Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Monica Crenshaw

Alton

Summary

Dedicated Leader with 15+ years of experience in Healthcare Management, Recruitment, Compliance, Business Analytics, and current Certified Healthcare Associate (CHAA). Proven impact in previous roles includes streamlined authorization processes, improved patient satisfaction rates, and reduced claim denials.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Authorization Specialist

Barnes Jewish Hospital
St. Louis
06.2023 - Current
  • Reviewed patient authorization requests for medical procedures and services to ensure compliance with insurance guidelines.
  • Communicated with insurance companies to verify coverage and eligibility.
  • Collaborated with healthcare providers to ensure accurate information submission.
  • Maintained organized documentation of authorization approvals and denials, facilitating quick reference and audit readiness.
  • Trained new staff on authorization protocols and hospital policies.
  • Resolved discrepancies in patient information with relevant departments promptly.
  • Assisted in developing process improvements for authorization workflows, enhancing accuracy and reducing turnaround times.
  • Prepared appeal letters on behalf of clients to resolve disputes with insurers.

Operations Manager

Platinum Gold Resource Agency
Belleville
03.2021 - 06.2023
  • Oversaw operations and business activities to ensure alignment with organizational goals
  • Develop high quality business strategies and plans to ensure overall growth
  • Review financial and non-financial reports to devise solutions or improvements
  • Analyze problematic situations and occurrences and provide solutions
  • Enforced legal guidelines and in-house policies to maintain compliance and operational integrity
  • Coordinated with Department Managers and Team Leaders to assess and address hiring needs
  • Conduct pre-employment screening, like getting references and performing background checks
  • Maintain a deep knowledge of the markets and industry

Staffing & Credentialing Manager

Nurses earn It Medical Staffing Group
Saint Louis
11.2016 - 08.2021
  • Advertise job openings across multiple channels
  • Coordinate Department Managers and Team Leaders to identify current and future hiring needs
  • Attend job fairs and organize in-house recruitment events
  • Manage candidates’ information utilizing an Applicant Tracking System
  • Conduct pre-employment screening, like getting references and performing background checks
  • Prepared monthly, quarterly, and annual hiring status reports to provide insights on recruitment progress
  • Designed procedures for each hiring stage, including assessment and interview questions, to standardize the recruitment process
  • Ensure proper onboarding for new hires
  • Facilitated daily scheduling for team members to ensure optimal coverage and workflow

Executive Board Secretary / Group Facilitator / Financial

Moving4ward Ministries
Saint Louis
06.2011 - 06.2017
  • Oversaw financial operations, ensuring timely bill payments, account monitoring, and tax compliance.
  • Handle finances, ensuring bills are paid, account is monitored, and taxes are completed.
  • Manage website, assist with updates and create annual website for annual walk/run, also Manage Facebook, Twitter, Instagram and other Social Media outlets for exposure.
  • Coordinated and facilitated support group meetings in various community locations to provide a safe space for participants.
  • Managed website and social media platforms, updating content and creating annual site for walk/run event to enhance community engagement.

Practice Representative

Committed to Health Chiropractic
Saint Louis
06.2016 - 11.2016
  • Collaborated with Dr. to coordinate Lunch and Learns and community presentations, enhancing local engagement
  • Participated in networking events and expos to expand clientele and build professional relationships
  • Managed social media and networking initiatives to promote practice and connect with potential clients

Patient Access Lead/Trainer

Conifer Health Sol./SLUH
Saint Louis
08.2012 - 10.2013
  • Coordinator/Trainer over the Financial Counseling department
  • Trained all new hires in patient access and provided ongoing education for several off-site locations
  • Managed and monitored daily reports and employee schedules, presenting real-time insights to upper management
  • Handled denial management for facility, minimizing disputes and write-offs
  • Assisted with administrative tasks for the department to ensure smooth operations.

CPAS Supervisor

Conifer Health Solutions
Saint Louis
11.2010 - 08.2012
  • Increased Regional Quality Score by 40% using a targeted area-focused approach.
  • Utilized Quality review via Witness Quality Monitoring for each agent monthly to provide real time feedback and establish one on one goals for each employee.
  • Increased individual agent production through side by side and group training.
  • Promoted to supervisor position to train and supervise 15+ Insurance Verifiers.
  • Fostered an environment that prioritized high service levels for patients and payors while motivating employees to achieve top performance.
  • Enhanced department morale and improved staff retention through effective employee-development and morale-building programs.
  • Led the role-in of new facilities to CPAS, developed & implemented Job Aides, and process improvements prior to the new facility addition of daily inventory.
  • Monitored success using internal reporting site - CPQ.
  • Completed daily reports including Daily Inventory Tracking, FTE Capacity, Authex, Monthly Production Tracking, and Denials Disputed & Write offs.

ER Registration, Quality Control, Financial Counselor

South Pointe St. Alexius Hospital
Saint Louis
12.2001 - 01.2008
  • Registration Representative, Financial Counselor, Insurance Verifier, & Inpatient Financial Counselor
  • Counseled patients on healthcare costs and insurance options to facilitate informed financial decisions.
  • Verified insurance coverage and benefits for patients, ensuring accurate information for financial planning.
  • Guided patients through billing processes and payment plans to enhance understanding and compliance.
  • Collaborated with medical staff to address patient financial concerns effectively.

Education

High School Diploma -

Home School
06-2000

Skills

  • Patient authorization management
  • Denials Specialist
  • Revenue Cycle
  • Compliance Specialist
  • Operations Management
  • Project Management
  • Process integration
  • Financial counseling
  • Administrative Specialist
  • Teambuilding & Training
  • Customer Satisfaction
  • Management
  • Cost-reduction tactics
  • Recruiting

Certification

CHAA

Timeline

Authorization Specialist

Barnes Jewish Hospital
06.2023 - Current

Operations Manager

Platinum Gold Resource Agency
03.2021 - 06.2023

Staffing & Credentialing Manager

Nurses earn It Medical Staffing Group
11.2016 - 08.2021

Practice Representative

Committed to Health Chiropractic
06.2016 - 11.2016

Patient Access Lead/Trainer

Conifer Health Sol./SLUH
08.2012 - 10.2013

Executive Board Secretary / Group Facilitator / Financial

Moving4ward Ministries
06.2011 - 06.2017

CPAS Supervisor

Conifer Health Solutions
11.2010 - 08.2012

ER Registration, Quality Control, Financial Counselor

South Pointe St. Alexius Hospital
12.2001 - 01.2008

High School Diploma -

Home School
Monica Crenshaw