Wendy Pete
Lake Charles,LA
Summary
Motivated professional with a versatile background in patient care coordination and registration. Known for strong attention to detail and problem-solving skills, successfully enhancing patient flow and service quality in fast-paced environments.
Overview
21
21
years of professional experience
Work History
Lung Cancer Screening Support
Christus St. Patrick Hospital
Lake Charles, LA
10.2025 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Coordinated navigation operations to enhance route efficiency and accuracy.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Prior Authorization Specialist/Registration Representative
CHRISTUS Ochsner St. Patrick
Lake Charles, LA
09.2023 - Current
- Reviewed and processed patient authorization requests for insurance coverage compliance.
- Collaborated with healthcare providers to gather necessary documentation for authorization approvals.
- Utilized electronic health record systems to track and manage authorization workflows efficiently.
- Communicated with insurance representatives to resolve discrepancies in authorization requirements.
- Reviewed and processed prior authorization requests to ensure compliance with insurance guidelines.
- Collaborated with healthcare providers to obtain necessary documentation for timely approvals.
- Communicated effectively with patients regarding authorization status and next steps in care.
- Resolved complex authorization issues by coordinating between providers, insurers, and internal teams.
- Enhanced workflow efficiency by streamlining documentation requirements for expedited approvals.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Verified eligibility and compliance with authorization requirements for service providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
ER Lead/ER Registration Representative
Christus Lake Area Hospital/ Christus St Patrick Hospital
Lake Charles, LA
08.2018 - 09.2023
- Facilitated patient registration process, ensuring accurate data entry and compliance with hospital policies.
- Managed insurance verification, streamlining approval processes and reducing patient wait times.
- Collaborated with clinical staff to resolve patient inquiries, enhancing overall customer satisfaction.
- Trained new employees on registration procedures, promoting adherence to best practices within the team.
- Implemented process improvements that increased efficiency in patient flow and resource allocation.
- Facilitated a smooth patient flow through the emergency department by effectively coordinating bed assignments and transfers.
- Kept up-to-date on changing healthcare regulations to ensure compliance throughout the registration process.
- Eased anxiety of incoming patients by providing clear explanations of procedures and addressing concerns promptly during check-in process.
- Utilized audits and controls to accurately manage cash.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Prepared and processed patient referrals and transfer requests.
- Obtained payments from patients and scanned identification and insurance cards.
Medical Records/Birth Certificate Clerk
Christus St. Patrick Hospital
Lake Charles, LA
09.2017 - 08.2018
- Processed birth certificate requests efficiently, ensuring compliance with state regulations.
- Maintained accurate records in electronic health systems to support documentation integrity.
- Assisted families in navigating application procedures, providing clear guidance and support.
- Collaborated with healthcare professionals to verify patient information for certificate accuracy.
- Facilitated communication between county offices, hospitals, and other agencies involved in the vital records management process.
- Contributed to annual audits of registered births within jurisdiction, confirming data integrity as part of statewide statistics reporting initiatives.
- Provided timely updates to parents regarding the status of their child''s birth certificate application, maintaining clear communication channels throughout the process.
- Handled complex cases involving adoption or surrogacy arrangements, navigating legal requirements to ensure accurate recording of parentage information on birth certificates.
- Followed confidentially regulations to maintain privacy.
Financial Counselor
Christus Lake Area Hospital
Lake Charles, LA
01.2010 - 06.2014
- Provided financial counseling to patients, clarifying insurance benefits and payment options.
- Analyzed patient financial data to develop tailored payment plans and solutions.
- Coordinated with healthcare providers to ensure accurate billing processes and compliance.
- Educated patients on financial assistance programs, enhancing access to necessary care.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
Patient Flow Coordinator
Christus Lake Area Hospital
Lake Charles, LA
07.2005 - 01.2010
- Coordinated patient admissions and discharges to optimize hospital flow and resource allocation.
- Monitored bed availability and utilization, ensuring timely patient placement across departments.
- Implemented process improvements that enhanced patient throughput and reduced wait times.
- Collaborated with multidisciplinary teams to facilitate effective communication regarding patient status updates.
- Monitored patient progress, updating care team members on changing needs or concerns promptly.
- Streamlined communication between departments, optimizing patient care and staff productivity.
Education
McNeese State University
Lake Charles, LASkills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Attention to detail
- Dependable and responsible
- Critical thinking
Timeline
Lung Cancer Screening Support
Christus St. Patrick Hospital
10.2025 - Current
Prior Authorization Specialist/Registration Representative
CHRISTUS Ochsner St. Patrick
09.2023 - Current
ER Lead/ER Registration Representative
Christus Lake Area Hospital/ Christus St Patrick Hospital
08.2018 - 09.2023
Medical Records/Birth Certificate Clerk
Christus St. Patrick Hospital
09.2017 - 08.2018
Financial Counselor
Christus Lake Area Hospital
01.2010 - 06.2014
Patient Flow Coordinator
Christus Lake Area Hospital
07.2005 - 01.2010
McNeese State University