Michelle Stapleton
Summary
Accomplished LPN IV Therapy Prior Authorization Nurse with over 15 years of expertise at Hendricks Regional Health Hospital, specializing in biologic medications for gastroenterology. Demonstrated success in obtaining critical approvals, leveraging extensive knowledge in J-codes, and writing effective appeal letters. Skilled in patient education and EMR systems, ensuring HIPAA compliance and high-quality patient care.
Overview
15
15
years of professional experience
Work History
LPN IV Therapy Prior Authorization Nurse
Hendricks Regional Health Hospital
10.2021 - Current
- Specialize in obtaining prior authorizations and approvals for biologic medications in the gastroenterology field with over 15 years experience.
- Focus on IV infusion specialty medications and knowledge of J-codes and corresponding CPT codes in the gastroenterology field.
- Handle all peer to peer consults for providers in practice.
- Experience with denials and writing appeal letters on behalf of the physicians after careful review of all clinical information to overturn the denial.
- Managed all required lab follow up for biologic medications, sent prescription orders to IV therapy or specialty pharmacy, and arranged timely delivery to infusion site.
- Extensive EMR experience
LPN Office Nurse
Dr Gross
11.2009 - 09.2021
- Specialized in prior authorizations for IV therapy biologic medications.
- Responsible for daily surgery schedule and medical requirements for procedure.
- Educated patients on preparations for colonoscopy and upper endoscopies.
- Reviewed procedure and pathology results with patients
- Basic office duties that include obtaining medical records, obtained cardiac clearance on at risk patients after review of medical history and faxing prescriptions via EMR system,
- Obtained patient vials and health history
Education
Certificate of Technical Studies - Practical Nursing
Ivy Tech Community College of Indiana
Indianapolis, IN07-2007
Skills
Prior authorizations
Biologic Medications
Appeals
Lab monitoring requirements
Chart Review
Medical requirements for approvals of specialty medications
Epic experienc
HIPAA compliance
Appeal letters
Patient Education
Timeline
LPN IV Therapy Prior Authorization Nurse
Hendricks Regional Health Hospital
10.2021 - Current
LPN Office Nurse
Dr Gross
11.2009 - 09.2021
Certificate of Technical Studies - Practical Nursing
Ivy Tech Community College of Indiana
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