Renee Rita
Webster,NY
Summary
Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Overview
20
20
years of professional experience
Work History
Field Reimbursement Manager
Cencora/Xcenda
Remote, USA
05.2022 - Current
- Investigated customer complaints regarding erroneous or delayed payments.
- Adhered to corporate confidentiality guidelines and federal regulations in protecting patient data.
- Researched rejections, investigating problems to appeal claims.
- Developed relationships with insurance companies to facilitate timely payments.
- Verified technical reimbursement questions for providers, billing and coding staff.
- Maintained confidentiality and integrity of patient data.
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Answered customer questions to maintain high satisfaction levels.
- Reviewed uninsured accounts, verifying medical assistance application process, charity care application and drug replacement program availability.
- Participated in meetings with stakeholders to discuss current trends impacting reimbursement rates.
- Identified opportunities for coverage access to address reimbursement barriers.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Assisted with customer requests and answered questions to improve satisfaction.
LPN
Schweiger Dermatology
Brighton, NY
01.2011 - Current
- Greet patients in the waiting room, escort them to the exam rooms and triage concerns prior to provider entering
- Generate chart notes for the provider during patient visit to ease in time management
- Setting up and assisting with surgeries including providing local anesthesia via injection, preparation of specimens and patient education/after care instructions
- Proficient in MEDENT, EMA, Microsoft Word and Excel
- Cleaning and sterilization of surgical equipment with use of Ultrasonic and Autoclave machines
- Stocking of supplies in the lab and exam rooms
- Preparation and reconstitution of injectable medications (i.e., Lidocaine, Botox, etc.)
- Responsible for keeping medical inventory accounting and ordering supplies when needed
- Generate medical transcription for specimens that have been sent for pathologic diagnosis
- Responsible for transcription of pathology letters to patients
- Triaging of medical phone calls for 5 providers
- Responsible for all electronic, faxed and telephone refill requests and updating of the patient portal
- Prior authorizations for all medications and medical treatments
- Coordination of all biologics (ordering, receiving, prior authorizations and appeals)
- Reporting all new cancer diagnoses/melanomas to the cancer registry of NY State
- Training of new LPNs to the facility
- Study coordinator for Janssen PSolar study and Corrona study
- Proficient in PDT therapy (application of Levulan, care instructions, after care and treatment)
- Attended several biologic coordinator advisory boards for many different biologic therapies
- Proficient in Xtrac laser and UVA/UVB light therapy.
LPN
Maplewood Nursing Home
Webster, NY
04.2016 - 10.2017
- Medication passes to residents
- Feeding of at-risk residents in the dining room
- Monitor eating habits and documentation of intake and output
- Assembling equipment (i.e., tubes, catheters and oxygen supplies)
- Provide bedside care such as dressing changes, catheters and injections
- Taking vital signs (i.e., respirations, temperature, blood pressure and heart rate)
- Recording all data related to the patient’s care into the computer system (point, click, care)
- Admitting patients and taking medical history
- Talk to residents and families about care plans, tests and new diagnoses
- Supervise certified nursing assistants
- Take verbal orders from the MD
- Call pharmacies to order patient’s medications and proper documentation when received
- Training of new LPNs to the floor/unit.
Executive Secretary
Compendium Research Corporation
Fairport, NY
11.2003 - 10.2008
- Managed payables processing of over $5m per year
- Assisted development in marketing brochures, posters and postcards
- Extensive retesting of software function, accuracy, performance requirements, documents and exemplars
- Responsible for answering 8 phone lines
- Office managing and general office support for 20 employees
- Negotiating billing records and disputed invalid charges
- Organizing and filing of all office records and documentation
- Proficient in Microsoft Word, WordPerfect, Excel and PowerPoint
- Worked additional and extensive hours to meet business timelines
- Responsible for keeping inventory accounting and ordering supplies when needed
- Responsible for incoming and outgoing mail and deliveries
- Responsible for making complete travel arrangements for company, including the owner.
Education
LPN Licensure -
Wayne Finger Lakes Boces LPN Program
Associates in Applied Science -
Monroe Community College
Skills
- Samples Collection
- Emergency Response
- Physical Assessment
- Patient Intake
- Family Communication
- Wound Care
- Clinical Documentation
- Medication Administration
- Outpatient Care
- Staff Supervision
- Patient Triaging
- Documenting Incidents
- Breathing Treatments
- Direct Patient Care
- Medical Records Management
- Multi-Tasking and Prioritization
- Empathetic and Compassionate
- Educating Families
- Vital Signs
- Patient Assessments
- Immunization Administration
- Patient Care
- Counting Narcotics
- ADL Assistance
Clinical Rotations
- Unity Hospital, Cardiac Unit, Rochester, NY, 09/2021, 12/2021
- UMMC, Labor & Delivery, Rochester, NY, 10/2021
- Rochester Psychiatric Center, Mental Health, Rochester, NY, 01/2022
- University of Rochester, Pediatrics, Rochester, NY, 02/2022
- Unity Hospital, Medical-Surgical Unit, Rochester, NY, 03/2022, 05/2022
References
- Patricia Breitung, NP, Dr. Richard Greene, MD, 585-749-2764
- Tina Higgs, NP, Dr. Richard Greene, MD, 585-315-8825
Timeline
Field Reimbursement Manager
Cencora/Xcenda
05.2022 - Current
LPN
Maplewood Nursing Home
04.2016 - 10.2017
LPN
Schweiger Dermatology
01.2011 - Current
Executive Secretary
Compendium Research Corporation
11.2003 - 10.2008
LPN Licensure -
Wayne Finger Lakes Boces LPN Program
Associates in Applied Science -
Monroe Community College
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