Theresa VanDemark
Wilkes-Barre,PA
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Hardworking employee with provider service, multitasking and time management abilities. Devoted to giving every provider a positive and memorable experience.
Overview
27
27
years of professional experience
Work History
Intake Coordinator
Highmark Blue Cross Blue Shield
Wilkes-Barre, PA
08.2016 - Current
- Provided information and resources to individuals, and groups seeking assistance.
- Ensured compliance with relevant regulations pertaining to the provision of services.
- Communicated effectively with supervisors regarding current caseloads and resource availability.
- Adhered to confidentiality guidelines when handling sensitive information about clients.
- Answered phone calls to provide assistance, and information
- Resolved customer complaints or answered customers' questions.
- Guided employees in handling difficult or complex problems.
Home Health Aide
Comfort Keepers Home Care
Hazleton, Penn
06.2010 - 06.2013
- Assisted with personal care activities, such as bathing, dressing and grooming.
- Provided companionship and monitored health condition of clients.
- Prepared meals and snacks according to prescribed diets.
- Helped clients move in bed, stand or walk using proper body mechanics techniques.
- Administered medications as instructed by physician or nurse practitioner.
- Reported any changes in the client's physical or emotional condition to supervisor immediately.
- Monitored vital signs such as temperature, pulse rate, blood pressure.
- Took initiative to ensure all tasks were completed efficiently within the designated time frame.
- Encouraged independence by teaching self-care skills such as grooming and hygiene habits.
- Maintained confidentiality of patient information at all times as per HIPAA regulations.
- Instructed family members regarding proper home care techniques and infection control procedures.
- Maintained clean and well-organized environment for client happiness and safety.
- Followed HIPAA regulations to maintain confidentiality of sensitive patient information.
- Developed strong and trusting rapport with patients to facilitate smooth, quality care.
Certified Medication Aide
Davis Manor
Hazleton, PA
05.2009 - 06.2010
- Assisted with medication administration, including dispensing and documentation of patient medications.
- Monitored patients for adverse reactions to prescribed medications.
- Ordered, received, stored and inventoried medications as required by facility policies and procedures.
- Maintained accurate records regarding patient's medical history, vital signs and progress notes.
- Communicated effectively with physicians, nurses and other healthcare professionals about medication orders.
- Observed patient vital signs and medication reactions and reported health concerns or behavioral changes.
- Maintained medication stock and cleaned patient rooms and equipment.
- Helped clients stay happy and healthy by providing mental and emotional support.
- Dressed, groomed and fed patients with limited physical abilities to support basic needs.
- Prepared high-quality nutritious meals for patients to promote better overall health and improve eating habits.
- Reduced errors by hand-counting controlled medications, accurately measuring liquids and reconstituting antibiotics.
Billing Specialist
Dr. LaTourette
Las Vegas, NV
09.1997 - 04.2003
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Maintained accurate records of collections, adjustments and denials in the system.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Performed data entry into accounting software programs such as QuickBooks.
- Provided support to other departments within the organization as needed.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Submitted claims to insurance companies.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Performed insurance verification, pre-certification and pre-authorization.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Education
BACHELOR OF HEALTH CARE ADMINISTRATION - HEALTH CARE ADMINISTRATION
University of Phoenix Online
Tempe, AZ05-2010
MEDICAL ASSISTING - HEALTH CARE
NEVADA CAREER INSTITUTE
Las Vegas, NV09-1997
High School Diploma -
BASIC HIGH SCHOOL
Henderson, NV05-1996
Skills
- Multi-Line Phone Systems
- Charting and clinical documentation
- Multi-line phone operations
- Appointment Scheduling
- Confidentiality
- Follow-up skills
- Insurance Verification
- Data Entry
- Active Listening
- Professionalism
- Problem-solving aptitude
- Interpersonal Skills
- Task Prioritization
- Teamwork and Collaboration
- Regulatory Compliance
- Decision-Making
- Relationship Building
- Goal Setting
- Microsoft Office
- Problem-solving abilities
- Multitasking
- Adaptability and Flexibility
- Handling Complaints
- Reliability
- Coaching and Mentoring
- Excellent Communication
- Time management abilities
- Attention to Detail
- Team Collaboration
- Phone and Email Etiquette
References
References available upon request.
Timeline
Intake Coordinator
Highmark Blue Cross Blue Shield
08.2016 - Current
Home Health Aide
Comfort Keepers Home Care
06.2010 - 06.2013
Certified Medication Aide
Davis Manor
05.2009 - 06.2010
Billing Specialist
Dr. LaTourette
09.1997 - 04.2003
BACHELOR OF HEALTH CARE ADMINISTRATION - HEALTH CARE ADMINISTRATION
University of Phoenix Online
MEDICAL ASSISTING - HEALTH CARE
NEVADA CAREER INSTITUTE
High School Diploma -
BASIC HIGH SCHOOL
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