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Skills

  • Patient consultation
  • Data entry
  • Insulin medication assistance
  • Data Management
  • Home care
  • EMR / EHR
  • Clerical support
  • Medication administration
  • Product testing
  • Food preparation

Work Experiences

  • Assisted various business groups with document organization and dissemination during acquisitions.
  • Followed strict safety precautions by calculating the correct dosages before administering medications.
  • Physical assessments, medication, and chronic disease management were all part of my care for home health patients.
  • Created multi-threaded admin web applications based on method.
  • Recorded details about all therapies, including procedure and program to keep patient charts up to date.
  • Copied, logged, and scanned supporting documents before filing everything in the client's files.
  • Advocated for patients in my care and implemented prescribed treatment strategies using firsthand knowledge and clinical expertise.
  • Maintained quality standards by conducting routine medication audits and adhering to internal and industry best practices.
  • Provided excellent care to patients with a variety of diagnoses and oversaw their treatment from start to finish.
  • Administered various therapies and medications in accordance with physician orders and treatment plans.

Summaries

  • Customer-focused, strategic-thinking salesperson with more than 20 years of experience in developing relationships, cultivating partnerships, retaining top accounts, and expanding profit channels.
  • Skills in project management and performance reporting are available.
  • Versatile
  • Service-driven
  • a resourceful customer service specialist looking to apply her skills in an A/P or A/R role with a forward-thinking company.
  • Innovative
  • Ambitious
  • A quick study who has worked in a variety of design fields to help companies strengthen their brands and grow their revenue.
  • Utilization Review Coordinator with 16 years of successful project management and budget management experience.
  • Leadership skills that have been demonstrated to drive enterprise optimization goals and improve organizational operations.

Accomplishments

  • Negotiated faster response times from insurance payers, reducing return-to-work delays by 15% for patients.
  • Collaborated with case management teams to prioritize urgent reviews, achieving a 53% faster turnaround on high-priority approvals.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Utilized Tableau to track denied claims, reducing manual tracking errors by 51% and improving case resolution speed.
  • Analyzed patient utilization trends through Workday, leading to refined patient care strategies and saving 18 in unnecessary costs.
  • Reduced department's case review time from 7 hours to 11 hours after implementing a streamlined claims review procedure.
  • Conducted case reviews focused on high-dollar claims, successfully reversing denials for 13% of cases in three years.
  • Created and executed a plan to tackle longstanding denied claims, recovering an additional $10 in revenue.
  • Led implementation of electronic documentation practices across all departments, reducing paper-based error rates by 60%.
  • Worked directly with 10 clinical teams to improve documentation accuracy, reducing denial rates by 70%.

Affiliations

  • Association for Behavioral Health and Wellness (ABHW)
  • American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
  • Freemason
  • Society of Human Resource Management
  • Commission for Case Manager Certification (CCMC)
  • Inpatient Utilization Review Committee
  • Association for Computing Machinery
  • Certified Managed Care Nurse (CMCN) Certification Holder
  • American Medical Informatics Association
  • Association of Healthcare Administrative Professionals (AHCAP)

Certifications

  • ServSafe
  • Healthcare Compliance Certification (CHC)
  • Certified Managed Care Nurse (CMCN)
  • Certified Business Analysis Professional (CBAP)
  • Certified in Health Information Management (RHIA)
  • Emergency Nursing Pediatric Course (ENPC)
  • Apple Certified Associate (ACA)
  • Certified Healthcare Financial Professional (CHFP)
  • Master’s in Healthcare Administration (MHA)
  • Certified Public Accountant

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