e-Resume

Competencies:
Knowledge of ICD-9/10, CPT, HCPCS coding, and modifiers; medical terminology; anatomy & physiology; insurance verification; insurance authorizations; HIPAA compliant; CMS-1500 (v02/12) and UB-04 completion
Qualifications
  • File insurance claims according to appropriate guidelines
  • Knowledge of Medicare, Medi-Cal, TRICARE, WC, Commercial Payers
  • Verify patient eligibility and coverage
  • Double check ICD9/10 and CPT codes from superbill against documentation
  • Interpret ERA/EOB issues, correct versus incorrect payments
  • Post and reconcile insurance and patient payments
  • Track status of claims and resubmits any as appropriate
  • Send appeal letter, EOB and additional documents for reconsideration
  • Determines age of overdue accounts and implement collection activity
  • Mail monthly itemized statement to patient
  • Protect confidentiality of patient information
  • Precise reading skills and basic mathematics
  • MS Word, MS Excel, basic Outlook & Practice Management Software/System
  • Touch-typing skills 40 wpm and ability to use telephone, internet, copier, fax, and scanner
Education

   Diploma - Bachelor of Elem. Education-Tarlac State University; Philippines

Related Learning Experience
 Various Practicum Nursing Student Curriculum, Philippines
Interviewed patients and documents their past and present history
Foundation of Nursing: hand washing, first aid and CPR
Obstetric-Gynecological Nursing: Pre-natal care, Post-natal care. and Newborn care
Pediatric Nursing: Care of infants and children with health problems
Surgery Concept: Pre-operative, Intra-operative and Post-operative care
Oxygenation: Oxygen therapy, suctioning and chest drainage
IV Fluid, blood and drug administration 
Care of patient in cast, traction, communicable diseases
Care of patient with neurologic and cardiac problems
Care of patient in dialysis, colostomy, under chemotherapy and radiotherapy 
Care of critically ill, the dying and the dead
Management Process: Student clinical instructor role and head nursing practice
Ethico-Legal and Moral aspect: attended seminars and workshops

 Nursing Aide Volunteer CLDH Hospital, Philippines
Greets arriving patients and assists with completion of paperwork
 Took BP, TPR, record intake and output 
Answers phone call in nurses' station
Prepared private rooms and wards to be used for admission of patient
Prepares new patient medical records, ask patient for complete signature and date it 
Collects patient specimens and sent to lab for testing
Attached lab results taken from lab department for physician to evaluate
Completed delegated tasks by the staff nurse, following scope of responsibility
Documents all patient care provided
Maintains equipment, order and stocks clinical supplies 
Maintains reception or nurses station area

 4th Grade Elementary Teacher, Philippines
Lesson plan creation and prepare teaching materials
Storytelling, reading, and recitation of pupils
Decorating bulletin boards for conducive learning environment
Checking homework, quizzes and quarterly examination preparation
Communicating to teachers, parents and principal for necessary meeting purposes

 IWS and Sanyo, Philippines
Conveyor Line Operator and Machine basic computer operator
ICD-10-CM Index to Diseases & Injuries                                                                                               
ICD-10-CM Table of Drugs and Chemicals                                                                       
ICD-10-CM External Cause of Injuries Index                                                                                           
english tagalog dictionary

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