Brooke Vander Kelen
Berlin,WI
Summary
Dynamic Pharmacy Assistant with extensive experience at Omro Pharmacy, excelling in insurance billing and medication dispensing. Proven ability to resolve customer issues and ensure HIPAA compliance, enhancing patient satisfaction. Strong organizational skills and attention to detail contributed to efficient operations and improved claim processing accuracy. Committed to delivering exceptional customer service.
Overview
14
14
years of professional experience
Work History
Pharmacy Assistant, Billing Specialisy
Omro Pharmacy
09.2013 - Current
- Processed payment transactions for medications to be delivered or mailed to patient
- Packaged prescriptions into bubble mailers and documented addresses of patients for medications to be mailed out
- Reading prescription labels to find correct medication(s)
- Counting medication(s) to fulfill prescription(s)
- Running prescriptions through the computer system to be filled or placed on hold
- Helping customers at front counter to get their prescriptions filled or pick up prescriptions
- Communicate with customers if a problem arises with getting refills, insurance issues, or denied refills by doctors office
- Contact prescribers to get refills or get a new prescription for patient that was just seen by doctor
- Communicating with doctors office about patient information while making sure to maintain HIPAA compliance
- Supply colostomy, ileostomy, and catheter supplies to patients
- Bill patient insurances for colostomy, ileostomy, and catheter supplies
- Billing managed care programs for approved medications
- Billing DME items to insurance companies
- Getting pre-authorization for DME items that required pre-authorization
- Making sure we have the proper documentation for DME items before dispensing
- Making sure we have the proper prescriptions and documents for diabetic supplies
- Previously compounded medications for couple years, all while still billing for DME items, supplying colostomy, ileostomy, and catheter supplies and sending claims to Managed care programs
- Submitting PA requests to doctors offices
- Help process rejected claims that are ran electronically
- Contact insurance companies regarding rejections and getting possible overrides for patients
- Submit PA requests to Forward Health via fax or the STAT line
- Answering phone calls and helping patients with any questions or issues
- Helping patients with insurance issues and understanding certain insurance issues
- Faxing information to doctors offices
- Scanning documents into patient profiles
- Reconcile EOB’s for DME items that were paper billed and charging patients their co pays
- Making sure Capped Rental DME items are billed monthly
- Billing copays to secondary, tertiary, and managed care programs and insurances
Certified Nursing Assistant
Omro Care Center
Omro, WI
10.2012 - 09.2013
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
- Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
- Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Promoted independence in patients through walking exercises or assisting them with mobility devices like walkers or wheelchairs.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Built rapport with patients and families, providing emotional support during difficult times.
- Assisted nurses with wound care procedures ensuring proper healing processes took place.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
- Streamlined communication between nursing staff, patients, and families to ensure comprehensive understanding of care plans.
- Served as an advocate for each patient's needs during shift handoffs or interdisciplinary conferences with other healthcare professionals.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
- Helped clean and prepare patient consultation rooms to maintain hygiene standards
- Actively participated in interdisciplinary team meetings to discuss patient progress and develop effective care strategies.
- Adhered strictly to infection control policies while performing tasks such as administering medications or changing dressings.
- Implemented infection control protocols, minimizing spread of illnesses among patients and staff.
- Documented patient conditions and care provided, ensuring accurate health records for informed medical decisions.
- Administered medication under supervision of nursing staff, contributing to effective treatment plans.
- Adapted care practices to meet needs of diverse patient populations, ensuring culturally sensitive care.
- Enhanced team productivity by participating in training sessions and sharing knowledge with colleagues.
- Supported patients with personal care tasks to preserve dignity and promote independence.
- Maintained clean and safe environment, reducing risk of infections and promoting health.
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Documented patient information and care activities in electronic health record.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Helped patients with self-feeding and assisted feeding, based on individual needs.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Helped patients complete range of motion exercises to prevent loss of function during care.
- Prevented cross-contamination by cleaning and sterilizing equipment.
- Facilitated personal hygiene management, feeding and ambulation.
- Responded to patient requests for supplies and personal comfort items such as extra blankets.
- Followed directions of licensed nurses to administer medications and treatments.
Certified Nursing Assistant
Bella Vista RCAC & CBRF
Oshkosh, WI
03.2011 - 10.2012
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
- Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
- Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Promoted independence in patients through walking exercises or assisting them with mobility devices like walkers or wheelchairs.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Built rapport with patients and families, providing emotional support during difficult times.
- Assisted nurses with wound care procedures ensuring proper healing processes took place.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
- Streamlined communication between nursing staff, patients, and families to ensure comprehensive understanding of care plans.
- Served as an advocate for each patient's needs during shift handoffs or interdisciplinary conferences with other healthcare professionals.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
- Helped clean and prepare patient consultation rooms to maintain hygiene standards
- Actively participated in interdisciplinary team meetings to discuss patient progress and develop effective care strategies.
- Adhered strictly to infection control policies while performing tasks such as administering medications or changing dressings.
- Implemented infection control protocols, minimizing spread of illnesses among patients and staff.
- Documented patient conditions and care provided, ensuring accurate health records for informed medical decisions.
- Administered medication under supervision of nursing staff, contributing to effective treatment plans.
- Adapted care practices to meet needs of diverse patient populations, ensuring culturally sensitive care.
- Enhanced team productivity by participating in training sessions and sharing knowledge with colleagues.
- Supported patients with personal care tasks to preserve dignity and promote independence.
- Maintained clean and safe environment, reducing risk of infections and promoting health.
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Documented patient information and care activities in electronic health record.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Helped patients with self-feeding and assisted feeding, based on individual needs.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Helped patients complete range of motion exercises to prevent loss of function during care.
- Prevented cross-contamination by cleaning and sterilizing equipment.
- Facilitated personal hygiene management, feeding and ambulation.
- Responded to patient requests for supplies and personal comfort items such as extra blankets.
- Followed directions of licensed nurses to administer medications and treatments.
Education
Certification For Medical Coding And Billing - Medical Technology
Rasmussen University
Skills
- Answering customer questions
- Data entry
- Product restocking
- Stocking shelves
- Medication dispensing
- POS system operation
- Organizing supplies
- Medication labels
- Resolving complaints
- Document filing
- Processing payments
- Drug inventory control
- Computer savvy
- Insurance billing
- Insurance verification
- Insurance collaboration
- Pharmacy law compliance
- Order documentation
- Regulatory compliance
- HIPAA compliance
- Customer relationship management
- Point-of-sale system
- Compounding support
- Resolving customer issues
- Labeling and counting
- Proper labeling
- Accepting payments
- Filing documents
- Submitting insurance documents
- FDA and HIPAA compliance
- Hospitality and accommodation
- Safety protocol adherence
- Processing orders
- Prescription fulfillment
- Labeling prescriptions
- Multitasking
- Customer service
- Organizational skills
Timeline
Pharmacy Assistant, Billing Specialisy
Omro Pharmacy
09.2013 - Current
Certified Nursing Assistant
Omro Care Center
10.2012 - 09.2013
Certified Nursing Assistant
Bella Vista RCAC & CBRF
03.2011 - 10.2012
Certification For Medical Coding And Billing - Medical Technology
Rasmussen University