Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
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, 2011Bachelor of Science | Interdisplinary Studies Health Information
Management and NursingCoppin State University, Catonsville, MDGPA:
Expected in 2006Associate of Arts | Community College of Baltimore County, Catonsville, MarylandGPA:
Expected in 2006Graduated | BiologyCatonsville Community College, Catonsville, MDGPA:
Expected in 1987Pharmacy Technician Training Program | Pharmacy TechnicianUniversity of Maryland Medical System, Catonsville, MDGPA:
Expected in 1978Certified Medication Assistant Program, 1981
Stella Maris Hospice- Towson, Maryland
Geriatric Nursing Assistant Program | Medication TechnicianCatonsville Community College, Catonsville, MDGPA:
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 CurrentDocumentation SpecialistAecom 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 03/2009Infusion Customer Service Representative CustomerCarepathrx | 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 01/2000Intake CoordinatorNorth 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 1996Patient Account CoordinatorBaptist 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 1995Pharmacy TechnicianBaptist 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 01/1992Pharmacy TechnicianEastern 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 AssistantPromedica 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 AssistantStella 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 AssistantStella 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.
Interests
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
Skills
Complete and signMedicare DIF's ( DME Information Forms)
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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
Degrees
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