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Skills

  • STD counseling and care awareness
  • Cardiac arrest response
  • Conflict resolution
  • Operational improvement
  • Colostomy care familiarity
  • Regulatory requirements
  • ABG
  • Culturally competent care
  • Body mechanics knowledge
  • Insurance Verification

Work Experiences

  • Assisted in transitioning from manual verification to an automated system, resulting in a 29% improvement in claim processing efficiency.
  • Successfully scheduled patient appointments and placed reminder calls to provide an exceptional customer experience.
  • Confirmed insurance plan codes for accurate billing.
  • Delivered detailed reports on coverage issues and denials to senior leadership, improving overall department efficiency.
  • Ensured adherence to payer guidelines.
  • Boosted patient satisfaction.
  • Educated on claim submission best practices.
  • Contributed to a revenue increase of 44% over 2017.
  • Ensured accurate billing.
  • Kept track of office supplies by checking inventory and ordering new supplies as needed.

Summaries

  • Knowledgeable about healthcare and insurance systems.
  • Billing Supervisor with extensive experience in day-to-day accounts receivable operations, collections, and reporting.
  • Looking for a position as a leader in an integrated delivery system.
  • Committed to providing comprehensive patient education as well as assisting physicians.
  • Maintain high-volume medical offices by coordinating files, appointments, and other patient needs efficiently.
  • With a 15-year track record of success, adept at maximizing productivity.
  • Professionally trained Insurance Verifier with experience providing high-quality culturally competent care to a diverse group of patients.
  • Well-versed in all aspects of patient care, with a track record of success in responding quickly to emergency situations.
  • Nurse who specializes in supply management, documentation, and referrals for children.
  • Bilingual Certified Nursing Assistant with 11 years of tracheotomy care experience.

Accomplishments

  • Instructed
  • Counseled
  • Nursed
  • Perinatal Care: Assisted physicians in focus studies of prenatal care. Performed basic physical assessments of newborns and infants.
  • Encouraged
  • Helped
  • Documentation: Ensured charting accuracy through precise documentation.
  • Surgical Preparation: Assisted in patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
  • Consulted
  • Rehabilitated

Affiliations

  • American Medical Billing Association (AMBA)
  • American Society of Safety Professionals
  • American Hospital Association (AHA)
  • Society of Women Engineers
  • Credentialing Resource Center Membership
  • American Marketing Association
  • National Council for Prescription Drug Programs (NCPDP)
  • National Association of Social Workers
  • Accredited Health Care Fraud Investigator (AHFI) – NHCAA
  • Medical Group Management Association (MGMA)

Certifications

  • CompTIA Security+
  • ANA Certified in Adult NP
  • Pediatric Advanced Life Support (PALS)
  • CompTIA A+ Technician
  • Graduate Certificate in Global Health
  • Certified Oncology Nurse
  • Board Certification for Emergency Nursing
  • BLS
  • Advanced Claims Resolution Certification Vantage
  • Certified Public Accountant (CPA)

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