Amanda Fischer
Romeoville
Summary
Dedicated healthcare administration professional with 15+ years of experience in insurance, claims, scheduling, and patient services. Skilled in prior authorizations, eligibility verification, claims processing, and providing outstanding patient and provider support. Strong background in customer service, medical terminology, and HIPAA compliance.
Overview
19
19
years of professional experience
Work History
Member Services Representative
Line Construction Benefit Fund
Lombard
07.2023 - 07.2025
- Verified patient eligibility and benefits coverage; determined pre-authorization requirements.
- Reviewed insurance policies, determined liability, and assessed supporting documentation.
- Processed claims, managed denials, and prepared appeal communications.
- Provided excellent customer service to policyholders, resolving issues and ensuring satisfaction.
- Collaborated with providers to obtain documentation and clinical information.
- Maintained accurate claim processing, HIPAA compliance, and medical terminology standards.
Surgery Scheduler – Gastroenterology
Duly Health and Care
Naperville
10.2022 - 07.2023
- Coordinated and scheduled surgeries, securing pre-authorizations and verifying coverage.
- Maintained patient files, insurance details, and case histories for smooth workflow.
- Assisted patients with education materials and pre-surgery instructions.
- Communicated with hospitals and providers to confirm patient information.
Lead Patient Service Representative
Edward-Elmhurst Health
Downers Grove
01.2015 - 01.2021
- Managed front desk operations including scheduling, check-in, and payments.
- Corrected claim errors and ensured accurate insurance processing.
- Supervised quality assurance initiatives including audits and patient surveys.
- Utilized EPIC to manage appointments and patient communications.
Administrative Assistant & CNA
Spring Creek Nursing Home
Joliet
02.2006 - 01.2016
- Supported administrative operations, including scheduling and medical documentation.
- Assisted patients with daily needs and coordinated care with providers.
- Maintained compliance with healthcare policies and patient confidentiality standards.
Education
Diploma - Medical Assisting
Everest College
Burr Ridge, ILSkills
- Claims Processing & Prior Authorizations
- Eligibility & Benefits Verification
- Patient Scheduling (EPIC, EHR Systems)
- Insurance Billing & Denials Management
- Medical Records & Documentation
- HIPAA Compliance
- Customer Service & Communication
- Administrative Support & Coordination
- EPIC
- EHR Systems
- Microsoft Office Suite
- Claims/Insurance Platforms
- HIPAA Regulations
- Claim processing
- Insurance verification
- Medical terminology
- HIPAA compliance
- Pre-authorization management
- Customer relationship management
- Appointment scheduling
- Documentation accuracy
- Healthcare policy knowledge
- Quality assurance auditing
- Effective communication
- Attention to detail
Timeline
Member Services Representative
Line Construction Benefit Fund
07.2023 - 07.2025
Surgery Scheduler – Gastroenterology
Duly Health and Care
10.2022 - 07.2023
Lead Patient Service Representative
Edward-Elmhurst Health
01.2015 - 01.2021
Administrative Assistant & CNA
Spring Creek Nursing Home
02.2006 - 01.2016
Diploma - Medical Assisting
Everest College