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Medical Nurse Practitioner

Location:
Woodridge, IL
Posted:
June 13, 2020

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Resume:

Samreen Syed

addsub@r.postjobfree.com

CELL PHONE 773-***-****

Objective Statement

Seeking a position with a growing organization to make a positive impact on revenues, and experience long-term career growth. Versatile professional with excellent qualifications to support business initiatives requiring critical thinking skills and an engaging leadership style. Self-motivated, collaborative, and energetic contributor utilizing strong interpersonal skills to build productive working relationships to achieve targeted business results. Patient Account Representative with a career spanning over 18 years. Provides a guiding hand to navigate patients through potential medical costs, insurance needs, and administrative procedures, along with an empathetic and respectful demeanor. Continual participant in on-the-job training and education to help patients understand the most up-to-date policies and procedures.

Skills Summary

•Word Processors: WordPerfect Microsoft Word / Works PCWrite.

•Spreadsheets: Excel, Quick book.

•Experienced using most Windows-based applications, including MS Office Suite (Word, Excel, PowerPoint, Internet Application and Access) WordPerfect, and Lotus Notes.

•Thorough knowledge of software Brightree, Practice fusion, Axxess, ICD 9 and ICD 10 codes.

•Contract Auditing

•Financial Records and processing

•Operations management Computer proficient Contract negotiation/review /drafting File/records maintenance Results-oriented Quick learner Client-focused Training and development

•Insurance Policies - Medicare, Medicaid, Commercial Insurances

•Electronic Medical Record Systems

•Positive Customer Relations

•Patient Rights and Responsibilities

•Hospital and Industry Best Practices

Employment Experience

Superior Air and Ground Ambulance Elmhurst, IL 07/2018 to Present

Refund Specialist

Accomplishments

•Coded provided service using ICD10, ICD9 and HCPCS code billing and coding formalities.

•Kept abreast of federal coding requirements and guidelines.

•Submitted bills for reimbursements to private insurers Medicaid and Medicare.

Responsibilities

•Randomly audited charts for accuracy of coding as assigned

•Reported any coding issues to management.

•Enter appropriate medical codes into insurance refund forms.

•Maintain chart records, and maintain confidentiality.

•Retrieve electronic remittance advise (ERA’s)

Midas Villa Park, IL 03/2016 to 01/2018

Administrator

Accomplishments

•Reviewed and provided comments on the adequacy of documents and took necessary steps to cure any deficiencies.

•Prepared correspondence, accounting and financial documents for analysis.

•Reviewed and provided comments on the adequacy of documents and took necessary steps to cure any deficiencies.

•Assisted customers with video selection and payment. Became a key resource for screening new hires.

•Provided translation assistance for Hindi-speaking customers, leading to an increase of business of over $2K per month.

Responsibilities

•Managing office activities and operation to secure efficiency and compliance to company policies.

•Manage agenda/travel arrangements/ appointment etc for upper management. Supporting budgeting and book keeping procedures. Manage phone calls and correspondence (email, letter, packages etc).

•Support budgeting and bookkeeping procedures.

•Track stocks of office supply and place order when necessary.

Physicians At Call Inc Chicago, IL 03/2016 to 01/2018

Founder, Director of Operations

Accomplishments

•Business Development and sales.

•Finances and account maintenance.

•Successfully grow the patient base from zero to 600 patients in a span of the year.

•Successfully maintain licenses and compliance codes for the business.

Responsibilities

•Responsible for developing the business from initial stages, drafting business process needs driving through functional requirements. Hired Physicians, nurses and medical professional as staff for the business.

•Authored RFP for bidding on contracts with various medical practices.

•Interviewing Patients to document their medication and medical needs to develop patient reports.

•Responsible for developing requirement analysis documentation, status reports, and document organizational needs.

•Developed a patient inception and orientation process for successfully getting patient acclimated into Physicians at call system. Developed monthly, quarterly and yearly reports for business financials and patient (customer) growth

•Interview new patients to determine care needs; refer to an appropriate specialist.

