Amber E. Email & Phone Number

• Verified patient insurance eligibility and entered patient information into system.
• Answered incoming calls, scheduled appointments and filed medical records.
• Organized patient records and database to facilitate information storage and retrieval.
• Compiled and maintained patient medical records to keep information complete and up-to-date.
• Applied administrative knowledge and courtesy to explain procedures and services to patients.
• Facilitated communication between patients and various departments and staff.

• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
• Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
• Educated patients on importance of preventive health care and insurance coverage.
• Stayed calm under pressure and successfully dealt with difficult situations.

Itasca, Illinois, United States

• Input all patient data regarding claims and prior authorizations into system accurately.
• Analyzed medical records and other documents to determine approval of requests for authorization.
• Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
• Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
• Researched denied claims and contacted insurance companies to resolve these issues.
• Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.

Oak Park, IL

Responsible for maintaining pharmacy relationships by primarily responding to email/telephone inquiries pertaining to processed pharmacy claims and payment status. Responsible for distributing pharmacy payment remittances and ERAs (835 files)Assist with various client implementation projects and tasks

Oak Park, IL

Managed various day-to-day tasks supporting assigned clientsCollaborate with other account managers on new client plans and implementationsAnalyze and assist with plan eligibility issues.

Oak Park, IL

Responsible for answering and handling incoming as well as outbound phone callsTrack and document all calls in detail within appropriate applicationsResearch and resolve customer/client issues using the highest degree of courtesy and professionalism

Lisle, IL

Responsible for receiving and reviewing prescription prior authorization requests from contracted providers via telephone, fax and email.Knowledge of clinical criteria and adherence to all guidelines for processing prior authorization requests in a timely manner.Assist pharmacies, if needed, in resolving issues pertaining to the prior authorizations process.

Mount Prospect, IL

Administer calls to doctor’s offices and hospitals for prescription correctionsMaintain proper telephone etiquetteInput prescription translations into computer systems.

Saint Charles, IL

Received written prescriptions and telephone refill requestsPrepared insurance claims and verified paymentsAssisted pharmacists with processing prescriptions and maintaining the pharmacy department.

Batavia, IL

Aurora, IL

Processed incoming parolee check in calls for Illinois and Colorado Department of CorrectionsAssisted with taking/sending message and memos for various parole agents and parole supervisorsPerformed variety of clerical duties

Aurora, IL

Associate Of Science, Biology, General, 3.6

Associates, Biology, General

High School Diploma

Activities and Societies: Cheerleading, Softball