Home Health Care Provider Resume Example
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HOME HEALTH CARE PROVIDER
Summary
I have been in the medical field in different capacities for many years and I am seeking a part time position to utilize my skills. I am hard working, compassionate, a team player and feel that I could be of assistance in a medical or clinical setting.
I am also trustworthy, reliable and have dependable transportation. I am able to provide both personal and professional references.
Skills
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Experience
March 2007 to Current
Samaritan Health ServicesAlbany , ORHome Health Care Provider
- Organized and administered medications on schedules to alleviate symptoms and improve quality of life.
- Dressed, groomed and fed patients with limited physical abilities to support basic needs.
- Assisted with personal care needs of clients in private homes while supporting patient independence and well-being.
- Scheduled on-call personnel to ensure adequate staff coverage.
- Assisted clients in completing activities of daily living by managing household activities, maintaining daily schedules and providing transportation to and from medical appointments.
- Interacted with patients through activities such as [Type] to boost mood and improve overall memory.
- Facilitated best care by developing strong and trusting rapport with patient.
- Monitored medications for patients with various conditions, including [Type] and [Type] and kept watchful eye for side effects.
- Prepared high-quality nutritious meals for patients with [Type] and [Type] conditions to promote better overall health and improve eating habits.
- Monitored client behaviors and emotional states, reporting concerns to [Job title] and documenting information in files.
- Ran errands for clients and drove to appointments to maintain wellness and support daily living needs.
- Helped clients stay happy and healthy by providing mental and emotional support.
April 2000 to April 2007
Bank Of America CorporationFarmington Hills , MICNA I
- Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
- Documented activities and recorded information in EMR system.
- Responded to patient alarms and needs-assessment requests to identify course of treatment.
- Collected specimens, monitored vitals and maximized patient comfort to maintain optimal environment.
- Managed and maintained patient rooms, shared-living areas and nursing stations.
- Engaged with patient family and friends to provide courteous, efficient visit experience.
- Administered personal nursing assistance in pre- and post-operative situations.
- Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
- Documented patient intake and dietary requirements, also assisting with feeding and monitoring.
- Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
- Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
- Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
- Used mobility devices and [Type] equipment to transport patients.
September 1991 to October 1999
Uni CareCity , STATESenior Claims Analyst
- Provided assistance to plan participants by explaining benefits information to ensure educated selections.
- Communicated effectively via email, phone and face-to-face with plan participants to resolve issues pertaining to health and welfare benefits.
- Completed required investigations on referred files within established timeframes.
- Researched and followed up on denied insurance claims.
- Conducted claim and estimate re-inspections.
- Managed caseload of [Number] clients each quarter.
- Entered claim transactions, including payments, reserves, and other documentation.
- Analyzed and audited open claims to calculate additional payments owed.
- Obtained all necessary information to complete proper evaluation of injury claims.
- Reviewed and resolved open claims and change orders to determine entitlement for additional payment.
- Examined accidents to obtain data useful for designing preventive measures.
- Attended [Number] anti-fraud training courses, conferences, client SIU training and industry seminars.
- Double-checked and reviewed documentation for denied and accepted insurance claims.
- Consulted accountants, engineers, lawyers and physicians when needed.
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Evaluated acceptability of claims from third-parties and gathered comprehensive information.
- Reviewed claims to ensure accuracy, resulting in multiple claim reductions.
- Conducted daily reviews on claim files and verified sending of status letters to policyholders.
- Paid and processed claims within designated authority level.
- Verified and analyzed claims settlement data to ensure validity.
- Reviewed administrative guidelines whenever questions arose during the processing of claims.
- Administered standard contract benefits to process pending claims for dental benefits.
- Used contract notes and processing manual to correctly apply group-specific classifications to claims.
- Based payment or denials of medical claims upon well-established criteria for claims processing.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
- Sent clinical request and missing information letters to obtain incomplete information.
- Investigated questionable claims to determine payment authorization.
- Maintained thorough understanding of fraudulent and illegal practices.
Education and Training
June 1977
TW Andrews High Achool
City, State
High School Diploma
City, State
High School Diploma
Guilford Technical Community College
City, StateDental Hygiene Associate of Applied Science
City, StateDental Hygiene Associate of Applied Science
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Resume Strength
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- Word choice
- Measurable results
- Strong summary
Resume Overview
School Attended
- TW Andrews High Achool
- Guilford Technical Community College
Job Titles Held:
- Home Health Care Provider
- CNA I
- Senior Claims Analyst
Degrees
- High School Diploma
Dental Hygiene Associate of Applied Science
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