Summary
Overview
Work History
Education
Timeline
Generic

Teresa Ernsting

Steeleville,IL

Summary

Dynamic Precertification Specialist with a proven track record at Sparta Community Hospital, adept at streamlining authorization processes and enhancing patient satisfaction. Skilled in prior authorization and strong communication, I ensure compliance with HIPAA while maintaining patient confidentiality. Recognized for improving workflow efficiency and resolving insurance discrepancies effectively.

Professional data management specialist prepared for this role. Strong background in accurate data entry, database management, and information integrity. Skilled in collaboration, adapting to changing needs, and ensuring reliable results. Known for attention to detail, efficient time management, and strong organizational skills.

Overview

2026
2026
years of professional experience

Work History

Precertification Specialist

Sparta Community Hospital
  • Coordinated precertification processes to ensure timely patient authorizations.
  • Reviewed medical documentation for compliance with insurance requirements.
  • Communicated with healthcare providers to gather necessary patient information.
  • Streamlined workflows to enhance efficiency in authorization requests.

Patient Financial Services Representative

Sparta Community Hospital
  • Processed patient insurance claims accurately, ensuring compliance with hospital policies and regulations.
  • Assisted patients with financial inquiries, providing clear explanations of billing procedures and payment options.
  • Coordinated with insurance providers to resolve discrepancies, enhancing overall patient satisfaction and service efficiency.
  • Maintained detailed records in electronic health systems, ensuring data integrity and confidentiality in patient information management.
  • Educated patients on financial assistance programs, facilitating access to available resources for managing healthcare costs.
  • Collaborated with clinical staff to streamline patient admission processes regarding financial responsibilities and coverage verification.
  • Negotiated payment arrangements with self-pay patients, offering flexible solutions that aligned with their financial capabilities.
  • Promoted a positive patient experience, addressing concerns and resolving issues related to billing or insurance coverage.
  • Assisted patients in understanding their financial responsibilities, guiding them through available payment options and resources.

Transaction Entry Specialist

Sparta Community Hospital
Sparta, Il
07.2007 - Current

Entered charges for inpatient and outpatient hospital stays.

Maintained precision in reallocating patient account credits.

Executed, validated, and dispatched contract billing reports for Hospital Occupational Health services to external companies.

Education

GED -

Chester High School
Chester Il

Medical Billing And Coding

Southwestern Illinois College
Belleville, IL
06.2004

Timeline

Transaction Entry Specialist

Sparta Community Hospital
07.2007 - Current

Precertification Specialist

Sparta Community Hospital

Patient Financial Services Representative

Sparta Community Hospital

GED -

Chester High School

Medical Billing And Coding

Southwestern Illinois College
Teresa Ernsting