Summary
Overview
Work History
Education
Skills
Timeline
Generic

Judi Salsbury

Omaha

Summary

Healthcare professional with extensive experience at Nebraska Methodist Health Systems, excelling in eligibility determination and patient advocacy. Proven track record in enhancing patient satisfaction through proactive problem-solving and effective communication. Skilled in insurance verification and EMR management, fostering strong relationships with patients and clinical teams to ensure seamless service delivery.

Overview

22
22
years of professional experience

Work History

Pre Access Advocate

Nebraska Methodist Health Systems
03.2022 - Current

Perform a variety of duties to determine eligibility and costs for pregnancy, diagnostic procedures and testing. Ensure documentation is current and accurate for clinical staff. Complete all FMLA, Short Term Disability and Hospital Indemnity paperwork for patients


Verify eligibility and obtain benefit information for pregnancy, diagnostic procedures and testing.


  • Provide initial clinical documentation as requested
  • Update insurance information
  • Document medical necessity checking outcome
  • Generate waiver/ Advanced Beneficiary Notice if medical necessity checking does not meet payer criteria
  • Ensure all pertinent information is added to electronic medical record.
  • Retrieve and submit clinical information
  • Provide communication when additional information is required eligibility failed, medical necessity isn't supported or precertification wasn't approved


Create cost estimate for pregnancies, diagnostic procedures and testing

  • Documents estimated patient responsibility in EMR


Ensure all pre-certification, authorization requirements have been completed prior to scheduled procedure


Complete FMLA, Short Term Disability and Hospital Indemnity paperwork for patients

Medical Representative

Nebraska Methodist Health Systems
10.2020 - 03.2022
  • Managed patient scheduling and confirmed appointments to optimize office efficiency.
  • Coordinated communication between patients and healthcare providers to enhance service delivery.
  • Processed patient insurance information, ensuring accuracy and compliance with policies.
  • Maintained medical records in electronic health record (EHR) system, ensuring data integrity and confidentiality.
  • Resolved patient inquiries and concerns promptly, improving overall satisfaction ratings.
  • Collaborated with clinical staff to support workflow efficiency during peak hours and emergencies.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
  • Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
  • Developed strong relationships with patients, fostering loyalty and trust in the practice''s services.
  • Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
  • Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
  • Supported office staff and operational requirements with administrative tasks.

Retail Assistant Manager

HyVee Foods
03.2004 - 10.2020
  • Supervised daily operations to ensure optimal store performance and customer satisfaction.
  • Trained and mentored new staff, fostering a collaborative team environment.
  • Enhanced customer service protocols, leading to improved client retention rates.
  • Coordinated promotional events, driving foot traffic and increasing product visibility.
  • Managed team scheduling, ensuring adequate coverage during peak business hours.
  • Evaluated employee performance, providing feedback that supported professional development initiatives.
  • Managed employee scheduling, optimizing coverage during peak hours while minimizing labor costs.
  • Supervised daily store operations, ensuring smooth workflow and timely completion of tasks.
  • Mentored new employees in company policies, procedures, and best practices to ensure consistent performance standards across the team.
  • Maintained, cleaned and organized store to provide positive shopping experience for customers and inspiring workplace for team members.
  • Trained and developed new employees for ease of transition into team.
  • Exhibited excellent people skills during interaction with employees and customers.
  • Maintained exceptionally clean, customer-friendly and well-run front end check out

Education

High School Diploma -

Northwest High School
Omaha
06-1983

Skills

  • Patient rights
  • Proactive problem-solving
  • Organized nature
  • Resource utilization
  • Quality assurance
  • Healthcare navigation
  • Verbal and written communication
  • Relationship building
  • Eligibility determination
  • Medicaid
  • Customer service
  • Friendly and outgoing
  • Team collaboration
  • HIPAA compliance
  • Customer follow-up
  • Money handling
  • Phone and email etiquette
  • Insurance verification
  • Payment processing
  • EMR updating
  • Calm and effective under pressure
  • Communicating to patients and families

Timeline

Pre Access Advocate

Nebraska Methodist Health Systems
03.2022 - Current

Medical Representative

Nebraska Methodist Health Systems
10.2020 - 03.2022

Retail Assistant Manager

HyVee Foods
03.2004 - 10.2020

High School Diploma -

Northwest High School
Judi Salsbury