Adelaida Mendoza
Harlingen,TX
Summary
Patient-oriented nursing professional willing to learn with hands-on experience in delivering quality direct and indirect patient care to individuals in any type setting. Skillfully complete tasks and foster relationships with patients, caregivers and coworkers to drive patient care goals and advance nursing philosophies. I am proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care and quality-driven and efficient with strong interpersonal abilities. I consider myself as a self-motivated, decisive healthcare professional with proven bedside manner, clinical skills and diagnostic support experience. Will manage and document current conditions to effectively support patients and work within multidisciplinary healthcare team to enhance outcomes. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Detail-oriented and able to learn new concepts quickly. Ambitious, career-focused job seeker, anxious to obtain an entry-level LVN position to help launch career while achieving company goals.
Overview
33
33
years of professional experience
1
1
Certification
Work History
LVN Charge Nurse
Windsor Nursing and Rehabilitation Center
Harlingen , TX
2023.05 - Current
- Performed patient assessments, developed individualized care plans, and monitored progress.
- Provided direct patient care, including administering medications and treatments as prescribed by physicians.
- Coordinated with other members of the healthcare team to ensure proper implementation of treatment plans for patients.
- Assisted in training new staff members on nursing procedures and protocols.
- Ensured compliance with all safety regulations and policies within the facility.
- Maintained accurate medical records and documentation of patient visits.
- Monitored vital signs, recorded observations, and reported changes to physicians or nurses in charge.
- Assessed patients' physical condition through observation, interviews, tests, and review of medical histories.
- Provided emotional support to patients and their families during difficult times.
- Conducted rounds to evaluate the quality of nursing care being provided.
- Educated patients about disease prevention methods and healthy lifestyle choices.
- Assisted with discharge planning for patients upon completion of their treatment plan.
- Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Conducted daily rounds to assess patient condition and distribute medications.
- Advocated for patients by respecting and supporting values, basic rights and beliefs.
- Collected blood, urine or sputum samples from patients to perform routine lab tests.
- Documented and collected vital signs to track patient conditions.
- Established direct lines of communication between nursing staff and other interested departments, supporting patient care with collaboration between personnel with complementary specialties.
- Administered medications and therapies in accordance with physicians orders.
- Took temperatures or blood pressures, dressed wounds and provided other basic patient care or treatments.
- Documented patient medical histories, current symptoms and vitals.
- Guaranteed exceptional care quality by correctly administering medication, inserting and caring for catheters, dressing and changing wounds and assisting with personal hygiene.
- Communicated with patients with compassion while keeping medical information private.
- Collected blood, urine or sputum from patients to perform routine laboratory tests.
- Answered patients' calls to determine how to assist.
- Administered prescribed medications or started intravenous fluids, noting times and amounts on patients' charts.
Billing Specialist
DHR Health
Harlingen , TX
2016.06 - 2023.05
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Posted charges, payments and adjustments.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Completed appeals and filed and submitted claims.
- Posted and adjusted payments from insurance companies.
- Reviewed and verified benefits and eligibility with speed and precision.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Applied payments, adjustments and denials into medical manager system.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Submitted refund requests for claims paid in error.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Collaborated closely with other departments to resolve claims issues.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
- Demonstrated analytical and problem-solving skill by addressing barriers to receiving and validating accurate HCC information.
- Kept detailed and accurate documentation of payments, charges and write-ups of cardiovascular procedures.
Customer Service Representative
Lone Star Circle Of Care
Georgetown , TX
2015.10 - 2016.06
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- Fielded customer complaints and queries, fast-tracking for problem resolution.
- Upheld quality control policies and procedures to increase customer satisfaction.
- Used proven techniques to de-escalate angry customers during telephone interactions.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Answered inbound calls, chats and emails to facilitate customer service.
- Improved customer service wait times to mitigate complaints.
