Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
43
43
years of professional experience
Work History
Workers Compensation Specialist
EmergeOrtho
Durham, NC
06.2014 - Current
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Obtain authorizations for procedures and schedule those accordingly
Work closely with Insurance Adjusters and Nurse Case Managers to assure proper treatment recommendations from Providers are being met.
Coordinate exchange of patient notes to insurance companies, case managers and employers
Report all work status updates to adjuster, case manager and/or employer
Receive and resolve Workers' Compensation phone calls in accordance with department policy and procedure. Manage over 30 phone calls daily.
Respond promptly to up to 60 emails daily from Insurance Companies, Employers, and Nurse Case Managers.
LPN
EmergeOrtho
Durham, NC
05.2001 - 06.2014
Controls patient flow for physician. Greets patient and escorts them from waiting room to exam rooms, x-ray waiting, or cast room
Monitoring of physician schedules as appropriate to ensure adequate patient flow and preparation for clinic
Prepares exam and treatment rooms with necessary instruments and supplies for physician assessment
Prepares injections as ordered by physician
Assists physicians in preparing for examinations and minor procedures
Prepare patient for examination, including appropriate clothing, positioning, and supplies necessary to complete patient exam
Obtain and document patient medical history including reason for visit, and any other pertinent information related to treatment prior to physician exam. Obtain X-rays as indicated by physician order prior to physician exam
Prepares medical record information, including X-Ray films for physician review prior to physician exam
Participates in minor procedures such as suture removal, dressing changes, cast or splint and/or DME application
Obtains prior authorization for procedures, equipment, and medication, if appropriate
Schedules tests and off-site diagnostic procedures when necessary per physicians’ order
Communicates physician referral requests to appropriate staff for processing
Ensures timely communication of patient needs, concerns, test results to physicians for appropriate change in patients plan of care
Ensures timely communication with patient regarding plan of care and response to questions or concerns
Functions in Care Coordinator role as needed
Prepares and maintains supplies and equipment for treatments, including sterilization
Maintains compliance with infection control policies and procedures
Performs patient education when appropriate including oral and written education related to diagnosis, procedures, and/or medications
Replenishes supplies—cleans exam room after each patient per infection control guidelines and stocks exam room at end of each day
Communicates supply shortages as well as other clinical needs to Clinical Manager or designee
Ensures that laboratory and other diagnostic test results are obtained and communicated to physician to ensure appropriate and timely physician intervention. All pending results are obtained prior to patients next clinic visit
Ensures all documentation accurately reflects patient encounters and plans of care
Other Responsibilities:
Follows all applicable department and practice policies and procedures
Maintains patient confidentiality; complies with HIPAA privacy and confidentiality guidelines established by the Practice
Maintains detailed knowledge of practice management and other computer software as it relates to job functions
Computer input of patient information
Participates in mandatory staff functions as directed by Clinical manager (may include overtime)
Performs all other tasks and projects delegated or assigned by Clinical Manager
Maintains pleasant and cooperative demeanor while performing all duties
Maintains compliance with continuing education requirements to maintain current certifications and licensure.
Head of Payroll
Family Health International
Research Triangle Park, NC
06.1990 - 05.2001
Maintained payroll information by calculating, collecting, and entering data.
Updated employee files with new details such as changes in address or salary levels.
Processed new hire paperwork and documents.
Issued paychecks on designated pay dates to avoid employee dissatisfaction.
Reconciled bank and payroll records routinely to verify accuracy.
Maintained employee privacy and protected payroll operations by keeping all information confidential.
Processed W-2s, 1099s and other year-end reports to remain in compliance with state and federal laws.
Skilled at working independently and collaboratively in a team environment
Staff Nurse
Duke University Medical Center
Durham, NC
06.1980 - 06.1983
Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
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.
Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.