Susan Althamar

*** ******** ***** **********, ** 60193 630-***-**** adw4dd@r.postjobfree.com

Objective:

To obtain a position in health care support, utilizing knowledge of medical procedures and insurance company policies to enhance the efficiency of operations and the quality of care for patients. Summary of Qualifications:

• Proficient in medical terminology, identifying procedures, and their proper coding in systems.

• Talented problem solver, identifying issues and developing possible solutions.

• Knowledge of human anatomy and physiology.

• Outstanding communication skills, conveying information verbally to patients and physicians.

• Proficient in calling in or utilizing online portals and third-party vendors to obtain precertification for procedures.

• Strong customer service skills, identifying patient needs and finding the services to meet their requirements. Professional Experience:

R1 RCM, Inc. – Murray, UT 2019 - Present

Insurance Verification Specialist

Perform precertification for Advent Health Hospitals High-Tech Radiology Imaging.

Collaborate with multiple insurance carriers and understand various plan levels and coverage.

Understanding of procedures and their correct coding in systems. Amita Health Care – Lisle, IL 2015 - 2019

Insurance Verification Specialist

Verified insurance coverage for Outpatient High Tech Radiology Services for St. Alexius Medical Center, including SAMC and ABMC Medical Centers EEG's and EMG's.

Started as a Call Center Representative in Central Scheduling.

Scheduled appointments for outpatient services, received, edited/approved, and filed orders in the Rightfax Software Program.

Home Helpers – Barrington, IL 2014 – 2018

Caregiver

Delivered patient care, including homemaker duties, companionship, errand running, and personal hygiene.

Provided side-by-side assistance to the CNAs, assuring medical regimens were followed.

Caregiver of the Quarter in January 2018 and April 2016 Resurrection Medical Center – Chicago, IL 1977 – 2013 Medical Transcriptionist

Transcribed medical reports in an accurate and timely manner for Radiology, Cardiology, Oncology, Neurophysiology, Sleep Studies, Work Hardening, and Immediate Care Centers.

Trained multiple employees on new transcription work types and reviewed other transcriptionists’ reports for quality and clarity.

Assisted the director and supervisor with answering phones and troubleshooting problems.

Worked directly with the radiologists to maintain outstanding quality assurance for radiology transcription.

Attended numerous Tumor Board meetings to meet required continuing education.

Completed Health Stream annual testing.

Education:

Wilbur Wright College - Chicago, IL; General Studies Elgin Community College - Elgin, IL; Anatomy and Physiology, Medical Coding Professional Program Certifications:

Certification of Completion for Medifecta - Alzheimer's Disease Series and Illinois In-Home Services Worker Initial Training Technical Proficiencies:

MS Office (Word, Excel, PowerPoint, Teams, Outlook), Epic-Radiant, DocQvoice, Cerner, R1 Hub Technology Software, and Genesys Phone System

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