Medical Registered Nurse

Mariana Baykoucheva

E-mail: ***********@*****.***

Immigration status: US Citizen

Professional Summary: Recently graduated LVN licensed in State with number

years of working experience as a RN in Europe, seeking a rewarding nursing

career.

Certificates:

Active California LVN Licensure # 266158

exp. 9-30-2015

BLS/CPR/AED issued by American Heart Association for healthcare providers.

Exp. 05/20/14

I.V. Therapy and Blood Withdrawal

Education:

Medical Assisting Certificate

2003-2005

Dalton State College, Dalton, GA

Associate Degree in Nursing

1983-1985

Institute for Medical Staff Training

Bulgaria

Skills:

. Experience and knowledge regarding the physical, mental and social needs

of patients.

. Health management and maintenance, illness prevention, deviations from

normal health, treatment, pharmacology and standard medical precautions,

infection control policies.

. Put patient's safety first and support patients in identifying their best

interests.

. React calmly under stress, communicate clearly and pay attention to

details.

. Recognize the signs and symptoms of potentially emergency situation and

utilize knowledge to assist with emergencies.

. Instruct/teach client and his family about diet, methods of prevention

disease, hygiene, meds.

. Strong customer service skills; ability to receive telephone inquiries in

a tactful, helpful manner; organization skills at work, confidence, a

calm attitude, and multi tasking personality.

. Med. Terminology, ICD-9/10, CPT Coding, Medicare, MediCal guidelines.

. Knowledge of HIPPA Privacy rule and Electronic Exchange of Health

Information.

. Microsoft Word, Excel, Outlook, Electronic Healthcare Records (EHR).

Work History:

Medical Collector/Biller

May 2012-present

Children's Hospital LA Medical Group

6430 Sunset Blvd #600 Los Angeles, CA 90028

Hired by MedSearch Financial Inc

. Obtain AUTH, CCS SAR, and TAR and apply them in the system; generate and

submits paper and electronic 1500 claims using IDX medical software.

. Gather and analyze data, prepare and interpret medical reports. Attach

them to the claim forms.

. Research and responds to denials using Explanation of Benefits for

physician's services.

. Collect past due balances from insurance companies- Managed Care,

MediCal, CCS, Medicare, CA Healthy Families Program, commercial

insurances-HMOs, PPOs, POS.

. File grievances and appeals on improperly paid or denied claims using IDX

and Athena Health medical softwares.

Administrative Assistant

May 2009-August 2011

UCLA Jules Stein Eye Institute

100 Stein Plaza 2nd floor Los Angeles, CA 90095

. Registered/Checked-in/Checked-out patients; verified patient's

demographic and insurance benefits and eligibility prior to appointments;

scheduled consultation, and follow-up appointments.

. Requested AUTHORIZATIONS and SARs as required for follow-up patients.

. Managed Care, HMOs and PPOs, Medicare, Tricare, MediCal, CCS, and Worker

Comp.

. Provided specific information to patients regarding clinic procedures.

Medical Follow up Biller

December 2006-May 2009

UCSD Medical Center Medical Business Services

8575 Gibbs Dr. San Diego, CA 92123

. Obtained AUTH, CCS SAR, and TAR and applied them in the system; generated

and submitted paper and electronic 1500 claims using IDX medical

software.

. Gathered and analyzed data, and interpret medical reports. Attached them

to the claim forms.

. Researched and responded to denials using Explanation of Benefits (EOB)

for physician's services.

. Collected past due balances from insurance companies- commercial

insurances-HMOs, PPOs, POS, Medicare, MediCal, CCS, CA Healthy Families

Program.

. Filed grievances and appeals on improperly paid or denied claims using

IDX medical software.

Medical Assistant Front and Back Office

March 2003- November 2006

Dalton Pulmonary Medicine

1421 Ross Drive #3 Dalton, GA 30720

. Obtained patient eligibility and demographic information; updated and

filed patient's medical records.

. Took medical histories, vital signs, O2 saturation, body weight, and

recorded them.

. Explained treatment procedures to patients.

. Prepared patients for examination and assisted the physician during the

examination.

. Observed patient's condition and behavior, and reports significant change

to the physician.

. Performed basic laboratory tests; obtained laboratory specimens via

peripheral venipuncture; notified patients of lab results as instructed

by clinicians.

. Performed peak flow measurement, spirometry, pulse oximetry, and

nebulizer treatment.

. Performed EKG. Placed 24-hours Holter Monitor to patients.

. Instructed patients about medications' use and side effects and special

diets.

. Obtained and document physician approval on pharmacy and patient request

for prescriptions and refills.

. Disinfected medical instruments and sterilized them.

Certified Nursing Assistant/Restorative

March 2000- March 2003

Quinton Memorial HealthCare & Rehab Center

1114 Burleyson Road Dalton, GA 30720

. Direct patient care such as assisting with bathing, eating, dressing, and

walking patients.

. Obtained vital signs, weights and enters them in the patients' records.

. Observed patients for change in condition (deviation in color, pulse,

respiration, temperature, and blood pressure) and reports them to the

registered nurse.

. Turned and repositioned bedridden patients to prevent breakdown of their

skin; recorded the amount of oral intake and measured urinary output;

collected specimens for tests.

. Performed simple treatment procedures such as changing sterile dressings;

applying or removing binders, arm slings, dressing, and bandages;

applying hot and cold packs.

. Assisted patients with active and passive range-of-motion exercises and

helped them improve or maintain a certain level of mobility and other

physical ability. Documented the participation of patients in scheduled

therapy activities, their progress and any difficulties.

. Assessed the condition of adaptive equipment such as walkers, gait

trainers, and crutches.

. Monitored patient's physical, emotional, and mental status and reported

changes to the nursing staff. Monitored Input & Output; kept records of

care given.

Staff RN

January 1986-October1999

County Hospital of Pernik

Family Clinic

Bulgaria, EU

. Provided preventive and/or acute care of infants, children, adolescents,

and their families.

. Performed head to toe examinations; took vital signs; recorded patients'

symptoms and health histories

. Administered first aid for minor burns, cuts, bruises, and sprains.

. Responded to phone messages from patients and informed physicians as

needed.

. Assisted physicians during medical exams and procedures conducted tests,

administered medicine to patients- subcutaneously, intramuscularly,

intradermally, subdermally, and/or orally.

. Performed venipuncture, injections of medications, immunizations for

pediatric and adults.

. Provided intervention ordered by practitioner (e.g., wound care,

dressings, suture removals, EKG, and IVs)

. Regular check ups of healthy children and made sure that they are given

immunizations on time.

. Dealt with depressed and tensed parents; truthfully informed parents

about their children's health, and at the same time offer them emotional

support and strength.

. Explained post-treatment care clearly to patients and their families,

including diet, exercise, medication uses and side effects, changing the

dressing or bandages, and physical therapy.

. Educated patients of medication administration such as insulin.

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