Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
15
15
years of professional experience
Work History
Utilization Management Tech
Community Hospital
09.2022 - 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.
Managed time efficiently in order to complete all tasks within deadlines.
Organized and detail-oriented with a strong work ethic.
Utilization Management Assistant
Ingalls Memorial Hospital/University of Chicago
11.2019 - 08.2022
Streamlined communication between healthcare providers and insurance companies for timely claim processing and reimbursement.
Contributed to a positive workplace culture by fostering strong relationships with colleagues across various disciplines within the organization.
Ensured timely completion of assigned tasks through effective prioritization and time management skills, consistently meeting or exceeding performance expectations.
Participated in ongoing professional development opportunities within the field of utilization management to stay current on best practices and industry trends.
Assisted Case Manager/Rn's with insurance Approvals, Peer to Peers and Denials for Inpatient Admissions.
Worked independently both Remote and in house.
Primary Medical Billing Analyst
Ingalls Memorial Hospital/University of Chicago
02.2014 - 11.2019
Collaborated with healthcare providers to ensure accurate documentation of diagnoses, treatments, and services rendered.
Contributed to a positive work culture by actively participating in staff meetings, sharing ideas, and taking on additional responsibilities as needed.
Conducted regular audits of billed services to identify discrepancies, rectify issues, and prevent future errors from occurring.
Streamlined billing procedures by implementing effective coding systems and ensuring compliance with regulatory requirements.
Ensured timely submission of claims by adhering to strict deadlines and prioritizing tasks effectively.
Maintained high levels of accuracy in data entry, reducing errors that could lead to denied or delayed payments.
Financial Counselor
Ingalls Memorial Hospital/University of Chicago
03.2010 - 02.2014
Worked directly with clients to provide financial counseling and education using individualized counseling model and personal finance course.
Assessed client financial situation and explored background through one-on-one interview process.
Improved client financial stability by assessing their financial situations and developing tailored plans.
Assisted clients in reducing debt through customized repayment strategies and budget adjustments.
Identified healthcare resources and programs for patients unable to meet financial obligations.
Developed personal rapport with each client to maintain customer loyalty and establish long-term accounts.
Education
No Degree - Prerequisites For Nursing
Thornton Community College
South Holland, IL 60473
High School Diploma -
Thornton Fractional South High School
18600 Burnham Ave Lansing, IL 60438
05-1983
Skills
Friendly, positive attitude
Teamwork and collaboration
Time management
Attention to detail
Multitasking Abilities
Excellent communication
Calm under pressure
Organizational skills
Languages
Spanish
Professional Working
Timeline
Utilization Management Tech
Community Hospital
09.2022 - Current
Utilization Management Assistant
Ingalls Memorial Hospital/University of Chicago
11.2019 - 08.2022
Primary Medical Billing Analyst
Ingalls Memorial Hospital/University of Chicago
02.2014 - 11.2019
Financial Counselor
Ingalls Memorial Hospital/University of Chicago
03.2010 - 02.2014
No Degree - Prerequisites For Nursing
Thornton Community College
High School Diploma -
Thornton Fractional South High School
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