behalf of member/patient to notify appropriate party of pre-authorization requirements for requested exams

Executive Sales Representative & Customer Service Representative

Paramount Lead Solutions-Des Plaines, IL
07.2021 - 07.2023
  • As result of company expansion, the job position requirements transitioned from exclusively sales to include customer service (CS)
  • The sales division responsibilities included:
  • Managing multiple automotive dealership accounts on behalf of the clients
  • Connecting and maintaining lines of communication with past, current, and potential customers for the client
  • Setting sales appointments
  • The CS division requirements included:
  • Obtaing status reports for vehicles currently being serviced
  • Handling customer issues/complaints.
  • Setting sales appointments

Academic Tutor

Brainfuse-Remote
04.2021 - 06.2021
  • Tutored students in algebra, reading/writing, and biology
  • Majority of students were grades 2-12.
  • However, tutoring services were offered and provided at the college-level and for GED test-takers (specifically in the subjects of reading/writing and biology).

Student

College-Chicago, IL
09.2015 - 12.2020
  • Earned both an associate and bachelor degree between Sept
  • 2015 and Dec
  • 2020
  • Temporary hiatus from the workforce was taken in effort to provide full attention towards education, accounting for significant gap between the first and second job.

Volunteer

Multiple Companies-Chicago, IL
12.2014 - 02.2019
  • Participated in volunteer work during high school and college
  • Mainly volunteered during the holiday months and activities included:
  • Packaging holiday gifts for underprivileged children
  • Delivering food and goods to various women shelters with the community

Grocery Stocker

Jewel Osco-Palatine, IL
01.2015 - 08.2015
  • Assisted in ensure the store and customer needs were met
  • Job requirements entailed:
  • Stocking consumer goods
  • Maintaining grocery selves
  • Aiding customers with any questions/concerns.

Education

B.S. in Biology -

University of Illinois at Chicago - Chicago, IL
12.2020

Skills

  • Laboratory Experience
  • Research
  • Microbiology
  • Aseptic Technique
  • Physiology Knowledge
  • Anatomy Knowledge
  • Data collection
  • Data entry
  • CPT coding
  • ICD-10
  • Computer literacy
  • Computer skills
  • Typing
  • Microsoft Excel
  • Microsoft Word
  • Microsoft Outlook
  • Tutoring
  • Customer service
  • Communication skills
  • Organizational skills
  • Office experience

Assessments

  • Data entry: Attention to detail, Proficient, 06/01/24, Maintaining data integrity by detecting errors
  • Principles of accounting, Proficient, 06/01/24, Preparing financial records according to federal policies
  • Written communication, Proficient, 02/01/23, Best practices for writing, including grammar, style, clarity, and brevity
  • Customer focus & orientation, Proficient, 06/01/24, Responding to customer situations with sensitivity
  • Time management skills, Proficient, 08/01/24, Managing one's own time to complete tasks quickly and efficiently
  • High school classroom management, Proficient, 04/01/21, Minimizing classroom disruption and engaging students
  • Sales skills, Proficient, 03/01/24, Influencing and negotiating with customers
  • Sales skills, Proficient, 02/01/23, Influencing and negotiating with customers
  • Outside sales, Proficient, 02/01/23, Understanding and responding appropriately in sales scenarios, and performing common sales calculations
  • Working with MS Word documents, Proficient, 08/01/24, Knowledge of various Microsoft Word features, functions, and techniques

Timeline

Referral Specialist

Elevance Health-Remote
07.2023 - Current

Executive Sales Representative & Customer Service Representative

Paramount Lead Solutions-Des Plaines, IL
07.2021 - 07.2023

Academic Tutor

Brainfuse-Remote
04.2021 - 06.2021

Student

College-Chicago, IL
09.2015 - 12.2020

Grocery Stocker

Jewel Osco-Palatine, IL
01.2015 - 08.2015

Volunteer

Multiple Companies-Chicago, IL
12.2014 - 02.2019

B.S. in Biology -

University of Illinois at Chicago - Chicago, IL
Taylor Hutchinson