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| | Click here or scroll down to respond to this candidateCandidate's Name , RNCommitted and motivated professional with exceptional interpersonal andcommunication skills. Enthusiastic, and highly organized professional with a commitment to quality care/positive outcomes.Little Falls, NJ 07424PHONE NUMBER AVAILABLEEMAIL AVAILABLEEXPERIENCEUMDNJ University Hospital, Newark NJ Patient Access Representative OCTOBER 2004 - FEBRUARY 2018 Greets patients and their caregivers and records patient information into a computer database Verified demographics and insurance information to register patients in the computer system for outpatient and admitting . Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations. Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans. Processed patient responsibility estimate determined by insurance at pre-registration. Records insurance information and obtains pre-approval for treatment if needed Maintains paper and electronic medical records, and updates these records as needed Provides information to insurance companies in order to assist with billing Prioritizes the order of care so that the most critical patients are seen first. Responsible for Radiology Patient Registration/ SDS Registration Obtains pre-certification for hospital procedures, surgery and any other related diagnostic testing Handles Inpatient and Outpatient research study protocols for various studies Interfaces with Medicare, Medicaid, HMO's and Commercial insurance carriers Ensures proper authorization obtained for services rendered Identifies Self-Pay, Charity Care, and Medicaid patients for appropriate referral to Financial Counseling DepartmentDendrite Interactive Marketing Llc, Totowa NJMedical Information SpecialistDECEMBER 2004 - October 2009 Served as a Medical Consultant Responsible for the Medical Education Communication to Clinical Practitioners for Various Pharmaceutical Companies. Served as a consultant in projects for NICOTROL (smoking cessation), VOSPIRE (for long term Asthma Control), TOPAMAX (for certain types of seizures partial onset seizures and primary generalized tonic-clonic seizures in adults and children 2 years and older to prevent migraine headaches in adults and adolescents 12 years and older), BOTOX (To prevent headaches in adults with any chronic migraine who have 15 or more days each month), ect. Responsible for the reporting of any adverse event resulting during the course of telecommunication and Medical Education discussion. Knowledgeable of product information from the Pharmaceutical and Marketing viewpoint in order to handle all Medical and Informational Questions regarding medications. LABCorp, Clifton NJPhlebotomistDECEMBER 2003- OCTOBER 2004 Obtain blood samples for medical testing through venipuncture or capillary puncture. Follow infection-control and safety procedures in carrying out daily phlebotomy functions. Prepare blood-collecting equipment, draw blood, and safely store and transport samples. Build trust and minimize patient discomfort during phlebotomy procedures while efficiently EDUCATIONM.D. - General Medicine02/1998University of PrishtinaKOSOVORegistered Nurse06/1990Desa TomovicMitrovice, KosovoACTIVE LICENSES2020 REGISTERED NURSE INTHE STATE OF NEW YORKLICENSE NUMBER 793082AWARDSDesa TomovicMitrovice, Kosovo Dean's List Honoree GPA 4.0LANGUAGESEnglish, Albanian, Serbian &CroatianSKILLS Knowledge of Microsoft Word,Excel Knowledge of Medical CodingICD10 Familiar with Epic Program. Regulatory compliance Insurance companyknowledgeable Payment processing Appointment schedulingcollecting blood specimens. Work collaboratively with patients, healthcare providers and patient support departments to ensure a high quality of service. Labeled blood vials with critical information like time of collection, date, and patient name. Interviewed patients and analyzed and documented medical records to update and file documents.Tri Town Medical Office,Prospect Park NJ -Medical Assistant NOVEMBER 2002-DECEMBER 2003 Greet Patient, family members. Assessed, documented and monitored vital signs for more than 50 patients per day. Supported functions for diagnostic and technical treatment procedures, including setting up and operating special medical equipment and apparatuses. Assisted physicians by preparing patients for procedures, including but not limited to EKGs, phlebotomy, glucose testing and pulmonary function tests. Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process. Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analyses. Conducted patient interviews to gather health history, vital signs and information about current medical issues. Performed front desk duties, including answering phones, scheduling appointments, greeting patients and ordering supplies. Organized charts, documents and supplies to maintain team efficiency. Performed routine tests such as urine dip stick, vision and hearing tests. Checked patients in, collected and verified insurance information, compiled new patient forms, scheduled appointments and updated patient files. Secured patient information and maintained patient confidence by completing and safeguarding medical records. Answered appointment callsHealth Center Of Vushtrri, Vushtrri Kosovo-Registered Nurse March 1991-May 1993 Provided direct quality care to patients including daily monitoring, recording, and evaluation of medical conditions for up to 30 patients per day. Assisted physicians in minor medical procedures. Supervised the admission of patients in emergency cases and directed the transferring of patients from their locations to the hospital via ambulance. Administered oral, intramuscular and IV medications to patients and monitored responses. Administered medications, tracked dosages and documented patient conditions. Educated patients and families on treatment strategies and at-home care. Immunized patients against diseases such as influenza and pneumonia to protect vulnerable populations from serious illnesses. |