To obtain a position that will allow me to use my combined experience in medical business offices and the nursing field as well. I am also looking for a position that will challenge me. I have 25 years of experience working in hospital business offices prior to go to nursing school. During these years I was able to learn Billing, Coding, Collections, Insurance Denials, Verify Insurance, Pre-certification, Worker's Compensation as well as Managed Care.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Call Center /Representative
SJV Data Solutions
11.2020 - 03.2021
Inbound Calls to verify either employment or education for future employers
Managed approximately 30 calls daily while providing exceptional customer support and maintaining professional composure.
Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
Mastered multiple software systems for seamless navigation during calls, improving efficiency and reducing hold times for customers.
Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
Reduced average call handling time, ensuring prompt service to customers while maintaining quality interactions.
Established trust with clients by accurately addressing their concerns and offering appropriate resolutions based on their needs.
Maintained detailed records of customer interactions, streamlining communication efforts between various departments.
Developed rapport with customers through empathetic listening skills, creating positive experiences even during difficult conversations.
Charge Nurse
Sam Rayburn Medical Center (VA)
06.2014 - 03.2016
Assign staff, implement physician orders, teach staff, mentor new employees
Moral was low and attendance was low, I was able to improve both areas prior to my departure
I also improved staff's skills by teaching them some fundamentals and collaborating with them instead of just telling them to do something
I have always been a very firsthand leader
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
Conducted daily shift briefs to inform staff of changes in patient care assignments.
Mentored and supervised junior nurses, fostering a supportive and professional work environment.
Optimized patient satisfaction through timely response to concerns and effective communication among staff members.
Promoted a safe working environment by adhering to infection control policies and regularly reviewing safety protocols.
Collaborated with other healthcare professionals to provide quality patient care.
Supervised and managed daily scheduling, tasking, and administration.
Maintained accurate documentation of patient information, enabling informed decision-making among the healthcare team members.
Managed staffing schedules, ensuring adequate coverage while minimizing overtime expenses.
Coordinated discharge planning, collaborating with patients, families, and healthcare providers to ensure seamless transitions of care.
Instructor
Paris Junior College
01.2014 - 05.2014
Instructor for pharmacology and ethics classes
Taught pharmacology to students on entry level for nursing, radiology, and laboratory
Ethics Class was new class offered to advanced nurse aide students
This class was built from ground up, as no textbook was available to follow; so, this needed lots of research for this course, and it was remarkably successful.
Developed comprehensive lesson plans to facilitate understanding of complex subjects.
Promoted positive learning environment by establishing clear expectations and maintaining consistent classroom management techniques.
Tracked student progress, frequently checking in with struggling students and identifying root causes of problems.
Boosted student performance by providing individualized support and targeted feedback.
Initiated new learning methods, eliminating instructional gaps and improving comprehension.
Staff Nurse
Dubuis Hospital
10.2008 - 06.2013
Implemented physician orders to give quality patient care, advanced wound care, trach and vent care, other duties as assigned
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
Assessed physical, psychological, physiologic, and cognitive status of patients.
Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Case Manager
Hopkins Memorial Hospital
07.2005 - 06.2008
Assessed patients for admission into rehabilitation program
This involved traveling to other facilities to do onsite assessments
Nursing education for rehabilitation, FIM scoring certification, billing, coding, precertification, staffing, and other duties as assigned
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Education
Associate - Applied Science
Paris Junior College
Paris, TX
01.2020
Skills
Customer Service
EMR and other computer options
Medical Office Experience
Insurance Billing
Denials
Appeals
Authorization
Pre-certification
Problem solving
Leadership
Call Center
People Person
Time Management
Priorworkexperience
Over 25 years of experience working in hospital business offices including coding, billing, precertification, denials, and customer service with excellent results.
Certification
License: I have held a Texas and Alabama RN license since May 2001 both of which are now retired.
Languages Section
English
Full Professional
Timeline
Call Center /Representative
SJV Data Solutions
11.2020 - 03.2021
Charge Nurse
Sam Rayburn Medical Center (VA)
06.2014 - 03.2016
Instructor
Paris Junior College
01.2014 - 05.2014
Staff Nurse
Dubuis Hospital
10.2008 - 06.2013
Case Manager
Hopkins Memorial Hospital
07.2005 - 06.2008
Associate - Applied Science
Paris Junior College
License: I have held a Texas and Alabama RN license since May 2001 both of which are now retired.
Similar Profiles
Emily BeahmEmily Beahm
Criminal Record Processing Specialist Ii at InformData (Formerly known as SJV Data Solutions)Criminal Record Processing Specialist Ii at InformData (Formerly known as SJV Data Solutions)