MIA A.

STANSIL

adv3wn@r.postjobfree.com

(***) ***-**8

St. John, IN 46373

Results-driven professional with 20 years of experience and focus on performance. Results-driven and hardworking with top-notch communication and organization skills. Diligent and forward-thinking professional with attentive and team-oriented nature.

PROFESSIONAL SUMMARY

Community Healthcare System - Engagement Center

Scheduler/Prior Authorization Representative

Munster, Indiana • 06/2021 - Current

Pinnacle Hospital - Medical Records Clerk

Crown Point, IN • 02/2020 - 02/2021

WORK HISTORY

Contacted insurance companies to obtain prior

authorization for medical procedures.

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Tracked referral submission during facilitation of prior authorization issuance.

•

Input all patient data regarding claims and prior

authorizations into system accurately.

•

Reached out to insurance carriers to obtain prior

authorization for testing and procedures.

•

Verified eligibility and compliance with authorization requirements for service providers.

•

Processed medical records requests from outside

providers according to facility, state and federal law.

•

Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.

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Reviewed charts and flagged incomplete or inaccurate information.

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Delivered charts to assigned areas of hospital by

following established routing procedures.

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• Uploaded physician progress notes, history and physicals SKILLS

• Authorizations

• Patient Scheduling

• Benefit Coverage

• Basic medical terminology

• Insurance authorization

• Proficiency in Epic

Effective communication

skills

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• Medical terminology

Understanding of insurance

details

•

Visitor and Customer

Relations

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Verbal and Written

Communication

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• Courteous and Professional

Multitasking and

Prioritization

•

Hammond High School

Hammond, IN • 06/2021

High School Diploma

Bryman College

Chicago, IL • 05/2021

EDUCATION

Certification: Dental

Laboratory Technology

Indiana University Northwest

Gary, IN • 05/2011

Certification: Unit Secretary

Community Care Network - Patient Registration

Representative

Merrillville, Indiana • 02/2019 - 02/2020

into electronic medical records.

Maintained patient confidence by keeping patient

records information confidential.

•

Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.

•

Accurately pulled patient records for upcoming

appointments and procedures, typically within 8-hour period.

•

Followed exact procedures for handling transfers and other releases of medical records.

•

Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.

•

Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.

•

Accurately inputted patient and insurance information into company's computer system using Epic.

•

Visited patients' rooms to collect insurance and financial information required for registrations.

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Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.

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Scheduled Epic+ appointments using computerized

calendars in Epic System.

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Imaged and scanned patient and registration

documentation into electronic patient record via Epic.

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Identified non-participating and out-of-network

insurance plans and worked with patients and providers to address situations.

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Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.

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Completed administrative patient intakes with case histories, insurance information and mandated forms.

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• Frequently double-checked patient histories and current information while scheduling follow-ups and other

appointments.

Carried out front office duties utilizing data entry skills in framework of medical database.

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Obtained payments from patients and scanned

identification and insurance cards.

•

Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.

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Managed office logistics by scheduling appointments, maintaining files and collecting payments.

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Received, recorded and addressed incoming and

outgoing communication via telephone and email.

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Contact this candidate