Highly motivated and goal-driven medical professional seeking full time position.
Overview
16
16
years of professional experience
Work History
RN at Baxter Health Bone and Joint Clinic
Baxter Health
Mountain Home
12.2021 - Current
LPN at Baxter Bone Health and Joint Clinic
Baxter Health
Mountain Home
10.2009 - 12.2021
Schedule and obtain prior authorizations for 1000 plus surgical patients yearly for two orthopedic surgeons
Conduct direct hands-on care with patients of all ages ranging from 0-99 years
Extensive knowledge of insurance prior authorization requirements, CPT coding, and ICD10
Generate and implement multiple office protocols for a 10+ clinic staff
Educate patients regarding medications, surgical instructions, wound care, cast care, post-operative instructions, immunizations, and basic medical care
Schedule surgeries with patients and provided necessary paperwork.
Educate patients on preoperative and postoperative instructions, ensuring their understanding and compliance.
Accurately code surgical procedures using ICD10 and CPT coding systems.
Obtain prior authorization for surgical procedures from insurance providers. Write appeals as needed.
Order preoperative lab tests and scheduled preoperative surgical testing appointments.
Review preoperative lab results and obtained preoperative clearance.
Ensured preoperative history and physical (H&P) documentation is accurate.
Coordinate with radiology to ensure preoperative images are downloaded
Determine starting/stopping of anticoagulants and prescribed bridge medication when required.
Input preoperative and postoperative orders accurately, including pre-anesthesia evaluations.
Coordinate post-service precertification if CPT codes changed intraoperatively
Schedule and reviewed preoperative scans coordinating with surgery and representatives for implants and surgical equipment.
Serve as a scribe, accurately documenting patient encounters and assisting physicians with medical charting.
Proficient in casting and splinting techniques, providing appropriate support and immobilization for patients.
Assist physicians during clinic procedures, ensuring a smooth workflow and patient comfort.
Reviewed new patient referrals who have previously had surgery and determined if Dr. Moore would see them.
Reviewed emergency room referrals and determined the urgency of patients' needs for medical attention.
Fill out FMLA/STD paperwork, adhering to relevant guidelines and regulations.
Respond to patient phone calls promptly and provided necessary guidance and assistance.
Handle after-hours phone calls as required, ensuring patient needs were addressed in a timely manner.
Education
Registered Nurse -
Arkansas State University Mountain Home
Licensed Practical Nursing -
Arkansas State University Mountain Home
High School Diploma -
Mountain Home High School
Skills
Surgical scheduling
Insurance authorization
CPT coding
Patient education
Preoperative assessment
Medical documentation
Healthcare compliance
Team collaboration
Workflow optimization
Problem solving
Attention to detail
Effective communication
Time management
Research utilization
Nursing informatics
Setting up referrals
EMR systems
Insurance plan expert
Call triaging
Documentation and charting
Additional Job Duties
Serve as a scribe, accurately documenting patient encounters and assisting physicians with medical charting.
Proficient in casting and splinting techniques, providing appropriate support and immobilization for patients.
Assist physicians during clinic procedures, ensuring a smooth workflow and patient comfort.
Reviewed new patient referrals who have previously had surgery and determined if Dr. Moore would see them.
Reviewed emergency room referrals and determined the urgency of patients' needs for medical attention.
Fill out FMLA/STD paperwork, adhering to relevant guidelines and regulations.
Respond to patient phone calls promptly and provided necessary guidance and assistance.
Handle after-hours phone calls as required, ensuring patient needs were addressed in a timely manner.
Surgery Duties
Schedule surgeries with patients and provided necessary paperwork.
Educate patients on preoperative and postoperative instructions, ensuring their understanding and compliance.
Accurately code surgical procedures using ICD10 and CPT coding systems.
Obtain prior authorization for surgical procedures from insurance providers. Write appeals as needed.
Order preoperative lab tests and scheduled preoperative surgical testing appointments.
Review preoperative lab results and obtained preoperative clearance.
Ensured preoperative history and physical (H&P) documentation is accurate.
Coordinate with radiology to ensure preoperative images are downloaded
Determine starting/stopping of anticoagulants and prescribed bridge medication when required.
Input preoperative and postoperative orders accurately, including pre-anesthesia evaluations.
Coordinate post-service precertification if CPT codes changed intraoperatively
Schedule and reviewed preoperative scans coordinating with surgery and representatives for implants and surgical equipment.
Current Job Duties
Schedule and obtain prior authorizations for 1000 plus surgical patients yearly for two orthopedic surgeons
Conduct direct hands-on care with patients of all ages ranging from 0-99 years
Extensive knowledge of insurance prior authorization requirements, CPT coding, and ICD10
Generate and implement multiple office protocols for a 10+ clinic staff
Educate patients regarding medications, surgical instructions, wound care, cast care, post-operative instructions, immunizations, and basic medical care
SUPERVISOR CLINIC OPERATIONS (Hybrid) at UCHealth University Of Colorado HospitalSUPERVISOR CLINIC OPERATIONS (Hybrid) at UCHealth University Of Colorado Hospital