Summary
Overview
Work History
Education
Skills
Languages
Certification
Timeline
Generic

Taylor Bredfeldt

Haven,KS

Summary

Qualified and hardworking, Reimbursement Specialist and Licensed Practical Nurse with expertise in many different areas of health care.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Senior Reimbursement Specialist

Reimbursement Revenue Solutions
Nashua, NH
02.2023 - Current
  • Reviewed, analyzed and processed provider reimbursement claims for accuracy and compliance with all applicable regulations.
  • Investigated unresolved issues related to claim denials or rejections, payment discrepancies, coding issues, and other billing errors.
  • Researched complex reimbursement questions from providers regarding policy interpretation and application.
  • Prepared detailed reports for management outlining any identified trends or patterns in the data collected during analysis.
  • Coordinated with internal departments such as IT, Finance and Human Resources when necessary to resolve complex reimbursement issues.
  • Collaborated with fellow team members to manage large volume of claims.
  • Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
  • Researched clinical criteria and determined eligibility for requested services based on plan provisions.
  • Established new lines and ways of communication between physicians, and internally.
  • Created multi-use case ID and tracking systems to better serve clients, improve data analysis and organize internal issues.
  • Provided training to new staff members on the reimbursement process and system operations.

Home Health and Hospice Nurse

Interim HealthCare
Hutchinson, KS
06.2021 - 02.2023
  • Assessed patient's needs and developed individualized care plans in collaboration with the interdisciplinary team.
  • Administered medications as prescribed by physicians while monitoring for side effects.
  • Monitored vital signs, observed changes in condition, and reported any concerns to physician.
  • Assisted in end-of-life decision making processes with respect to patient wishes.
  • Maintained accurate records of patient progress notes, treatments administered, medications given.
  • Provided bereavement counseling services for surviving family members after a death has occurred.
  • Collaborated with other healthcare professionals including social workers, chaplains, doctors., to ensure quality care is provided throughout the hospice experience.
  • Reviewed medical history of patients admitted into hospice program to determine eligibility for services.
  • Conducted home visits regularly to assess patient's condition and provide necessary interventions.
  • Planned hospice care for elderly and disabled patients.
  • Guided patients' loved ones and caregivers in pain management, wound care and medication dosing.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Monitored vital signs, fluid intake and output levels, glucose levels, and other medical tests results.
  • Assessed and monitored the condition of wounds, including size, shape, color, drainage, and healing rate.
  • Administered topical treatments such as topical antibiotics, hydrogels, alginates, foams dressings., as prescribed by physicians.
  • Consulted with physicians regarding appropriate dressing materials for various types of wounds.
  • Developed policies and protocols related to wound management within the organization.
  • Attended conferences and seminars related to advances in wound care practices.
  • Educated patients on their medical condition, treatment plans, and self-care management techniques.

Telemetry Nurse

Hutchinson Regional Medical Center
Hutchinson , KS
06.2021 - 12.2021
  • Identified cardiac dysrhythmia, documented changes in the rhythm strip, and reported any abnormalities to physicians.
  • Administered medications per physician's orders and monitored patients' responses to treatments.
  • Provided education to patients about their condition and treatment plan.
  • Documented all care given according to established standards of practice and hospital policies and procedures.
  • Collaborated with interdisciplinary team members to develop individualized plans of care for each patient.
  • Evaluated effectiveness of interventions by assessing patient response and making necessary modifications or adjustments as indicated.
  • Managed multiple complex cases simultaneously while providing quality nursing care within prescribed time frames.
  • Actively participated in daily rounds with physicians and other healthcare professionals to discuss changes in patient status and care plans.
  • Prioritized tasks based on urgency of need while maintaining a calm demeanor during emergencies.
  • Demonstrated excellent communication skills when interacting with patients, families, visitors, physicians, and other healthcare personnel.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Implemented appropriate nursing interventions based on assessment data collected from patients.

