Customer Service Insurance

Licensed Practical Nurse

Shaina Kirsch

**** **** ***** **. ****, NV 89512

775-***-****. **********@*****.***

Objective

To obtain a position as an LPN that allows me to manage, and organize pre-admits. Verify

enhance the lives of patients and their families, patient’s demographics, insurance benefits,

allows the opportunity to working with people insurance eligibility, and request insurance

as part of a knowledgeable, positive, and authorizations from commercial insurance

supportive team while providing for individual companies. Utilize ICD-9 codes for patient

growth. diagnoses. Review patient’s clinical information

and act as a utilization review contact for

insurance companies. Prepare all pre admission

Skills documents that are to be viewed by case

managers, financial team for admission

• LPN since July 2010 approval. Notify clinical liaisons in a timely

manner when a patient is ready for transfer to

• Quality Holistic Nursing Care

our hospital, send out admit confirmations to all

• Supervisory Experience

designated staff. Provide daily status reports

• Customer Service in Medical Settings/

while following HIPPA regulations, enter

Excellent Communication

patient’s information into our hospital system,

• Experience as a clinical admissions re-verify admitted patient’s insurance eligibility

coordinator for an LTACH twice a month, among several other daily and

• BLS for healthcare provider certificate weekly duties.

LPN / Supervisor: HCR Manor Care April

2011-July 2012. April 2011-Current

Supervise and give technical expertise and help

Employment to the CNA staff as they provide care to meet the

residents’ ADL’s in accordance with HCR policy

and procedure. Administer medication in a

LPN Clinical Admissions Coordinator: Tahoe

timely manner following the 5-rights of

Pacific Hospitals (LTACH)

medication administration. Check blood sugars

July 2012-Current

and administer sliding scale insulin as ordered.

Work with the business development team by

Preform urinary catheterization as ordered, tube

constantly communicating pre-admission status

feedings, trach care, and breathing treatments.

of potential patients. Appropriately assign

Act as a treatment/wound nurse to residents who

referrals to liaisons. Prioritize and effectively

have skin tears, pressure sores/ulcers, or skin

issues. Complete patient admission and Health Unit Coordinator at Northwest

discharge processes, head-to-toe assessments Hospital

with 100% accuracy, including skin assessments. January 2009-October 2011

Coordinate with Medical Records to keep Meet patient and family needs by answering

patient files current and up to date. Keep their questions and directing them to appropriate

physician and family notified of any patient personnel. Enter patient demographics correctly

changes in condition or level of care, and into the system upon triage, including insurance

document data regarding patient’s condition into verification, Place physician orders on correct

progress notes. patients and provide follow up to ensure orders

are in the computer and carried out by other

departments in a timely manner. File patient labs

and tests in appropriate chart, and notify MD of

when they are able to review them. Breakdown

LPN/ Med Tech: Regency on Whidbey August

patient charts for med records and discharge

2010-April 2011 October 2010-March2011

them from system. Facilitate admits and

Directed CNAs and provided guidance when

transfers when needed. Ensure patient’s health

needed to facilitate patient care. Responsible for

information is kept private in accordance with

distributing medication to residents in a timely

HIPPA. Help keep the flow of the fast-paced

manner and ensuring treatments are completed.

department efficient by prioritizing tasks.

Conduct blood sugar checks and provide sliding

scale insulin as ordered. Chart documentation of

Health Unit Coordinator/ CNA at Island

each med/treatment performed on MAR. Place

Hospital

medication orders for patients to maintain an

May 2007-Sept 2008

adequate medication supply.

Greet incoming patients during triage to confirm

drug allergies and identity for their name band.

Per Diem Health Unit Coordinator: Whidbey

Input patient information for their medical

General Hospital September 2008-May 2010

record, including a copy of their ID and

April 2010-February 2011

insurance information. Show patients to their

Ensure a patient first philosophy by making sure

room, and notify nurse and MD that patient is

patients and their family’s needs are met by

ready to be seen. Order physician orders and

providing excellent customer service. Get each

ensure that they are carried out by the

patient’s chart ready for the nurses and

appropriate department. Give lab and test results

physicians prior to their care, verify insurance,

to the MD for review. Call for physician to

make sure that physician orders are ordered and

physician consults, request medical records from

carried out by appropriate departments, call for

other facilities. Perform patient care such as

MD to MD consults, breakdown charts,

taking vital signs, wound cleaning, setting up for

discharge patients, help facilitate admits within

sterile procedures and pelvic exams, performing

the hospital from the Emergency Dept. and

EKG’s, assist with toileting, and assist nurses

transfers to other hospitals when needed. Enter

and MD with patient care as needed. Answer

physician charges, request medical records from

phones, direct calls, stock rooms with supplies,

other facilities, answer calls and direct them

and keep the flow of the busy department

appropriately, stock supplies, prioritize in a fast

running smoothly, properly, and consistently.

paced environment while maintaining

professional composure

• Shoreline Community College: Seattle,

WA; nursing prerequisite classes.

September 2003- June 2005

• Kamiak High School, Mukilteo, WA.

Graduated in 2003.

Education

• Sno-Isle Skills Center: Everett, WA;

CNA training. September 2001-June

• Skagit Valley Community College: Oak 2002

Harbor, WA; part-time LPN program.

September 2008-June 2010

References upon Request

Contact this candidate