Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Professional Summary

Driven and compassionate healthcare professional with 18 years hands-on experience in fast-paced homecare and hospital environments. Accountable and responsible with a strong focus on customer service. Specialist in Medicare guidelines related to Home Infusion.

Education and Training
Expected in July 19, 2011 Bachelor of Science | Interdisplinary Studies Health Information Management and Nursing Coppin State University, Catonsville, MD GPA:
Expected in 2006 Associate of Arts | Community College of Baltimore County, Catonsville, Maryland GPA:
Expected in 2006 Graduated | Biology Catonsville Community College, Catonsville, MD GPA:
Expected in 1987 Pharmacy Technician Training Program | Pharmacy Technician University of Maryland Medical System, Catonsville, MD GPA:
Expected in 1978 Certified Medication Assistant Program, 1981 Stella Maris Hospice- Towson, Maryland Geriatric Nursing Assistant Program | Medication Technician Catonsville Community College, Catonsville, MD GPA:
Skill Highlights
  • Proven patience and self-discipline
  • Conflict resolution
  • Patient-oriented
  • Relationship and team building
  • Sound decision making
  • Critical thinking proficiency

Personal and professional integrity

Cultural awareness and sensitivity

Professional Experience
03/2009 to Current Documentation Specialist Aecom Technology Corporation | Tifton, GA,
  • Baltimore Maryland, September 1996 to present-Full time 40 hrs per week.
  • Create accurate and complete Medicare DME Information Forms (DIF) using CPT codes and clinical documentation provided by physicians for enteral, parenteral, and infusion therapies.
  • Obtain and submit to reimbursement department documentation from clinicians to support the patient has a permanent non-function or disease of the structures that normally permit food to be reached or absorbed in the small bowel for Medicare enteral patients.
  • Obtain and submit to reimbursement department documentation to support patient has a permanent disease of the gastrointestinal tract causing malabsorption severe enough to prevent maintenance of weight and strength commensurate with the patients overall health status.
  • Maintain Medicare Secondary Patients in Microsoft Access data base by verifying insurance with patients on a weekly basis.
  • Responsible for Monthly Medicare Prescription Audit of new prescriptions for accuracy.
  • Enter Nursing Visit charges on a daily basis.
  • Confirms 100-150 Infusion delivery tickets per day and run batches to submit charges to reimbursement department.
  • Obtain authorizations for enteral team weekly.
  • Work on special projects as requested by Customer Service Infusion Manager.
  • Support Intake Department with new Medicare patient to assume appropriate documentation is received with new referral to meet Medicare guidelines.
08/1996 to 03/2009 Infusion Customer Service Representative Customer Carepathrx | Lewisville, TX,
  • Worked on several teams (Pediatric, Oncology, Pain Management).
  • Participated in daily morning rounds with team of nurses, pharmacist, and dispatcher.
  • Verified insurance and obtain authorization.
  • Access voice and e-mail.
  • Communicated appropriate information to other team members.
  • Scheduled deliveries using planner and computer system.
  • Scheduled pick up of equipment.
  • Updated weekly census, contacted caregivers 24 to 48 hours ahead of scheduled pharmacy delivery, prepared new patient manuals and delivery tickets.
  • Entered new referrals when covering on Saturday's.
01/1999 to 01/2000 Intake Coordinator North Country Hospital | Newport, VT,
  • Full time 40hours per week Authorized skilled nursing, durable medical equipment, and IV homecare referrals via phone.
  • Faxed approved referral to homecare provider.
1995 to 1996 Patient Account Coordinator Baptist Healthcare System, Inc. | Berea, KY,
  • Full time 40 hours per week Participated in morning meeting daily with team.
  • Communicated delivery restraints, add-ons and other operational information.
  • Assisted customers to resolve issues and arrange delivery.
  • Contacted caregivers 48 hours prior to delivery to monitor and inventory supplies.
  • Updated kardexes, documented conversations on communication logs.
  • Communicated compliance issues to clinical coordinator and pharmacist.
