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Patient Care Quality Assurance

Location:
United States
Salary:
18
Posted:
March 27, 2024

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Resume:

NC

NERISSA CAMPBELL

ad4l86@r.postjobfree.com 606-***-**** Hazard, KY 41701

Dedicated EMT bringing over 20 years of excellent performance in medical roles. Offers unwavering work ethic and dedication to patient care. Industrious and focused on continuous professional development. Vital Signs Monitoring

Condition Assessment

Vital Sign Assessment

Direct Patient Care

Patient Management

Patient Assessments

Patient Stabilization

Emergency Response

Medical Records Management

Patient Transport

Medical Volunteer

Ambulance Driving

Critical Decision-Making Skills

Field Patient Assessments

Patient Triage

Supply Restocking

Cardiopulmonary Resuscitation

Quality Assurance Controls

Reporting and Documentation

CPR and First Aid

Patient Evaluations

Scene Assessments

Medical Recordkeeping

GMR Prestonsburg, KY

EMT-Basic

07/2021 - Current

Assessed emergency situations and prioritized medical care for patients. Demonstrated dedication to providing quality care through continued training and education.

Remained level-headed and proactive during emergency situations. Developed strong rapport with other medical professionals to foster quality and efficient patient care.

Documented calls in reports detailing incident type and course of treatment.

Evaluated patients' medical status and monitored vital signs during transit. Monitored patients from scene to hospital transfer while conducting in-transit care.

Communicated with dispatchers and hospital personnel to arrange logistics for patient transport.

Documented patient condition and treatment to facilitate plan of care. Rendered direct patient care by stabilizing patients and determining course of action based on triage.

Evaluated patients at accident scenes to screen, assess and treat significant injuries.

Performed CPR and used cardiac defibrillator to revive patients in cardiac arrest or arrythmia.

Reviewed inventory levels prior to shift and restocked ambulance to prepare for service.

Summary

Skills

Experience

Explained to conscious patients steps involved for medical evaluations and need for possible hospital transport.

Appalachian First Response Stone, KY

Medical Billing and Collections Specialist

03/2011 - 07/2021

Took billing calls, questions and concerns from patients and third party carriers.

Entered patient charges and payments into electronic health records. Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.

Identified discrepancies and carrier issues regarding billing and reimbursements.

Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts. Protected medical office operations and integrity by keeping patient information confidential.

Attended provider meetings and workshops when appropriate. Sent incomplete or incorrect claims to supervisors for proper adjudication. Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices. Collected, posted and managed patient account payments. Monitored past due accounts and pursued collections on outstanding invoices.

Managed all payments processing, invoicing and collections tasks. Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management. Answered customer questions to maintain high satisfaction levels. Performed insurance verification, pre-certification and pre-authorization. Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts. Processed invoice payments and recorded information in account database. Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology. Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.

Executed account updates and noted account information in company data systems.

Input statement information, reconciled accounts and resolved discrepancies.

Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers. Enforced compliance with organizational policies and federal requirements regarding confidentiality.

Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations. Reviewed legal claims for accuracy and issues.

Performed accurate and fully compliant monthly closing processes, accruals and journal entries.

Weighed envelopes containing statements to determine correct postage and affix postage.

ARH Medical Center Hazard, KY

Admissions Representative

02/2001 - 07/2007

Advised students throughout admissions process and assisted with questions or concerns about completing and submitting specific forms and documents.

Met with approximately [Number] potential students per semester to support admissions process, answer questions and explain degree programs.

Presented information session speeches to explain perks, benefits and details about enrolling.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Understood and followed oral and written directions. Maintained updated knowledge through continuing education and advanced training.

Provided excellent service and attention to customers when face-to-face or through phone conversations.

Approached customers and engaged in conversation through use of effective interpersonal and people skills.

Displayed strong telephone etiquette, effectively handling difficult calls. Recognized by management for providing exceptional customer service. Scanned and stored files and records electronically to reduce paper files and secure data.

Input client information into spreadsheets and company database to provide leaders with quick access to essential client data. Stored hard copies of data in organized files to optimize retrieval. Maintained database by entering new and updated customer and account information.

Contacted customers via phone or email to address data inquiries. Identified and corrected data entry errors to prevent duplication across systems.

Reviewed, corrected or deleted data, verifying customer and account information.

Verified outdated data and implemented necessary changes to records. Followed data program techniques and procedures to maintain data entry requirements.

Verified confidential or private client information in adherence to state and federal laws.

Reviewed and updated account information in company computer system. ARH Medical Center Hazard, KY

Medical Transcriptionist

03/2002 - 08/2005

Demonstrated extremely fast and accurate typing abilities. Demonstrated strong knowledge of medical terminology and anatomy. Made corrections when needed to grammar, spelling and syntax. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.

Transferred transcribed materials into electronic health records system. Identified errors in reports which could compromise patient care. Reviewed diagnostic and procedural terminology for accuracy. Identified and corrected errors in reports which could compromise patient care.

Recorded and filed patient data and medical records. Edited drafts originating from speech recognition software to eliminate errors and improve flow.

Attended training sessions geared to the position to improve skill set and increase speed and accuracy.

Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.

Reviewed patient records to check accuracy of information and implement updates.

Kept operations in full compliance with HIPAA rules and [Type] regulations.

Called upon [Job Title] immediately at first sign of [Type] problems. SYKES Hazard, KY

Call Center Representative

08/1999 - 12/2002

Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.

Answered, screened and processed high volume of calls daily with call management system and web-based communications.

Maintained strong call control and quickly worked through scripts to address problems.

Engaged actively with callers, confirming or clarifying information and diffusing anger.

Navigated through computer systems to review information and respond appropriately to callers.

Offered resolutions to de-escalate calls and solve customer issues. Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.

Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships. Delivered fast, friendly and knowledgeable service for routine questions and service complaints.

Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.

Managed customer expectations by clarifying needs, identifying options and recommending products and services.

Consulted with customers to resolve service and billing issues. Assisted customers with inquiries and transactions to meet productivity goals and achieve profit growth.

Engaged in conversation with customers to understand needs, resolve issues and answer product questions.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Kept records of customer interactions or transactions, thoroughly recording details of inquiries.

Updated databases with new and modified customer data. Referred unresolved customer grievances to designated departments for further investigation.

Adjusted bills and refunded money to resolve customers' service or billing complaints.

Collected deposits or payments and arranged for billing. Hazard Community And Technical College Hazard, KY Early Childhood Education in Education

05/2021

Hazard Community And Technical College Hazard, KY Emergency Medical Technician in Emergency Medical Services Education and Training



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