Yuko Enos
Grand Rapids
Summary
Patient access and revenue cycle professional with extensive experience in prior authorization, insurance verification, and financial clearance. Proven ability to manage high-volume workflows with 97%+ accuracy while processing 15+ authorizations daily in Epic. Bilingual in English and Japanese with prior background in financial services and operations.
Organized Patient Service Representative over 4 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.
Overview
22
22
years of professional experience
Work History
Patient Services Representative Associate – Central Authorization Department
Corewell Health (Spectrum Health)
10.2021 - Current
- Process 15+ prior authorization and precertification cases per day across multiple payer portals.
- Maintain a 97%+ accuracy and performance rate while meeting productivity benchmarks.
- Review authorization status daily and monitor pending cases for timely completion.
- Verify insurance eligibility and correct outdated information in Epic by contacting payers and patients.
- Determine authorization requirements based on payer-specific guidelines.
- Submit authorization requests with required clinical documentation, CPT and ICD-10 codes, site of service, and date of service.
- Communicate with ordering offices to resolve missing, incomplete, or denied authorizations.
- Coordinate peer-to-peer reviews and appeals, escalating complex cases when needed.
- Document all submissions, calls, and updates in Epic communication logs.
- Maintain workflow efficiency by completing 2-day and 7-day queues and supporting teammates.
- Handle incoming calls and route issues to the appropriate case owner.
- Support team collaboration through chat support, research, and knowledge sharing.
Patient Services Representative Associate – PreArrival & Primary Care
Spectrum Health
02.2020 - 07.2020
- Supported patient registration, insurance verification, and appointment preparation.
- Ensured accurate demographic and insurance data entry in Epic.
- Assisted with front-end revenue cycle workflows.
Product Assistant – Embroidery and Screen Print
Markit Merchandise
04.2018 - 07.2019
- Coordinated production workflows for custom merchandise projects.
- Ensured quality control and adherence to client specifications.
Fund Manager – Asset Management Department
Shinsei Investment Bank
03.2006 - 09.2008
- Managed investment portfolios and conducted market and performance analysis.
- Supported asset allocation and reporting for institutional clients.
Research Analyst
Lehman Brothers
09.2005 - 02.2006
- Performed financial research and market analysis to support investment strategy.
Associate – Sales and Alliance
Russell Investment
04.2004 - 03.2005
- Supported sales operations, client relationships, and alliance partnerships.
Education
Bachelor of Fine Arts - Printmaking
Ferris State University
05.2016
Bachelor of Arts - Liberal Arts (Philosophy)
Toyo University
03.2001
Skills
- Prior Authorization & Precertification
- Insurance Verification
- Revenue Cycle Operations
- Epic Documentation
- CPT / ICD-10 Review
- Denials & Appeals
- Payer Portals
- Microsoft Office
- Adobe Creative Suite
- Business Communication
Timeline
Patient Services Representative Associate – Central Authorization Department
Corewell Health (Spectrum Health)
10.2021 - Current
Patient Services Representative Associate – PreArrival & Primary Care
Spectrum Health
02.2020 - 07.2020
Product Assistant – Embroidery and Screen Print
Markit Merchandise
04.2018 - 07.2019
Fund Manager – Asset Management Department
Shinsei Investment Bank
03.2006 - 09.2008
Research Analyst
Lehman Brothers
09.2005 - 02.2006
Associate – Sales and Alliance
Russell Investment
04.2004 - 03.2005
Bachelor of Arts - Liberal Arts (Philosophy)
Toyo University
Bachelor of Fine Arts - Printmaking
Ferris State University