Nerissa Sanders

• Recommends changes to existing clinic procedures based on current administrative guidelines.
• Utilizes numerous advanced patient systems in support of multiple clinics involved in interdisciplinary coordinated care delivery model ie. VISTA (Veterans Health Information Systems and Technology Architecture), CPRS (Computerized Patient Record System), VSE GUI (VistA Scheduling Enhancements Graphical User Interface), CTM+ (Consult Tracking Manager Plus), new PCI check-in tool, ICB buffer retrieve information from remote data program as it relates to access to patient care.
• Coordinates with patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively support needs of clinics and makes adjustments as necessary.
• Develops and/or maintains effective and efficient communication with patient, interdisciplinary coordinated care delivery model teams, VA medical centers, and other agencies (e.g., assist with communications during inpatient to outpatient discharge; communicate with non-VA medical facilities; prepare correspondence to notify patients of normal lab results; manage system for follow-up care such as consults, tests, etc.).
• Processes incoming patient secure messaging through My Healthy Vet and coordinates with care team as appropriate.
• Participates in team huddles and team meetings to manage, plan, problem solve, and follow-up with patient care by sharing information and collaborating with the interdisciplinary team.
• Sets priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs.
• Identifies incomplete encounters and communicates findings to providers as needed.
• Use proper personal protection equipment
• Enters appropriate information into electronic record.
• Monitors appointment information and/or requirements to assure readiness for patient visit/procedure
• Manages patient systems to verify and validate accuracy and resolve issues.
• Evaluates patient information and clinic schedule lists to whether the patient determine requires a immediate appointment
• Informs team members about shared patients (i.e., those who receive their care at multiple VA centers or those who receive care in the community).
• Stay informed and knowledgeable about EKGs, lethal arrhythmias, Holter Monitor, Stress Test and heart rhythms while working in Cardiology Specialty Care.

Primary Care

• Routinely schedule appointments, including interpreting and
  verifying provider orders in accordance with VHA national
  scheduling guidelines.
• Assigned to but not limited to scheduling, canceling, re-scheduling patients' appointments and or consults; entering no-show information, preparing for clinic visits, monitoring outpatient appointments for areas of
  responsibility, ensuring encounters are completed in order to
  obtain appropriate workload credit, verifying and updating
  demographics and insurance information. verifying and updating
  demographics and insurance information.
• Ensures that all necessary health/administrative
  information are integrated into following systems/software
  to maintain and record patient data and generate reports:
  VISTA (Veterans Health Information Systems and
  Technology Architecture), CPRS (Computerized Patient
  Record System), VSE GUI (VistA Scheduling Enhancements
  Graphical User Interface), CTM+ (Consult Tracking
  Manager Plus), new PCI check-in tool, ICB buffer retrieve
  information from remote data program as it relates to
  access to patient care.
• Determined nature and urgency of patient requests to
  refer patients to appropriate medical staff.
• Assigned to special projects
• Performed medical records management, including filing, organizing and scanning documents.
• Interviewed patients to verify and update clinical and demographic records.

• Knowledge and experience caring for patients with disabilities, impaired mobility and complicated medical conditions through hands on in CNA courses, emergency room care and CCMA training.
• Directed patients to exam rooms, fielded questions and prepared for physician examinations
• Collected and documented patient medical information such as blood pressure and weight. Applied Holter Monitors in previous clinics in the private sector also, while working in Primary Care and Cardiology for 1.5 years I've observed EKG techs prep patients to wear Holter Monitors to gain more knowledge and experience. Inspecting batteries, monitor, electrodes and cables before applying Holter. Patient chest is to be shaved to allow electrodes to stay in place. Monitors are attached to the electrodes & cables ae taped to patient chest. The pouches are kept from damage to the monitors. A small journal log is for patients to write down any symptoms that may or may not occur while wearing their Holter Monitor such as: dizziness or lightheadedness. A Monitor can be worn for 24hrs or 14 days upon physician orders. All parts and table to be cleaned thoroughly according to CDC guidelines for next patient and/or next day.
• Sanitized, restocked and organized exam rooms and medical equipment. From experience and training we use universal precautions and sterilization techniques to prevent the spread of infections and diseases by using proper PPE, washing hands before and after each procedure.
• Prepared and administered medications to alleviate patient symptoms. Ability to monitor the patient for adverse reactions and take appropriate action if a patient has a allergic reaction to tape, latex-the appropriate action would be to use paper tape and latex free gloves. Patients with broken skin causes poor conduction. Wipe and wet or sweat, no oils or lotion should be applied to chest area. Training in IVC clinical rotation, CNA clinicals, MA class/externship and as a CCMA.
• Administered and assist in the COVID-19 Vaccine Clinic
• Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions. Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing-I'm capable to perform EKG's to the best of my ability. I'm also willing to receive extra education and training to perform standard and routine specialized procedures for exercise stress test.
• Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
• Ambulated, turned and positioned patients
• Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes
• Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted
• Obtained pre- and post-treatment vital signs and weight.
• Completed EKGs and other tests based on patient presentation in office/Emergency room.
• Collect, analyze and integrate patient information to identify and meet patient specific needs (physical/mental limitations, emotional/physiological status) regarding the testing procedure. Determine testing parameters/procedures in conjunction with the ordering provider, clinical director and protocols. Explain pre-testing, testing, and post-testing procedures to the patient.
• Communicates with other hospitals or providers to obtain previous tests, procedure reports, discharge summaries, and progress notes as needed for review and comparison.
• Knowing & recognizing typical patient reactions & signs of distress including: SOB, weakness/fatigue, dizziness, chest pain/pressure, heart palpitations to report & be treated immediately for potentially lethal arrhythmia's through training and study as a IVCT/Medical Assistant and we had common cardiac
• Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions
• Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, & scar tissue by placing electrodes on body part closest to limb
• Provided hands-on and in-service training to new hire techs, assistants and clerical staff on equipment, systems, procedures, wound care, exercises.

