Summary
Overview
Work History
Education
Skills
Timeline
Generic

Teresa Floyd

Hattiesburg,MS

Summary

Dedicated and compassionate Registered Nurse (RN) with progressive career history in medical billing and reimbursement. Proven to remain calm under pressure and skillfully handle high-stress situations. Consistently developing strong relationships with patients and medical staff through empathetic communication, respectful attitude and excellent customer service.

Analytical and strategic medical auditor with excellent problem-solving and time management skills. Organized, efficient and always willing to go extra mile to meet expectations.

Task-oriented Nurse with 20 years of diverse experience in financial issues and department operations. Skilled at multitasking and prioritizing needs and daily assignments. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

21
21
years of professional experience

Work History

Medicare Nurse

South Central Medical Center
05.2023 - Current
  • Evaluated patients for admission to skilled nursing facility.
  • Obtained Authorizations Medicare HMO organizations.
  • Assigned ICD 10 CM codes.
  • Collaborated with physicians to ensure proper documentation for skilled nursing patients.
  • Responsible for obtaining and updating Medicare certifications for skilled nursing facility.
  • Responsible for discharge documentation of skilled nursing patients.
  • Facilitated effective communication between patients, families, and healthcare providers throughout treatment process
  • Improved patient satisfaction scores through efficient communication and collaboration with interdisciplinary teams
  • Actively participated in facility-wide quality improvement initiatives, providing valuable insights and suggestions for enhancing patient care standards
  • Served as liaison between nursing unit and other departments within healthcare organization, fostering collaboration and efficient resource utilization
  • Reduced hospital readmission rates by providing comprehensive discharge education and follow-up support
  • Consulted and coordinated with health care team to assess, plan, implement and evaluate patient care plans

Revenue Integrity Medical Auditor

Community Health System
01.2003 - 07.2023
  • Review daily unbilled report.
  • Review OCE/CCI edits.
  • Review Medical Necessity edits.
  • IODS quarterly report.
  • Assist Outpatient Ancillary Departments with charge issues.
  • Audit Inpatient and Outpatient itemized statements.
  • Assist Shared Service Center will coding or billing errors.

Education

Associate of Science - Medical Coding And Billing

Purdue University
West Lafayette, IN
05.2024

MBA - Executive MBA

University of North Alabama
Florence, AL
07.2022

Bachelor of Science - Nursing

University of North Alabama
Florence, AL
05.1985

Skills

  • Knowledge of Community Health Systems billing and coding software
  • Experience with Cerner EHR
  • Experience with physicians, patient registration staff, and HIM staff
  • Working relationship with SSC
  • Organization and Time Management
  • Multitasking Abilities
  • Decision-Making
  • Flexible and Adaptable
  • Problem-Solving

Timeline

Medicare Nurse

South Central Medical Center
05.2023 - Current

Revenue Integrity Medical Auditor

Community Health System
01.2003 - 07.2023

Associate of Science - Medical Coding And Billing

Purdue University

MBA - Executive MBA

University of North Alabama

Bachelor of Science - Nursing

University of North Alabama
Teresa Floyd