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Click here or scroll down to respond to this candidateCandidate's Name )Lake Butler, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEcommunication skills Tenacious problem-solving skills will prevent future problems\ Creating templates, establishing a sort-of Playbook for the whole of my Customers Success team members Analytical thinker Knowledge in medical claim handling Proficient in Explanation of (healthcare)benefits Worked on all side of the health care system Intermediate knowledge of ICD-10/ Health Insurance Claims processing Ability to interpret clinical notes for billing Proficient in Medicare, Medicare, MMA plans, PPO, HMO claims handling Medical posting, auditing, and analyzing/follow up with denials reasons Experience working/managing staff while fully remotely Experience caring for patients in various settings (skilled nursing facilities, home health, general medicine) Experience with Medicare Part D Pharmacy Technician- Hitchcocks Hometown Pharmacy and Florida State Prison(2003-2008) Very familiar with Revenue Cycles, Managed Care, Clinical Operations, EMR systems, Payroll Systems, or working with practice performance systems. I have already looked in EPIC certification and am prepared to obtain any certification need to optimize my position. Experience speaking directly with providers and provider billing offices regarding claims issues Work experience with an electronic patient health information (PHI) database (medical records database) Intermediate working experience with Microsoft Excel utilizing formulas StatisticsMedical terminologyPublic speakingWork ExperienceStaff/ Care CoordinatiorThe Orthopaedic Institute - Gainesville, FLNovember 2018 to July 2019 Staff assistant- Performed a variety of clerical and administrative duties related to the delivery of patient care, including answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other duties as required in a fast paced, customer-oriented clinical environment.-Assist Physician with Coding. Posting of all charges. Assist the Physician with Patient calls (e.g., Medication, questions, PT, disability forms, etc.). Oversee Physician's schedule (e.g., Clinic, surgery referrals, insurance prior authorizations, scheduling, meetings, ER call, and time off, etc.).-Prepare Office Charts for clinic. Maintain files and medical records. Arrange payment plans for patient balances. Schedule Tests (e.g., MRI, EMG, Arthrograms, etc.).-Oversee Receptionist Area on clinic days (e.g., Patient flow, posting clinic charges, etc.). -Work with Billing and Collections Dept. (explanation of health insurance benefits, data entry issues etc.). Oversee flow of Physician correspondence, requests for patient medical information and test results to be reviewed by Physician. Oversee medical records. Train and Supervise receptionist Lafayette Health Care CenterMayo, FL11/2016 - 06/2017Certified Nurse Assistant-Assisted in the daily, everyday care and quality of multiple patients. Including basic hygiene care, mobility, positioning, dining, and all over quality care. -Observed and documented patient status and reported patient complaints to the case manager. - Provided necessary supplies, support and assistance to medical staff and patients for unit specific procedures.-Works with all aspects of facility staff to accomplish the work while creating a positive and uplifting environment for all.Certified Nurse Assistant/Shift Lead Medication Supervisor Plantation Oaks Assisted Living Facility - High Springs, FL December 2014 to July 2015- Held position as a CNA, medication technician-Supervisor on 3p-11p shift - Assisted in the daily, everyday care and quality of multiple patients. Including basic hygiene care, mobility, positioning, dining, and all over quality care.-Pass medications-Kept record of pharmacy deliveries, documents sent to and received from Certified Nurse Assistant Class InstructorExpress Training Services - Gainesville, FLSeptember 2012 to April 2013- Instructed Certified Nursing Exam Prep class.
Taught 22 skills that are randomly selected for the state CNA test.-Responsible for directing time in class as well as presenting all lesson plans.-While maintaining quality of information presented. Pharmacy TechnicianUCI correctional Inst. Pharmacy - Raiford, FLSeptember 2006 to August 2007Assist the pharmacists in providing quality pharmaceutical care to all patients by performing technical duties in the pharmacy department, working under the direct supervision of the Pharmacist and/or the Technician Supervisor. Experience in areas including Purchasing/Inventory Control, Controlled Substance Distribution, and Specialty IV. Staff/ Care CoordinatorOpen Arms homecare, INC - Lake City, FL-Job Posting to various sources.-Interviewing, decision making-Onboarding-Employee document audits-Update Company Handbook, as needed-Compose all company letters-Daily audit of employee clock in/clock outs/no shows/-Created profiles for each individual employee in continuing education credits website, monitored progress and completion.-First point of contact for all employee issues.-Conducted training on new skills or technology adopted by company-Created educational material for said skills or technology for employee reference. -Created other educational material for employee reference.-Client home visits to ensure clients were receiving quality and safe care.-Responsible for safety training for new staff.-The owner and I spoke once a week to update her on the previous week. EducationCurrently achieving (2 year) Bachelors of Science in Information Technology with concertation in Assurance and SecurityAmerican Intercontinental University - RemoteOctober 2022 to PresentCollege in NursingSanta Fe Community College - Gainesville, FLJune 2019 to August 2019Basic in NursingSanta Fe Community College - Gainesville, FL2018 to 2019Skills Ordering medications and supplies using applicable technology Prepares medication for delivery to patients and departments Inventory Control (maintaining a lean inventory) Understanding of 3rd party insurances and follow-through of insurance-related issues Identifies medications requiring special storage and/or handling such as hazardous medications and/ or refrigerated medications Provide outbound therapy/medication adherence checkups Professional filling of prescriptions (right medication, right dosage, right amount) Answers, resolves and triages inbound inquiries Actively participates in process improvement timelines initiatives Interpret and enter prescriptions Resolves insurance-related issues and assists patients with various forms of financial assistance Communicates directly with patients over the phone to assist them in the awareness of their medications Identify and assembling supplies necessary for selected medications such as sharps containers, needles/syringes, alcohol swabs, band-aids Office experience Office management Front desk Data entry Phone etiquette Organizational skills Computer literacy Administrative experience Customer service Calendar management Typing Computer skills Transcription Order entry Medical receptionist Proofreading Microsoft Office Customer support Medical office experience Google Suite Clerical experience QuickBooks Personal assistant experienceCertifications and LicensesEpic CertificationCNACPR CertificationCertified Medication AideState Tested Nursing Assistant |
