SEARCY CARTER

Chicago, IL

PROFESSIONAL EXPERIENCE

Destiny Healthcare Inc., - Chicago, IL

Home Care Specialist (Part-time) November 2022 to Present

Transported clients to locations outside the home such as MD office, grocery store., etc using a motor vehicle.

Scheduled medical appointments for the clients.

Planned, shopped for, and prepared nutritious meals on behalf of client.

Performed housekeeping duties; cooking, cleaning, washing clothes or dishes and running errands.

Cook County Hospital – Chicago, IL

Unit Secretary (Contract Position) November 2022 to February 2023

Answered inbound phone calls.

Greeted patients and gathered their personal information necessary for their appointment.

Provided administrative support as needed for the department and clinical team.

Made sure all documentation: paperwork, copies of power of attorney, patients labels, etc. was obtainable and in order for the hospital staff.

Northwestern Hospital - Chicago, IL

Patient Access Specialist (Contract Position) September 2021 to June 2022

Daily use of EPIC for inbound calls in order to assist patients with scheduling, and canceling appointments.

Provided information to patient inquiries about providers. Transferred calls to appropriate departments as needed.

Transferred calls to the MD office when a patient has missed MD or Nurse calls.

Maintained a 90% call quality score.

Registered patients for MyChart as well as utilizing the EpicCare-Link functionality as appropriate.

PCG International - Chicago, IL

Provider Claims Specialist June 2020 to April 2021

Assisted Illinois residents apply for State benefits. Filed Illinois unemployment insurance claims.

Assisted claimants in resetting passwords and guiding them through the state website.

Responsible for providing claimant s information on their claim and account status.

Assisted claimants in certifying for weekly benefits.

Handled inbound and outbound calls, with a heavy call volume.

HealthCare Support Staffing Agency - Downers Grove, IL

Telephonic Clinical Administrator Coordinator (Contract Position) November 2019 to April 2020

Handled inbound calls from providers that needed chemotherapy authorizations for patients.

Ensured providers every call was accurately documented in the system.

Navigated programs such as ICUE, MBM NOW, and CISCO JABBER to perform job duties.

NThrive - Downers Grove, IL

Patient Responsibility Specialist May 2019 to November 2019

Daily use of Epic and Allegra systems. Inbound/Outbound Calls leveraging an auto-dialer.

Verified Advocate patient’s information.

Maintained company compliance by adhering to policies and procedures pertaining to HIPAA Laws.

Negotiated affordable payment plans with Advocate customers by reviewing accounts history.

Executed appropriate procedures to follow-up on third-party approvals, billing, and collection of delinquent accounts.

Amita Health - Lisle, IL

Patient Access Specialist (Contract Position) December 2018 to May 2019

Utilized excellent customer service skills to gather needed patient information. Input patient data into Amita Health electronic system.

Assisted with insurance eligibility verification.

Good knowledge of medical terminology.

Demonstrated strong understanding of patient confidentiality & HIPAA rules. Additional duties as assigned.

Option Care Health - Lisle, IL

Medical Document Coordinator/Prior Authorization Specialist – (Contract Position) July 2018 to December 2018

Faxed confidential medical documents to MD offices.

Called MD offices to verify confirmation of receiving documents.

Followed up on Denied Claims of Service for patients needing home feedings. • Submitted and maintained prior authorizations and all certificates of medical necessity (CMN). Received appropriate paperwork and prescriptions as required.

Entered all patient notes into EMR and verified all information was complete and accurate. Uploaded required documents to the patient’s account.

Advocate Medical Group Rolling Meadows, IL

Patient Advocate Specialist

LaSalle Network (Contract Position) February 2018 to July 2018

Daily use of Epic.

Handled high-volume inbound calls from providers, managed care organizations, members, and vendors with various concerns and questions.

Performed eligibility verification/validation for members, using various web-based systems.

Assisted members with primary care selection and changes.

Educated members on how to use the self-service physician finder website.

Reach out to Providers and the Managed Care Organization to assist members with eligibility issues. Escalated calls to appropriate departments that fell outside of eligibility.

Illini-Care Health Naperville, IL

Member Service Representative (Contract Position) February 2017 to February 2018

Handled inbound calls to assist with a variety of needs.

Assisted members and providers with HIPPA verifications. Provided information on claim status.

Assisted members with finding a provider, website support, billing inquiries, and authorizations. Performed as Nurse-Wise (Triage nurse department) to complete Health Risk Assessments for new members.

EDUCATION

George Westinghouse College Prep Chicago, IL (Diploma)

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