yyyyyy x. yyyyyy

3505 w. lake jessie drive se                                         (320) 0000 xxxxxx xxxx , xxxx , xxxxx 00000   email address

 

career goal

exploring career opportunities to utilize healthcare, clinical skills, reimbursement/insurance procedures, patient treatment, physician support, organizational and communications abilities in a challenging nursing/medical center administration assignment.

 

core competencies

ø  licensed practical nurse seeking re-entry into field.

ø  over 20 years of healthcare, medical center operations and healthcare insurance experience.

ø  expertise in insurance processing, patient records and claims methodologies.

ø  skilled in coordination with major healthcare insurers.

ø  adept in capturing appropriate reimbursements on a consistent basis.

ø  knowledgeable in all facets of medical office operations including reception, patient documentation, scheduling and preparation for patient treatment.

ø  demonstrated background in workers compensation documentation.

ø  outstanding capacity in staff management and leadership.

ø  skilled in completing critical projects on time and at cost.

ø  strongly results-oriented with emphasis on obtaining full utilization of resources to achieve organizational goals and objectives.

ø  proven capacity in communications and presentations.

ø  record of progression to positions of wide-ranging responsibility.

career background

minnesota association of facility management professionals, location                                 2002 - present

volunteer

         recruited to perform wide-ranging office administrative duties.

         facilitated financial control, cash management and bank reconciliations.

         tasked to coordinated communications with vendors and school members.

 

broadway medical center, alexandria, mn                                                                                                        1989 - 2001

insurance representative (1999-2001)

         promoted to play key role in insurance function for this high volume medical center, formerly doing business as runestone family practice, p.a.

         initiated insurance filings with major carriers including blue cross/blue shield.

         ensured completion of patient demographic and insurance data.

         spearheaded inquiry responses from patients and insurance companies.

         performed in-depth research regarding claims resolution.

 

insurance department manager (1989-1999)

         recruited to assume responsibility for critical department.

         managed and processed bc/bs, medical assistance, medicare and preferred one insurance claims.

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         ensured claims accuracy.

         implemented well-regarded quality improvement program.

         coordinated referrals for state healthcare plan patients.

         orchestrated effective processing of workman s compensation.

         kept physicians/office manager advised on insurance issues.

         utilized disc system for charges, payments, communications and patient information.

         aided patients with inquiries and issues.

         administered charge tickets for three family practice physicians.

         tracked all medical plan claims for proper coding and for resolution of any issues/errors.

         forwarded hcfa health insurance claim forms, both electronically and non-electronically, to appropriate recipients.

         authored and maintained journal entry board.

         analyzed and evaluated health plan aging reports.

         assessed and interpreted hospital laboratory fees.

         concurrently acted as secretary, receptionist and data entry processor.

 

planned parenthood, mankato, mn                                                                                           1986 - 1988

clinic assistant

 

carlson craft, north mankato, mn                                                                                           1984 - 1986

order entry operator

 

mankato clinic, ltd., mankato, mn                                                                                          1982 - 1983

licensed practical nurse

 

minneota manor, minneota, mn                                                                                               1979 - 1981

licensed practical nurse/charge nurse

 

earlier background

prior to 1979, served as licensed practical nurse, memorial hospital, north little rock, ar; licensed practical nurse/charge nurse, jacksonville convalescent hospital, jacksonville, ar; and certified nursing aide, minneota manor, minneota, mn.  in these assignments, developed outstanding healthcare, ob/gyn, surgical, treatment, documentation, medication and person care skill sets.

 

 

education/training

american heart association

first aid and cpr course, adult/child/infant, 2007

 

 

licenses/certifications

minnesota board of nursing

licensed practical nurse

license #: l 027 461-6