Medical Transcriptionist
Columbia Valley Regional Medical Center, Budjen & Associates
Brownsville , Texas
1997.01 - 2011.11
- On a contract basis, provided expert medical records transcriptionist services on behalf of all departments for a 300-bed medical facility
- Functioned independently assessing, preparing, and editing a full range of medical reports
- Transcribed documents pertinent to patient histories, physical records, consultations, operative reports, discharge summaries, progress notes, EEG, STAT, and an assortment of other documents
- Contributed exemplary medical terminology and bilingual skills to decipher reports presented by physicians with non-native English language skills
- Conducted records research to identify missing or misreported content to correctly identify and verify accurate information and data
- Managed transcription for all departments with the exception of laboratory and radiology (prior experience in these departments (1995 to
Radiology Transcriptionist
Valley Baptist Medical Center
Brownsville , Texas
1995.10 - 1997.01
- Accomplished transcriber, who consistently transcribed up to 2,000 lines per day (exceeded 1,200 lines quota)
- Successfully completed 30 reports per diem
- Maintain typing speed of 85+WPM
- Completed all transcription using an online login/application system
- Requested additional work via phone or the voice writer system
- Contributed as a Senior Transcriber and member of an original 3-Transcriber team which evolved to a 40-member team
- Recipient of numerous commendations for job performance excellence., Provided full-time in-office transcriptionist services for a radiology clinic with high volume patients
- Served in a medical receptionist capacity
- Provided clerical assistance, records research, and coordinated x-ray mailings to other physician offices
- Performed filing and assisted with special projects.
Medical Transcriptionist
1993.06 - 1995.10
- By the hospital upon completion of graduation and clinical test phase
- Responsible for all-unit transcribing duties.
Front Office Receptionist/Records Clerk
Su Clinica Familiar
Harlingen , Texas
1991.08 - 1993.06
- Managed duel responsibilities as both a medical clerk and medical receptionist
- As receptionist responded to phone inquiries, special requests, adjusted/set appointments, and coordinated physician calls
- Performed records filing, scanning, and mailing (i.e
- Diagnostic and lab reports, pathology reports, new patient records, physician correspondence, etc.)
- Transcribed patient histories, physicals, discharge summaries, STAT and clinical / hospital reports.
Education
LVN Diploma - Nursing
Rio Grande Valley College
Pharr, TX12.2022
A.A.S - Health Information Technology
Texas State Technical College
01.1994
Skills
- Claims processing
- Audit procedures
- Invoicing proficiency
- Billing dispute resolution
- Medical transport billing
- Medical billing and collections
- Coding proficiency
- Billing statement management
- Petty cash disbursement
- General ledger entries
- Discrepancy reconciliation
- Manual processing
- Customer relations
- Bill payment
- Payment transactions
- Account updating
- Quality control
- Patient triaging
- Multi-tasking and prioritization
- Samples collection
- Healthcare platforms
- Empathetic and compassionate
- Rehabilitation techniques
- Staff direction and task delegation
- Licensed Practical Nurse
- Assisting physicians
- Caring for wounds
- Educating families
- Tracking symptoms
- Documenting incidents
- Planning & organizing
- Computer skills
- Multitasking
- Counting narcotics
- Psychotropic medication knowledge
- Direct Patient Care
- Post Operative Care
- Medical chart management
- Patient vital sign monitoring
- Physical assessments
- Medication Administration
- Healthcare regulations
- Vital signs monitoring
- Patient Assessments
- HIPAA Compliance
- Privacy and confidentiality
- Verbal and written communication
Affiliations
- On my days off I love gardening
- reading new books
- yoga
- taking bike rides
Languages
English
Professional
Spanish
Native/ Bilingual
Certification
- CPR/BLS
Timeline
LVN Charge Nurse
Windsor Nursing and Rehabilitation Center
2023.05 - Current
Billing Specialist
DHR Health
2016.06 - 2023.05
Customer Service Representative
Lone Star Circle Of Care
2015.10 - 2016.06
Medical Transcriptionist
Columbia Valley Regional Medical Center, Budjen & Associates
1997.01 - 2011.11
Radiology Transcriptionist
Valley Baptist Medical Center
1995.10 - 1997.01
Medical Transcriptionist
1993.06 - 1995.10
Front Office Receptionist/Records Clerk
Su Clinica Familiar
1991.08 - 1993.06
LVN Diploma - Nursing
Rio Grande Valley College
A.A.S - Health Information Technology
Texas State Technical College
- CPR/BLS
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