
Looking for a position that will allow me to utilize my skills as well as promote room for growth.
Service Hospital and Clinic patients with Durable Medical Equipment for at home care. Fit Braces, Walkers, Wheelchairs, Canes, Crutches, etc. Review order and procedure codes for accurate billing. Preform blood draws, EKGs scans, Lead placement, vitals, BGMs, Bladder Scans, etc. Assist with bathing, and daily needs as neccessary. Report changes to nursing staff, ensuring timely medical intervention.
Managed care for autistic residents. Supervised daily operations to ensure high-quality care and compliance with state regulations.
Collected and analyzed data on client progress to ensure adherence to therapy goals. Collaborate with multidisciplinary teams to enhance care strategies. Conduct regular assessments to adjust interventions. Assist Board Certified Behavior Analyst in designing personalized treatment plans.
Evaluated prior authorization request to ensure compliance with policy guidelines verifying procedure codes for billing. Collaborated with healthcare providers to gather necessary documents for approvals and correct coding for less denials. Managed a high volume of calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Coordinated care plans for clients ensuring alignment with individual needs and preferences. Collaborate with healthcare providers to facilitate seamless communication and service delivery. Trained new hire on best practices, client care, and documentation standards.
Provide personalized care to individuals with Autisim. Fostering independence and enhancing daily living skills. Monitoring resident behaviors, documenting observations, to inform adjustments in care strategies and support methods.
Provided direct patient care, maintained accurate patient records using EHR systems for seamless communication. Performed blood draws, EKGs, and other diagnostic test accurately and efficiently for prompt analysis. Assist nurse with essential task streamlining workflow.
Set up new customers in billing system, verify DME coverage, measure and fit patients for equipment. Process and verify insurance claims, procedure codes and modifiers to ensure accurate billing. Work denied claims.
Case Management
Prior Authorizations
Insurance Verification
Billing processes
Documentation Review
ICD-9, ICD-10
Behavioral Health
HIPPA