Eliana Sandoval
Nampa
Summary
Forward-thinking Senior Specialist equipped with advanced operational and technical knowledge of insurance authorizations. Proven team leader and problem-solver competent in navigating complex situations. Manages assignments, schedules, and projects with an organized and detail-oriented mindset.
Overview
7
7
years of professional experience
Work History
Financial Clearance Senior Specialist
St. Luke’s Regional Medical Center
02.2023 - Current
- Accurately process insurance authorizations, eligibility checks, and verifications to support timely patient care.
- Act as one of the lead authorization contacts for Electrophysiology and Structural Heart clinics while supporting multiple other specialties.
- Deliver prompt, patient-focused service by addressing inquiries and explaining financial policies and insurance coverage.
- Maintain and audit patient records to ensure data accuracy and adherence to compliance standards.
- Collaborate with clinical and administrative teams to improve patient access workflows and reduce delays.
- Act as the department’s Front Office Champion by obtaining workflow updates and system communications, then clearly delivering and implementing this information with team members.
Customer Service Representative 2
Chatterbox Pediatric Therapy Center
03.2021 - 01.2023
- Conducted patient registration and interviews, obtaining accurate intake and insurance information to facilitate onboarding.
- Collected patient co-pays and outstanding balances.
- Managed appointment scheduling, confirmations, and follow-up communication to maintain an efficient workflow.
- Received and processed ROI documentation promptly, ensuring timely and compliant information handling.
- Trained new staff on WellSky software and daily workflows, improving team readiness and operational consistency.
Patient Access Specialist 2
St. Luke’s Regional Medical Center
06.2020 - 03.2021
- Managed emergency service training programs to ensure staff readiness and operational preparedness.
- Registered patients, processed insurance documentation, and collected co-pays to support accurate billing.
- Trained new employees on Epic, improving onboarding efficiency and proficiency.
- Scheduled patient appointments and coordinated admissions to ensure seamless workflows.
- Answered and routed phone calls to appropriate departments, ensuring timely communication.
- Cross-trained to support outpatient clinics and emergency room services as needed.
Patient Access Specialist 1
St. Luke’s Regional Medical Center
01.2019 - 06.2020
- Registered patients, gathered insurance details, and maintained accurate patient records.
- Scheduled medical tests and procedures according to the physician’s orders.
- Managed inbound calls, routed inquiries to the appropriate departments, and coordinated patient admissions.
Hospitality Attendant
St. Luke’s Regional Medical Center
01.2019 - 06.2020
- Stocked doctor’s lounges and ensured all meal trays met the required specifications.
- Delivered meal trays for admitted patients according to dietary instructions.
Education
Bachelor of Science - Human Resource Management
Western Governors University
08.2025
Skills
- Microsoft Office 365
- Proficient in Epic Software
- Insurance Verification and Authorizations
- Medical Terminology
- Workflow Coordination
- Team Collaboration
- Adaptability
- Problem Solving and Critical Thinking
Timeline
Financial Clearance Senior Specialist
St. Luke’s Regional Medical Center
02.2023 - Current
Customer Service Representative 2
Chatterbox Pediatric Therapy Center
03.2021 - 01.2023
Patient Access Specialist 2
St. Luke’s Regional Medical Center
06.2020 - 03.2021
Patient Access Specialist 1
St. Luke’s Regional Medical Center
01.2019 - 06.2020
Hospitality Attendant
St. Luke’s Regional Medical Center
01.2019 - 06.2020
Bachelor of Science - Human Resource Management
Western Governors University