Markeita Billups
Cleveland,TN
Summary
Dedicated LPN with nearly 20 years of varied clinical experience.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Scheduling Coordinator/Intake Coordinator/Patient Care Manager Assistant
Home Care Solutions/LHC Group
12.2017 - Current
- Manage visit schedules
- Collaborates with the Director, Intake team, liaisons, and clinicians daily
- Receives and analyzes incoming referrals obtaining necessary clinical information from clients and referral sources to compile referrals prior to entry
- Research insurance coverage and request insurance authorization with home office team
- Educate prospective patients, families, and physicians regarding available home health services
- Assists patient care manager with phone calls from field staff, physician offices, referral sources, and patients
- Initiates patient tracking and monitors the patient's disposition when home health services have been placed on hold.
TELEHEALTH NURSE/ PRIOR AUTHORIZATION NURSE
ContinuCare Health Services (Acquired by LHC Group 12/2017
10.2012 - 12.2017
- Obtained and managed initial and concurrent prior authorizations
- Communicated accurate authorization status effectively with patients, providers, and home care staff
- Served as the point of contact for all lab results and lab related inquiries
- Managed the inventory, requisition supplies, and instruments for all lab related functions
- Worked closely with health care providers to improve the patient's quality of life by monitoring health statuses daily via use of telehealth equipment
- Recognized changes and or trends in a patient's health status and intervened as indicated by the patient's condition and established protocols
- Requested skilled nurse visit based on patient need
- Provided comprehensive teaching to patients and caregivers in the principles of home telehealth, use of equipment, disease management protocols, emergency measures and other identified health related issues
- Empowered and coached patients to improve self-management strategies for their chronic disease(s) and become an active participant to meet their healthcare needs
- Created program reports weekly, monthly and as requested.
Pre-Service Nurse
Parkridge Medical Center
12.2010 - 10.2012
- Assessed all scheduled surgeries and outpatient imaging procedures requiring prior authorization
- Abstracted required medical data and assign CPT/ICD9 codes with accuracy prior to submitting to insurance company for review
- Completed prior authorization requests and communicated with patient, provider, facility, and internal work team regarding outcome
- Initiated appeal process on all denied procedures.
LPN Charge Nurse
St Barnabas
06.2007 - 12.2010
- Overseen facility admissions, transfers, and discharges
- Supervised clinical team while maintaining a high level of staff morale
- Coordinated daily duties including schedules, nursing assignments, and patient care
- Administered medications and performed treatments as order by the physician
- Monitored and documented vital signs and patient condition in medical record every shift.
Education
Tennessee Technology Center
Athens, TNSkills
- CPT (10 years)
- DOCUMENTATION (10 years)
- ICD (10 years)
- Insurance Verification (10 years)
- EMR Systems (10 years)
- ICD-9/ICD-10 (10 years)
- Ability to critical think
- Solid administrative and referral experience Exceptional capacity to multi-task; managing competing priorities with ease
- Outstanding interpersonal and communication skills
- Superior documentation and great organizational concepts
- Extensive computer knowledge
- Experience using CPT and ICD-10 codes
- Experience using EMR
Certification
CPR, 04/2022, 04/2024
Timeline
Scheduling Coordinator/Intake Coordinator/Patient Care Manager Assistant
Home Care Solutions/LHC Group
12.2017 - Current
TELEHEALTH NURSE/ PRIOR AUTHORIZATION NURSE
ContinuCare Health Services (Acquired by LHC Group 12/2017
10.2012 - 12.2017
Pre-Service Nurse
Parkridge Medical Center
12.2010 - 10.2012
LPN Charge Nurse
St Barnabas
06.2007 - 12.2010
Tennessee Technology Center