Case Manager Resume Example Company Name

CASE MANAGER

Summary

Accurate Medical Coder capable of performing all aspects of medical coding and information entry.Medical Coder with a career spent assessing provider documentation to ensure that appropriate codes have been assigned.Offering three and a half years of experience in working hand-in-hand with front office,Registered Nurses,Physical Therapists,Occupational Therapists and Speech therapists to validate proper information for medical case processing. Detail-oriented and helpful professional.Fast learner with expertise in resolving issues.Efficient professional with a vast medical and pharmaceutical terminology background. Offering task prioritization expertise in fast-paced environments. Medical Coder with experience in Home Health Care coding for patients with chronic Medical Issues,patients after Hospital admissions for scheduled procedures and Emergency Hospitalizations,Orthopedic Home Care after Surgrgeries and Wound care. Great knowledge in ICD-10.

Skills

Efficient and accurate in dispensing medications.Pharmacy operations.Exceptional patient care and interaction.Managing inventory..Proper explanation of prescription directions and proper usage of medication to patients.Translating these directions to Russian and Ukrainian speaking patients.Verifying orders.Time management.

Proper Medical Coding based on Doctors discharge orders and Diagnosis.Medical terminology.Medical record security.Documentation oversight.Patient data identification.Data entry.Operational improvement.Problem resolution.Communications.Administrative support.Team management.Planning and coordination.Supervision.

Experience

Case Manager, Company Name, October 2016-April 2020City, State

Determined and coordinated appropriate level of care to meet individual patient needs.
Reviewed effectiveness of treatment for individual and family situations.
Reviewed and recorded progress of patients.
Collaborated with various healthcare providers to facilitate delivery of services.
Coordinated between various entities to manage cases.
Optimized program resource utilization to prevent unnecessary hospital admissions.
Collaborated with different disciplines to provide cohesive care to patients.
Reviewed treatment plans against individual goals and healthcare standards.
Assisted patients in receiving high-quality, appropriate care with best possible results.
Verified proper coding, sequencing of diagnoses and accuracy of Surgical procedures.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Received, organized and maintained all coding and updates.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Maintained current working knowledge ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
Assigned procedure and diagnosis codes for insurance billing.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
Coded outpatient encounters and specialty coding, maintaining accuracy.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Reviewed medical record information to identify all appropriate coding categories.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Categorized health services and assigned a specific ICD-10 code to each one.

Pharmacy Technician, Company Name, May 2015-October 2016City, State

Worked closely with pharmacists and used medication input software to safely and accurately dispense medication.

Efficiently answered multi-line phone and processed high volume of order requests from nurses, doctors and pharmacists.

Answered and screened phone calls for the staff pharmacist in a friendly, efficient manner.

Maintained drug inventory levels by ordering necessary medications and supplies and verifying deliveries against purchase orders.

Verified patient data and billing information.

Verified accuracy and completeness of information on prescription and refill requests.

Maintained proper storage and security conditions for all drugs.

Correctly priced and filed prescriptions after they were filled.

Strictly maintained customer and patient confidentiality.

Provided critical information and advice to customers regarding possible drug interactions, side effects, dosage and proper medication storage.

Maintained proper inventory levels, rotated stock and immediately complied with prescription drug recalls.

Appropriately resolved customer issues, complaints and

questions.

Pharmacy Technician, Company Name, April 2014-May 2015City, State

Communicated with insurance companies for billing purposes.
Communicated extensively with patients to provide assistance, support and instructions.
Confirmed prescriptions for patients by placing calls and conferring with physicians' office staff.
Ordered out of stock medications to keep inventory well-stocked.
Checked medications for content, accuracy and completeness of all drug packaging and labeling to provide final verification of prescription.
Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.

Pharmacy Technician, Company Name, March 1995-March 2014City, State

Worked closely with pharmacists and used medication input software to safely and accurately dispense medication.

Efficiently answered multi-line phone and processed high volume of order requests from nurses, doctors and pharmacists.

Answered and screened phone calls for the staff pharmacist in a friendly, efficient manner.

Maintained drug inventory levels by ordering necessary medications and supplies and verifying deliveries against purchase orders.

Verified patient data and billing information.

Verified accuracy and completeness of information on prescription and refill requests.

Maintained proper storage and security conditions for all drugs.

Correctly priced and filed prescriptions after they were filled.

Strictly maintained customer and patient confidentiality.

Provided critical information and advice to customers regarding possible drug interactions, side effects, dosage and proper medication storage.

Maintained proper inventory levels, rotated stock and immediately complied with prescription drug recalls.

Appropriately resolved customer issues, complaints and

questions.

Communicated with insurance companies for billing purposes.
Participated in prescription pharmaceutical and over-the-counter product inventory audits.
Confirmed prescriptions for patients by placing calls and conferring with physicians' office staff.
Checked medications for content, accuracy and completeness of all drug packaging and labeling to provide final verification of prescription.
Answered patient questions regarding medication.
Prepared medication labels with item name and quantity.
Entered orders into system and filled medication orders.
Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.
Counseled patients on appropriate use of over-the-counter and prescription medications.
Trained new technicians to provide excellent customer service which resulted in higher customer satisfaction scores.
Verified prescriptions by contacting physicians' offices and receiving approval.
Received, reviewed, dispensed and labeled over [Number] prescriptions daily with expert accuracy.
Processed prescription transfer requests from competitors.
Placed orders for out of stock medications, enabling patients to receive prescriptions on time.
Prepared and submitted claims to insurance companies for payment.
Supported pharmacist in preparing prescriptions daily.
Efficiently processed cash register transactions for new and refilled prescription orders.
Calculated dosage, filled prescriptions and prepared prescription labels.
Compiled customer demographic, allergy and medical history background.
Used 8-point check system to verify labeled prescriptions.

Education and Training

BBAElementary School Teaching, , College of Education, , CityMay 1989

Certifications

Certified Pharmacy Technician (CPhT)(Licensed in Illinois for 25 years).

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Case Manager Resume Example

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