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