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Skills

  • X-Ray Development
  • Operational improvement
  • Confidential case documentation
  • Clinical judgment
  • Practitioner enrollment
  • Tracheostomy care
  • Dosage calculation
  • Diabetes and nutrition education
  • Life skills development
  • Qualified in patient transport

Work Experiences

  • Used Tableau to accurately input provider effective dates into the enrollment system.
  • Measured blood glucose levels in patients.
  • Administered IV therapy, treadmill stress tests, and nerve conduction tests in the cardiac unit.
  • Rehabilitated myself.
  • Took urine samples and delivered them to the lab.
  • Saved money by developing functional solutions to program problems.
  • Helped with community-oriented public relations.
  • Kept my standard knowledge up to date by doing stakeholder engagement and team leadership.
  • Gained a competitive advantage in the market by assisting in the development of an exceptional network of care providers.
  • Improved the efficiency of a 29-bed surgical unit.

Summaries

  • Scheduling, record-keeping, and insurance processing are all skills that I possess.
  • Service-driven
  • Endoscopy Staff Nurse with 16 years of experience who is meticulous in her work.
  • Leadership skills that guide nursing teams to positive outcomes and drive organizational performance are demonstrated.
  • Ambitious
  • Clinical Instructor with a proven track record of developing education programs, curricula that meet accreditation standards, and lessons that incorporate instructional technology.
  • Deadline-driven
  • Proficient in promoting standard by leveraging budget management and strategic planning knowledge.
  • Provider Enrollment Specialist is a hardworking and dependable Provider Enrollment Specialist who excels at client relations and team leadership.
  • Medical Assistant with a strong work ethic and excellent interpersonal skills.

Accomplishments

  • Patient Advocacy: Explained treatment procedures, medication risks, special diets and physician instructions to patients.
  • Patient Care: Delivered compassionate care that exceeded hospital requirements. Successfully provided quality care to process patients in procedure environment.
  • Collaboration: Collaborated with physicians to plan and implement patient care.
  • Championed continuous improvement initiatives, reducing provider onboarding complications which cut delays by 9 days.
  • Improved student outcomes 9%.
  • Partnered with IT to implement a secure document management system, reducing information retrieval times significantly and ensuring HIPAA compliance.
  • Surgical Preparation: Assisted in patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
  • Perinatal Care: Assisted physicians in focus studies of prenatal care. Performed basic physical assessments of newborns and infants.
  • Taught 2 classes per semester.
  • Monitored submission deadlines for provider applications, maintaining an 52% submission-to-approval accuracy rate with procedure.

Affiliations

  • Member, State Medical Board Liaison Committee, advocating for faster handling of provider licensure transfers and re-credentialing during mergers.
  • Member, Healthcare Financial Management Association (HFMA), engaging with resources on provider enrollment and reimbursement optimization.
  • Volunteer Mentor, Provider Enrollment Internship Program at Lakeside Partners, offering guidance on enrollment logistics and health insurance payers.
  • Member, Credentialing Resource Center by HCPro, engaged in ongoing education about accreditation and compliance standards in healthcare.
  • Participant, Provider Enrollment Summit 2024, contributed to discussions on reducing provider enrollment delays and improving communication strategies with payer organizations.
  • Annual attendee, Healthcare Policy and Compliance Conferences, receiving updated training on payer compliance requirements and the effects on provider enrollment procedures.
  • Active participant, State Healthcare Administrators Program Atlanta, contributing to initiatives aimed at improving local provider enrollment times and compliance accuracy.
  • Affiliate, American Society for Healthcare Human Resources Administration (ASHHRA), consistently staying informed on human resources policies affecting provider onboarding and enrollment.
  • Member, Healthcare Administrative Technology Association, advocating for the implementation of new software solutions in automating provider enrollment tasks.
  • Active member since 2024, American Health Information Management Association (AHIMA), specializing in provider records management and audit preparation.

Certifications

  • Certified in Diabetes Management
  • American Academy of Financial Management (AAFM)
  • CompTIA Network+
  • CPR certified through American Heart Association
  • Microsoft Certified Systems Engineer (MCSE)
  • Current American Academy of Nurse Practitioners (AANP)
  • Centers for Medicare & Medicaid Services (CMS) Provider Enrollment Certification
  • Certified Public Accountant (CPA)
  • Certified Oncology Nurse
  • CompTIA A+ Technician

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