•Review patient's insurance policy and discuss additional financial needs. Provide recommendations on coverage and payment plans.

•Keep patients informed of any paperwork or documentation needed during the treatment process.

•Educate others on facility policies and patients' rights.

•If patients have concerns regarding their treatment or staff, escalate to the appropriate manager for follow-up.

•Connect with patients to ensure they are following through with outpatient treatment and to address any questions or issues.

Link Homehealth Care Inc Chicago, IL 03/2014 to 02/2016

Founder, Healthcare Admin

Accomplishments

•Patient Inception and education through bi-weekly classes.

•Gained required licenses and training for running the business.

•Contract negotiations with medical practices, physicians, and real estate companies.

Responsibilities

•Responsible for developing the business from initial stages.

•Trained staff to provide assistance to homebound patients.

•Authored and negotiated contracts and RFP with Medicaid and billing agencies.

•Assist with breaking down roadmap goals and themes into meaningful requirements and tasks.

•Negotiated and maintained Software licenses with software vendors.

•Developed orientation program and presentation to demonstrate companies' value added proposition at various seminars.

•Developed a nurse practitioner database to effectively schedule medical staff on demand

•Responsible for patient audits with Federal agencies like Medicaid and private insurances.

•Communicated with doctors and specialists to obtain updated information on patients' cases and treatment plans.

•Collaborated with patients to create manageable payment plans based on insurance and financial need.

•Identified any discrepancies in insurance coverage and worked with providers to ensure that patients' needs are fully met.

US Medical Equipments Inc Chicago, IL 06/2006 to 02/2014

Co-founder, Director of Operations

Accomplishments

•Successfully grew the patient population to 7K over the span of 7 years.

•Effectively managed patient needs through developing an effective communication and logistics process for medical equipment delivery.

•Authored Physician and Nurses contract and their terms of services with the business.

•Manage Vendor relationships.

•Effectively build the business from 35 K to 1.25 million dollars annually.

•Effectively become the sole owner of the business within two years of operations.

Responsibilities

•Responsible for developing an effective business growth plan.

•Developed patient documentation for medical audits based Federal and State guidelines.

•Trained staff with medical billing and coding process and software training, documented and developed self-service training.

•Point of contact for Federal agencies and private insurances, providing all the necessary patient reports, documentation and plan for effective care.

•Authored detailed reports and analysis documentation, documenting future business growth needs.

•Developed reports for annual review with stakeholders initially.

•Define improvements to business processes and product features, assist decision-makers in gathering information to clarify and determine priorities.

•Effectively designed two-year business buy-in plan.

•Responsible for developing a small effective business architecture to manage customers, a process documentation which served an onboarding document to staff giving an overview of the business.

•Managed a staff of six employees, their schedules, and delivery routes.

•Managed relationships with vendors and authored RFIs for them.

•Reached out to new patients and their families/caregivers to provide guidance on treatment.

•Specialized in patients with Medicare and Medicaid - helped patients navigate complex rules and policies to guarantee appropriate coverage.

•Interacted with doctors regularly to provide updates on concerns or follow-up questions from patients.

Osco Drug Niles, IL 01/1998 to 12/2007

Pharmacy Technician (Licensed) Retail

Accomplishments

•Helped grow the customer through excellent customer service skills.

•Promoted to team lead from initial part time staff.

•Provided guidance to customers on dosage of their medicine

Responsibilities

•Responsible dispense medications on receiving prescriptions from customers.

•Effectively managed the pharmacy with the pharmacist to arrange medications as per corporate requirements.

•Managed communications with physicians, customers and medical pharma reps.

•Responsible for verification of Packaging and labeling the prescriptions.

•Track the inventory and place order for the pharmacy.

•Managed and scheduled part time staff.

Education And Training

Bachelor of Science in Business Administration, Argosy University, Schaumburg, IL, 2012.

Business Analysis (BA) training 2017-2018

References

References Available by Request



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