Home Health Aide

Miller Farms
Haven, KS
03.2019 - 05.2021
  • Provided companionship and monitored health condition of clients.
  • Transported clients to doctor appointments and social events.
  • Prepared meals and snacks according to prescribed diets.
  • Collected information about conditions and treatment plans from caregivers, nurses, and doctors.
  • Assisted in ambulation and exercise routines for clients.
  • Monitored vital signs such as temperature, pulse rate, blood pressure .
  • Recorded daily notes about client conditions, treatments provided and progress made.
  • Assisted with personal care activities, such as bathing, dressing and grooming.
  • Took initiative to ensure all tasks were completed efficiently within the designated time frame.
  • Maintained clean and well-organized environment for client happiness and safety.

Travel CNA

Cascade Health Services
Wichita, KS
08.2018 - 11.2019
  • Provided care to patients in a variety of settings including hospitals, nursing homes, and assisted living facilities.
  • Performed vital signs checks such as blood pressure, pulse rate, respiration rate and temperature.
  • Took patient histories by interviewing them or reviewing their medical records.
  • Maintained accurate documentation of patient information according to established standards.
  • Communicated effectively with nurses, physicians and other healthcare professionals regarding patient care issues.
  • Monitored for changes in the condition of the patient throughout shift and reported any abnormalities to supervisor immediately.
  • Collaborated with multidisciplinary team members to ensure quality care was provided in a timely manner.
  • Completed daily rounds on assigned unit to check on patients' comfort levels and answer questions about their current health status.

Certified Nursing Assistant

Mennonite Manor
Hutchinson, KS
01.2015 - 12.2018
  • Assisted patients with activities of daily living such as bathing, grooming, and dressing.
  • Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output.
  • Reported changes in patient condition to registered nurse or physician.
  • Observed patients for any changes in their physical or mental condition.
  • Collected specimens for testing purposes upon request from physicians or nurses.
  • Responded quickly to emergency situations involving sudden illness or injury.
  • Assisted with admission procedures such as gathering personal data from the patient's chart.
  • Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.

Education

Nursing

Hutchinson Community College
Hutchinson, KS
05.2021

High School Diploma -

Haven High School
Haven, KS
05.2018

Skills

  • Eligibility Verification
  • Client Service
  • Data Recording
  • Data Entry
  • Teamwork and Collaboration
  • Recordkeeping Organization
  • Microsoft Office
  • Coverage Determination
  • Critical Thinking
  • Direct Patient Care
  • Patient Education
  • Treatment Planning
  • Clinical Documentation
  • Diabetes Management
  • Medical Chart Management
  • Tracheostomy Care
  • Patient Rights Advocacy
  • Wound Care
  • Collecting Vitals
  • Palliative Care
  • Pain Control
  • Medication Administration
  • Patient Care Plans
  • IV Cert
  • Case Management
  • Attention to Detail
  • ICD-10
  • Strong Clinical Judgment
  • Provider Relations
  • Insurance Verification
  • HIPAA Compliance
  • Medical Billing
  • Claims Management

Languages

English
Native/ Bilingual

Certification

  • Licensed Practical Nurse 2021
  • CPR Certified since 2015
  • IV Certified 2021
  • Advanced Wound Care 2021
  • Hospice Care 2021
  • EKG Strip Certified 2021

Timeline

Senior Reimbursement Specialist

Reimbursement Revenue Solutions
02.2023 - Current

Home Health and Hospice Nurse

Interim HealthCare
06.2021 - 02.2023

Telemetry Nurse

Hutchinson Regional Medical Center
06.2021 - 12.2021

Home Health Aide

Miller Farms
03.2019 - 05.2021

Travel CNA

Cascade Health Services
08.2018 - 11.2019

Certified Nursing Assistant

Mennonite Manor
01.2015 - 12.2018

Nursing

Hutchinson Community College

High School Diploma -

Haven High School

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