Livecareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Dedicated Health professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Skills
  • Medical Recordkeeping
  • Cleaning and Sterilizing
  • Epic Systems
  • Taking Client Histories
  • Critical Thinking
  • CPR Certified
  • Verbal and Written Communication
  • Medical Report Preparation
  • Problem Solving
  • Certified Medical Administrative Specialist
  • Time Management
  • Customer Service
  • Detail-Oriented
  • Administering Medications
  • BLS Certified
  • Medical Charting
  • Organization and Time Management
  • Flexible Schedule
  • Medical Records Verification
  • Insurance Forms
  • Patient Health Information Access
  • Relationship Building
  • Adaptable and Flexible
  • Insurance Authorizations
  • Computer Proficiency
  • HIPAA Compliance
  • Referral Verification
  • Collaboration and Teamwork
  • Claim Forms
Education
Mildred Elley Albany, NY Expected in 07/2015 Associate of Science : LPN - GPA :
Work History
Nevada Regional Medical Center - Insurance Verification Specialist/LPN
South Burlington, VT, 01/2020 - 08/2021
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Verified client information by analyzing existing evidence on file.
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Collaborated with doctors to prepare and set up rooms with adequate supplies and equipment.
  • Placed new supply orders, managed inventory and restocked clerical spaces.
  • Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
Nevada Regional Medical Center - Utilization Review /Intake Cordinator
Nevada, MO, 04/2018 - 04/2020
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Performed prior authorization review of services requiring notification.

  • Devise or identify solutions for irregular requests and issues.
  • Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
  • Advocated for and strived to protect health, safety and rights of patient.
  • Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Participated in intake policy committee to discuss policies, propose revisions and implement changes.
  • Performed admission reviews based for medical necessity based upon policy specification.
  • Submitted cases to Clinicians for criteria failures and helped facilitate resolutions and approvals.
  • Served as subject matter resource, providing information related to Mental Health situations.
  • Supervised and maintained all utilization review documentation through facets
  • Trained new Hires in Department
Maxium Home Care - LPN
City, STATE, 06/2016 - 02/2018
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Cared for wounds, provided treatments and assisted with procedures.
  • Administered medication as directed by physician.
  • Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
  • Used aseptic techniques to provide sterilized wound care and dressing applications.
  • Delivered updates in patient status to charge nurse, recording all changes in medical records.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Maintained clean, safe and well-organized patient environment.
  • Provided mobility assistance such as walking and regular exercising.
  • Traveled to clients' homes to complete healthcare services and promote continuity of care.
  • Developed rapport to create safe and trusting environment for care.
  • Followed nutritional plans to prepare optimal meals.
  • Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
  • Completed entries in log books, journals and care plans to accurately document and report patient progress.
  • Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
  • Documented vital statistics and coordinated with health care providers.
  • Delivered top-notch care for children with developmental disabilities, acquired illnesses or injuries.
  • Trach Care
  • Feeding Tubes
St Peters Partners - LPN
City, STATE, 05/2015 - 06/2016
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
  • Cared for wounds, provided treatments and assisted with procedures.
  • Performed functional assessments for admission and discharge.
  • Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
  • Assisted with admissions, appointments, transfers and discharges.
  • Supported physicians during examinations and scans to assist with diagnostic procedures.
  • Performed routine evaluations of each patient's status, needs and preferences.
  • Documented accurate and complete patient information to address patient problems and expected outcomes.
  • Comforted and counseled patients and families throughout care process.
  • Gathered lab specimens, ordered testing and interpreted results to diagnose patients.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.

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Resume Overview

School Attended

  • Mildred Elley

Job Titles Held:

  • Insurance Verification Specialist/LPN
  • Utilization Review /Intake Cordinator
  • LPN
  • LPN

Degrees

  • Associate of Science

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