Clara De La Cruz
Canyon, Amarillo,Tx
Summary
Dedicated and compassionate RN with experience in the Intensive Care Unit setting. Able to remain calm under pressure and skilled at handling difficult patients and high stress situations. Works well with diverse personalities and populations and fosters trusting relationships to advance patient care.
Overview
26
26
years of professional experience
1
1
Certification
Work History
RN
NWTHS Cardiac Intensive Care Unit
2020.06 - Current
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Implement medication and IV administration
- Monitor vital signs and manage life support equipment such as mechanical ventilators, cardiac monitors, pressure lines and transducers
- Manage Impella and CRRT machines while collaborating with physicians to ensure treatment goals are met
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals
- Ensure accurate and complete documentation of patients' condition, procedures, medication and therapies
Insurance Verification Specialist
Northwest Texas Surgery Center
2015.03 - 2020.05
- verify patients’ insurance benefits including eligibility, deductible, co-insurance, out of pocket amounts, etc
- assist other verifiers as needed
- assist with up-front registration and collections and also translate as needed.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Updated patient records with accurate, current insurance policy information.
Insurance Verification Specialist
Northwest Texas Hospital Admissions Department
2010.10 - 2015.03
- Verify patients’ insurance benefits including eligibility, deductible, co-insurance, out of pocket amounts, etc
- Obtain insurance authorizations to secure payment
- Responsible for obtaining accurate benefits and making sure authorizations match procedure, date of service, facility and ordering physician
- Assist other verifiers as needed.
Pre-Registration Counselor
Northwest Texas Hospital Admissions Department
2009.11 - 2010.10
- Pre-registered patients over the phone for up-coming surgeries and various other procedures
- Obtained demographic information, insurance information, informed patients of their financial responsibilities and made payment arrangements
- I met monthly collection goals set forth by management.
Accounts Receivable Clerk
Northwest Texas Hospital
2007.09 - 2010.10
- Posted insurance and patient payments to accounts
- Received payments, got them ready for posting and made sure amounts balanced
- Assisted cashier with bank deposits and assisted customers face-to face.
Financial Counselor
Northwest Texas Hospital Admitting
1998.01 - 2006.01
- responsible for patient registration, obtaining insurance information, signatures and collecting patient payment
- promoted to Self Pay Counselor
- screened patients for assistance and completed various assistance applications as needed
- Promoted to Lead Financial Counselor
- Served as support to other counselors, completed audits and assisted with manager’s duties in her absence
- Assisted with time sheets and made decisions pertaining to patient registration as needed.
Education
ADN - Nursing
Amarillo College
Amarillo, TX05.2020
Did Not Obtain Degree
West Texas A&M University
Canyon, TX05.1997
Friona High School
Friona, TX06.1996
Skills
- Patient Monitoring
- IV Drug Therapy Management
- Pain Management
- Perform/interpret ECG
- Chest Pain Management
- Resource Allocation
- Strong Clinical Judgment
- Fluent in Spanish
Certification
ACLS
License number: 1005055
Timeline
RN
NWTHS Cardiac Intensive Care Unit
2020.06 - Current
Insurance Verification Specialist
Northwest Texas Surgery Center
2015.03 - 2020.05
Insurance Verification Specialist
Northwest Texas Hospital Admissions Department
2010.10 - 2015.03
Pre-Registration Counselor
Northwest Texas Hospital Admissions Department
2009.11 - 2010.10
Accounts Receivable Clerk
Northwest Texas Hospital
2007.09 - 2010.10
Financial Counselor
Northwest Texas Hospital Admitting
1998.01 - 2006.01
ACLS
License number: 1005055
ADN - Nursing
Amarillo College
Did Not Obtain Degree
West Texas A&M University
Friona High School
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