• Coordinated patient scheduling, check-in, check-out and payments for billing
• Directed patients to exam rooms, fielded questions and prepared for physician examinations
• Called and faxed pharmacies to submit prescriptions and refills
• Received, recorded and filed medical payments by check, cash and credit card
• Used EPIC to schedule appointments for doctor visits and procedures
• Improved timely payment of bills by developing flexible payment plans for patients
• Gathered forms and copied insurance cards to collect patient information for billing and insurance filing
• Restocked each medical room with adequate supply of medications and supplies in preparation for patients
• Efficiently performed insurance verifications, pre-certifications and pre-authorization functions
• Implemented care and efficiency improvements to support and enhance office operations
• Measured patient pulse oximetry
• Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
• Updated inventory, expiration and vaccine logs to maintain current tracking documentation
• Oriented and trained new staff on proper procedures and policies
• Performed clerical duties, such as word processing, data entry, answering phones and filing
• Liaised with patients and addressed inquiries, appointment requests and billing questions
• Obtained client medical history, including medication information, symptoms and allergies
• Explained procedures to patients to reduce anxieties and increase patient cooperation
• Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes
• Used EPIC to schedule appointments for doctor visits and procedures.

• Telephoned and interviewed patients and family members to obtain pre-registration information and confirm appointments
• Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan
• Demonstrated exceptional customer service to foster welcoming and professional environment for patients
• Verified patient availability during appointment scheduling process to reduce reschedules and cancellations
• Communicated with primary care offices and insurance companies to obtain authorization
• Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment
• Contacted insurance company to verify patient coverage before visit
• Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process
• Respected patients by recognizing rights and maintaining confidentiality
• Investigated, triaged and resolved patient issues to encourage positive experience during patient visit
• Scheduled appointments to enter appointment date and time into computerized scheduler
• Collaborated with colleagues to maintain and upkeep office and waiting area to provide clean and organized environment for patients
• Inputted accurate patient insurance, billing and payment information in EPIC
• Collected patient co-pay and issued receipt to confirm payment
• Collected time of service payments and issued receipts
• Used EPIC to maintain electronic patient files, successfully maintaining over number of patient files
• Used EPIC to process and post personal checks, credit card, incoming cash receivables and care credit transactions
• Used EPIC to maintain electronic patient files, successfully
• Answered telephone calls to handle rescheduled, missed and reassigned visit requests
• Inputted accurate patient insurance, billing and payment information in EPIC
• Administered billing functions to maintain profitability and meet compliance, quality and productivity standards
• Verified patient's insurance eligibility and benefits coverage through Online and Telephone
• Used EPIC to process and post personal checks, credit card, incoming cash receivables and care credit transactions.

• Checked patient data including insurance, demographic and health history to keep information current
• Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
• Coordinated patient scheduling, check-in, check-out and payments for billing
• Helped patient's complete necessary medical forms and documentation
• Disseminated sensitive patient information and coordinated with translators to offer personalized service to individuals from diverse backgrounds
• Organized paperwork such as charts and reports for office and patient needs
• Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care
• Enhanced office productivity by handling high volume of callers per day
• Responded to correspondence from insurance companies to verify patient's coverage
• Managed multi-line phone system and pleasantly greeted patients
• Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass
• Supported office staff and operational requirements with administrative tasks
• Adhered to strict HIPAA guidelines to protect patient privacy
• Maintained current and accurate medical records for patients
• Completed patient referrals to other medical specialists
• Transcribed phone messages and relayed to appropriate personnel.

• Assisted patients in and out of bed, automobiles and wheelchairs to bring patient to lavatory and up and down stairs
• Escorts patients to external medical appointments, coordinates patient flow for internal specialist appointments, and assist with mobility to and from appointments
• Ensure that all patients are checked in for appointments on time, including making sure all paperwork is completed and that patients are supervised until seen by patient specialist
• Ability to organize work, set priorities, and delegate responsibilities
• Ability to communicate with healthcare professionals and coworkers
• Completes all required training for TMS
• Strong advanced medical terminology
• Train new employees on area of duties
• Work with minimal supervision, adjust to deadlines, set priorities and maintain direct communication at all levels to meet team and patient levels
• Knowledgeable of VISTA, CPRS, VATAS, and ICB buffer for insurance purposes.