Post Job Free

Resume

Sign in

Insurance Medical

Location:
Louisville, KY
Posted:
October 19, 2013

Contact this candidate

Resume:

Jennifer M. Bosworth, LPN

acaa0f@r.postjobfree.com 502-***-**** 2511 Briargate Avenue Louisville,

Kentucky 40216

[pic]

OBEJCTIVE: To obtain a position as a Licensed Practical Nurse where I can

reach top nursing care performance utilizing advance nursing practices,

medical methods and techniques.

EDUCATION

Galen College of Nursing LPN Program

Louisville, Kentucky

July 2008 to July 2010

Kentucky License: 2048220

Skills

Recording vital signs . Feeding assistance

. Injections, enemas . Personal hygiene and dressing

. Catheterization . Documenting health history

. Wound dressing and management . Clerical duties

. Trach Care

( G/J Tube care

EMPLOYMENT

Signature Healthcare Louisville South January

2013 to Present

Charge Nurse

. Admitting patients and discharging patients from the facility.

. To make sure medical equipment, medicines, inventories, etc.,

available in the facility

. They keep a track of the available rooms in the facility and explain

the terms and conditions to the patients admitted to the facility

. Provide patient care and nursing duties such as assisting the patients

in dosage of medicines and providing guidance on healthcare for them

. Overlook the duties of the CNAS and administer their shifts and duty

hours in the facility

Guardian Healthcare staffed at Hazelwood Center

November 2012 to January 2013

LPN

. Recorded condition and nursing requirements of residents.

. Liaised with physicians / administered medication, treatments as

prescribed.

. Documented treatment plans and procedures in accordance with

regulations.

. Monitored stocks of medical supplies.

. Liaised with other nursing departments regarding patient treatments

and therapies.

. Assisted with emergency response to sudden patient illness.

. Managed g-tube,j-tube and super pubic cath care

. Administered respiratory treatments

. Assisted residents with self-care techniques

. Managed trach care

University Child Health Specialist/ University Pediatric Foundation

August 2008 to November 2012

Reimbursement Specialist/Collector/Biller

. Prepares and submits clean claims to various insurance companies

either electronically or by paper by timely guidelines per Insurance.

. Obtain prior authorizations and or back dated authorizations depending

on the Insurance.

. Prepares, reviews and sends patient statements

. Evaluates patient's financial status and establishes budget payment

plans. Follows & reports status of delinquent accounts.

. Reviews accounts for possible assignment and makes recommendations to

the office manager, also prepares accounts for outside 3rd party

collection agencies.

. Negotiating payments with non-par Insurance companies & Third Party

Administrators

Lincare

May 2007 to August 2008

Intake Coordinator/Reimbursement Specialist

. Input all setup orders for Oxygen, Nebulizers, CPAPS, BIPAPS and other

DME equipment.

. Schedule all Heartsteps & Carechecks for new and existing patients.

. Set up Testing for Sleep Studies and Overnight 02 testing and input

testing results in system.

. Insurance verifications on new and existing patients.

. Prepare and enter CMNS, recerts and renewals for billing

. Process new and reorders of Unit Dose medications.

. Work all Held Sales, 02 & RX expiration and PA Reports monthly

RxCrossroads February

2006 to May 2007

Reimbursement/Patient Assistance Specialist for Roche Pharmaceutical PAP

Program

. Enroll patients in a drug reimbursement and patient assistance program

. Serve as a patient advocate in securing reimbursement for drug

therapies.

. Secure needed medical documentation required or requested by a third

party insurance carriers and follow-up with insurance carriers on

unpaid reimbursements until they are paid in full

The Rawlings Company March 2001 to

April 2004

Workers Comp Subrogation Analyst

. Verified accepted or denied Workers Compensation claims through the

Carrier.

. Obtained medical histories and determined what applied to WC injury

and prepared lien

. Settled claims with Workers Compensation Carriers, Attorneys, and or

Employers.

Online Support Specialist

. Responsible for retrieving requests entered into SRS by Reps and

pulling claim histories from the D.O.A to present or by an update by

the last completed pulled history date.

. Responsible for retrieving Provider information, Member information,

effective and term dates of policy, group information, diagnosis codes

and ICD-9 codes for Subro Reps.

REFERENCES

Tonya Mattingly University of Louisville Physicians P.

502-***-****

Dawn Ashley Lincare P.

502-***-****

Daphney King RxCrossroads P.

502-***-****



Contact this candidate