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Skills

  • Cardiac arrest response
  • Conflict resolution
  • Cardiology
  • Data security procedures
  • Psychiatric and Mental Health Care
  • Great mathematical skills
  • BLS certification
  • Body mechanics knowledge
  • Medical assisting specialist
  • Extensive medical terminology knowledge

Work Experiences

  • Used well-established claim processing criteria to determine whether medical claims should be paid or denied.
  • Coordinated the review, revision, and creation of operational policies within the emergency department.
  • Effectively served as an advisory resource by providing patient/family experience expertise.
  • Made certain that claims were properly billed and paid.
  • Recognized
  • Improved the efficiency of a 29-bed surgical unit.
  • Used Jira to collect and process copayments and out-of-pocket expenses.
  • Planned, organized, supervised, and provided assignments for nursing, technical, office, and biomedical staff.
  • Furthered
  • Solved procedure issues, improved operations, and provided excellent customer service.

Summaries

  • With a solid career background and top-notch clinical acumen, I am a caring and passionate healthcare professional.
  • Patient assessment, medication administration, and health education are all skills she possesses.
  • Restocking supplies, updating records, and coordinating referrals are all skills that this cheerful pediatric nurse possesses.
  • Endoscopy Staff Nurse with 4 years of experience who is meticulous in her work.
  • Medical Assistant with over 8 years of experience working in a busy medical office with a variety of patients.
  • Medical Assistant with a strong work ethic and excellent interpersonal skills.
  • Open and clear communicator with strong organizational, multitasking, and prioritization abilities, as well as a customer-focused and compassionate personality.
  • Resource allocation and working on tight budgets are two of her strong suits.
  • With a gift for leading by example, she excels at providing comprehensive patient care and education.
  • Interested in bringing leadership and clinical expertise to a hospital with room for advancement.

Accomplishments

  • Improved student outcomes 10%.
  • Patient Care: Ensured quality control through admissions, assessment, treatment and referral for a broad range of patients. Monitored patients' respiration activity, blood pressure and blood glucose levels.
  • Introduced an automated workflow for claims vetting, improving approval speeds by 43% and reducing manual workloads.
  • Developed and enforced standard operating procedures across the team, reducing claims rework by 58%.
  • Documentation: Ensured charting accuracy through precise documentation.
  • Maintained compliance with system protocols, submitting corrected claims within mandatory one years.
  • Improved payment accuracy for method, reducing overpayments by 81% through efficient claim audits.
  • Surgical Preparation: Assisted in patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
  • Audited denied claims and formulated strategies that successfully recovered $7 in overpayments within two years.
  • Collaborated with IT and business analysts to develop an online claims submission system, leading to a 43% reduction in data entry errors.

Affiliations

  • Active attendee of Healthcare Compliance Association (HCCA) conferences focusing on coding and billing
  • Project Management Institute
  • National Council for Prescription Drug Programs (NCPDP) – Participated in standards development for electronic healthcare transactions
  • National Association of Insurance Commissioners (NAIC) – Engaged in policy review and legislative updates on claims processes
  • American Academy of Professional Coders (AAPC) Member since 2016
  • Association of Information Technology Professionals
  • Toastmasters
  • Certified Professional Biller (CPB) – Credential from AAPC received in 2024
  • Society of Women Engineers
  • Member of AAPC Local Chapter – Actively participated in networking events and local chapter meetings

Certifications

  • Home Health Aid Certified (HHA)
  • Current American Academy of Nurse Practitioners (AANP)
  • SHRM Certified Professional (SHRM-CP)
  • Certificate to Prescribe in Colorado process
  • SHRM Senior Certified Professional (SHRM-SCP)
  • ANA Certified in Family NP
  • Certified Public Accountant (CPA)
  • Certified Electronic Claims Adjuster (CECA) – Meridian
  • Certified Oncology Nurse
  • Holds current furnishing license

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