  • Generated complete and accurate delivery tickets via computer.
  • Utilized a weekly planner to track patient delivery cycles.
  • Scheduled follow up deliveries in conjunction with warehouse staff and in accordance with the geographic delivery system.
  • Updated weekly census.
  • Accessed voice mail system and communicated info to team members.
  • Billed nursing visits and filed delivery tickets.
  • Posted revenue using payer guidelines.
  • Worked in a team with nursing coordinator, pharmacist, admissions coordinator and warehouse staff.
1992 to 1995 Pharmacy Technician Baptist Healthcare System, Inc. | Crestwood, KY,
  • Full time 40 hours per week Responsible for daily scheduling and mixing of intravenous solutions.
  • Prepared TPN, cassettes, chemo, and pre-filled syringes.
  • Printed work orders.
  • Called patients daily for supply orders.
  • Printed delivery tickets via computer system.
  • Performed weekly QC testing of intravenous solutions Responsible for pharmacy log maintenance.
  • Cleaned IV room.
  • Filled prescriptions and delivery tickets.
  • Assisted with quarterly inventory.
  • Responsible for inventory management ordering, using contracts, paperwork processing, returns for credits, and monthly outdate check.
  • Assisted charge pharmacist with other duties.
01/1987 to 01/1992 Pharmacy Technician Eastern Niagara Healthcare System | Lockport, NY,
  • Full time 40 hours per week Prepared intravenous solutions, TPN, hydration, chemo, retrograde syringes and pediatric maintenance solutions.
  • Prepared storeroom and dose prep orders and maintained stock items.
  • Delivered medications and picked up physician orders from nursing units.
  • Performed monthly inspections of nursing unit stock supplies.
  • Assisted in the training of student technicians in the pharmacy technician training program.
  • Worked in the peds satellite pharmacy, IV lab, pharmacy storeroom, adult satellite and dose preparation area.
  • Filled medication carts.
  • Special achievement: 1991 Employee of the Month Professional Experience Stella Maris Hospice-Towson Maryland, 1978-1987-Full time 40 hours per week.
1996 to Dietary Assistant Promedica Senior Care | Brighton, MI,
  • Prepared and served meals for elderly patients.
  • Cleaned and organized dining rooms, washed dishes and carry trays to room.
1998 to Certified Geriatric Assistant Stella Maris Hospice | City, STATE,
  • Assisted nurses in caring for the elderly patients.
  • Performed treatments, gave baths, took vital signs and assisted with meals.
1981 to Certified Medication Assistant Stella Maris Hospice | City, STATE,
  • Prepared and distributed medications to the elderly patients under the direction of the staff charge nurse.
  • Performed treatments and checked patient vital signs.
  • Attended nursing rounds daily.
  • Updated patient reports and informed any changes in condition to the nursing supervisor.
  • Assisted nursing aids in providing care for the elderly.
  • Updated medication profiles.
  • Picked up medications carts from pharmacy.

Spending time with family and friends.

Love to bake, read and taking long walks.

Additional Information
  • Activities
  • Member of Johns Hopkins Hospital Conflict and Resolution Committee-June 2005
  • Participated as Nursing Student in Health Care Fair Sponsored by Maryland General Hospital Sponsored-2007
  • Medicare Documentation Training-2015

Complete and signMedicare DIF's ( DME Information Forms)

Knowledge of Medicare policies

Insurance authorizations

Data entry via pharmacy programs

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Resume Overview

School Attended

  • Coppin State University
  • Community College of Baltimore County
  • Catonsville Community College
  • University of Maryland Medical System
  • Catonsville Community College

Job Titles Held:

  • Documentation Specialist
  • Infusion Customer Service Representative Customer
  • Intake Coordinator
  • Patient Account Coordinator
  • Pharmacy Technician
  • Pharmacy Technician
  • Dietary Assistant
  • Certified Geriatric Assistant
  • Certified Medication Assistant


  • Bachelor of Science
  • Associate of Arts
  • Graduated
  • Pharmacy Technician Training Program
  • Certified Medication Assistant Program, 1981 Stella Maris Hospice- Towson, Maryland Geriatric Nursing Assistant Program

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