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Click here or scroll down to respond to this candidateCandidate's Name
New Bloomfield, PA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWilling to relocate: AnywhereWork ExperienceBusiness AnalystChoice Consulting, LLCMay 2024 to PresentQuality Assurance of calls for a major health insurance company. Daily and monthly reporting. Team lead for group of 8 analysts.Patient Placement CoordinatorPenn State Hershey Medical Center-Hershey, PASeptember 2023 to June 2024 Monitor bed availability and coordinate bed assignments for patients. Change level of care for patients as needed. Registering pre-admits. Review, validate and target the daily OR schedule. Incoming transfer calls, connect calls and transcribe all information in regards to transfers. Recovery from surgeryMay 2023 to September 2023Nursing DirectorSilver Spring Personal Care Home-Mechanicsburg, PA January 2023 to May 2023 Set up the nursing department, hired-trained-terminated employees, managed the EMR, managed Relias for all company employees, reviewed referrals, intakes, quality assurance, relationships with all outside vendors and families. Unit ManagerThe Gardens at West Shore-Camp Hill, PANovember 2022 to January 2023 Day to day operations for rehab unit, QAPI, ensured proper documentation, worked directly with physicians on unit, assisted with nursing duties as needed. LPNForest Park Nursing and Rehab-Carlisle, PAApril 2022 to January 2023 Medication passes, treatments, all documentation, ordering of supplies and medications, assisted with activities of daily living, supervised care aides on unit. LPNPrimeCare Medical-Harrisburg, PAJune 2022 to November 2022 Correctional Nursing triage, medication passes, treatments, assisted with provider visits. Office Operations Manager/Quality Assurance/LPNAlma Home Health Skilled Services-Carlisle, PAJune 2021 to June 2022 Tracked orders, plans of care, required documentation, verified frequency, reviewed insurance, prior authorizations, daily reports, quality control, all reports, coding of claims/visits, follow up on billing denials, patient visits as needed, managed meetings as needed. Care Coordinator/LPNShadia Home Health Services-Camp Hill, PANovember 2020 to June 2021 Managed all non-skilled intakes, assisted with skilled intakes, coordinated caregivers for all cases, managed the EMR systems, electronic visit verification management, obtaining authorizations, PRN visits with skilled and nonskilled patients, billing, denials, training of care aides, meetings as required. Clinical CoordinatorLifesong Hospice-Harrisburg, PAApril 2020 to October 2020 Staff scheduling, training for staff on EMR, follow up on documentation and orders, ensured Certificates of Terminal Illnesses were updated, weekly IDT meetings, supplies, monthly education for staff and monthly pharmacy review.Administrative AssistantBizminer-Camp Hill, PANovember 2019 to April 2020 Phones, accounts receivable and payable, uploading monthly reports, data entry, testing website for accuracy.UnemployedNovember 2018 to April 2020Contract Temporary Position Prior Authorization Nurse PA Health and Wellness-Camp Hill, PANovember 2018 to July 2019 Reviewed requested services for members using different algorithms. Worked directly with Medical Director on special projects.Practice ManagerTarget Health Urgent Care, Advanced ENT and Allergy, and Bella Cosmetic-Hanover, PA May 2016 to October 2018 Start up of the urgent care, then took over the management of ENT and allergy, the laser side was added later. Staff management including scheduling, credentialing of providers, data entry, coding of surgeries and claims, billing through clearinghouse and manual claims, prior authorizations for surgeries and medications, denials and appeals, payments, insurance verifications, assisted with in office procedures, supply management.Prior Authorization NurseHoover Rehab-Mechanicsburg, PAJanuary 2016 to May 2016Licensed Practical NurseHonor Health Network-Harrisburg, PAMarch 2014 to January 2016Enrollment CoordinatorLife Lutheran Services LIFE Program-Enola, PAJanuary 2013 to December 2014Licensed Practical NurseGolden Living-Camp Hill, PAJanuary 2011 to December 2012Clinical Lead - Licensed Practical NurseSilver Creek Family Practice-Mechanicsburg, PAJanuary 2010 to December 2011Clinical Supervisor Licensed Practical NurseCarlisle Internal Medicine-Carlisle, PAJanuary 2009 to December 2010Licensed Practical NurseMessiah Village-Mechanicsburg, PAJanuary 2008 to December 2010Licensed Practical NurseClaremont Nursing Home-Carlisle, PAJanuary 2008 to December 2008Licensed Practical NursingHealth South Rehab-Mechanicsburg, PAJanuary 2007 to December 2008StudentHarrisburg Area Community College-Harrisburg, PAJanuary 2004 to December 2007Office AssistantDan-Tam Concrete-York Springs, PAJanuary 2004 to December 2006Billing CoordinatorPinnacle Health-Harrisburg, PAJanuary 2001 to December 2003BillerBilling Company-Wormleysburg, PAJanuary 1999 to December 2003Coder and BillingCapital Area Cardiovascular Associates-Camp Hill, PA January 1998 to December 1999Billing Office Associate to Full Time Coder/biller Carlisle Regional Hospital-Carlisle, PAJanuary 1996 to December 1998SoftwareMicrosoft Excel Avatar Quick BooksMicrosoft Word TabulaPro EpicOutlook HHA Exchange TeletrackingTeams eClinical Works. CernerZoom Practice FusionNextGen Point Click CareAbility AllScriptsEducationCertificateHarrisburg Area Community CollegeNovember 2019 to February 2020Skills Analysis Skills Organizational skills Anatomy Knowledge Leadership Medical Records Orientation Practice management Transcription Personal care home Microsoft Outlook Otolaryngology Healthcare management Accounts payable Epic ICD 9 and 10 coding Healthcare Management Phone Etiquette Hospice care Research skills Microsoft Word Data entry Nursing home experience Insurance verification Nursing EMR systems Internal medicine HIPAA Home health Cerner Communication skills Allscripts Management Customer Service Quality assurance Triage Accounts receivable Documentation Review Medical Terminology Office Management Payroll Microsoft Office Human resources Medicare Revenue cycle management Managed care Medical billing Medical coding ICD-9 ICD-10 Medical office management Research Data collection Time management Front desk Medical administrative support Medical receptionist Administrative experience Supervising experience CPT coding Microsoft Excel Computer skillsCertifications and LicensesMedical Coding CertificationMedical Billing CertificationNovember 2020 to PresentBLS CertificationMarch 2024 to March 2026Driver's LicenseCertified Coding Associate |
