Practical Nurse Customer Service

Victoria Stokes, LPN

Walker, Louisiana 225-***-**** adro3m@r.postjobfree.com https://www.linkedin.com/in/victoriadstokes PROFESSIONAL SUMMARY

· Empathetic and detail-oriented licensed practical nurse with years of experience in medical insurance, Med Surg, Telemetry, discharge planning, and patient total care.

· Strong desire in community advocacy and outreach with an understanding of the community in our region through shared experiences.

· Experience in skills such as health assessments, documentation, coordinating care, educating patients, communicating with providers, and professionals within the community.

· Consistently earned trust and confidence in my skills from patients, family members, and leadership for delivering excellent care and communication.

HIGHLIGHTS

· Licensed Practical Nurse - Compact State License

· Excellent Customer Service Orientation

· Solid understanding of coding principles ICD-10, CPT, HCPCS, DRG and RBRVS

· Knowledge of billing forms, RA’s, EOB’s and provider billing statements

· Knowledge of HIPPA privacy, CMS security requirements, and HIT guidelines

· Strong organizational and documentation skills

· Skilled and confident in using Microsoft Office Suite programs; Excel, PowerPoint, Vizio, Word and Outlook

· Outstanding ability to maintain high quality work while meeting strict deadlines

· Experienced with healthcare management systems: Epic, GE, Cerner, Athena, Allscripts, NextGen, Meditech, Paragon, Kronos KEY SKILLS

Health Information Management, Interdisciplinary communication and coordination, Clinical Documentation, Documentation improvement analysis, Quality Improvement, Data Analysis, Data Collection and Entry, Clinical knowledge, High level understanding of medical terminology and Anatomy and Physiology, Exposure to healthcare environment, Excellent communication skills, Nursing

(Quality, Utilization management, Chart review, Auditing, Denials management), Proficiency in EMR, Team player, Attention to detail, Positive attitude and willingness to adapt to change, Comprehend and adhere to policies and procedures. Knowledge of InterQual criteria and MCG Guidelines. Also skilled in Google Docs, Microsoft Office applications including Word, Excel, Access, Publisher, Outlook, and PowerPoint.

Star Program, HEDIS, and CMS Metrics

Electronic Medical Records: Meditech, Paragon, Kronos, etc. Management Systems: Epic, GE, Cerner, Athena, Allscripts, NextGen PROFESSIONAL EXPERIENCE

Pediatric LPN-Private Duty Home Health LHC Group Baton Rouge, LA 12/2020-present Independent clinical professional for children with critical needs and acute or chronic medical conditions in the comfort of home

· Communicate with physicians, parents, therapy, supervisors, and nursing staff to coordinate patients' health care.

· Educate patients, parents, and/or caregivers on appropriate self care techniques according to the plan of care.

· Provide direct skilled nursing care. Administer medication as prescribed by a physician and permitted by the law. Med-Surg/Telemetry-LPN Ochsner Medical Center Baton Rouge, LA 11/2019-12/2020 Provide care, treatment, and education to any ill, injured, or recovering adults admitted to the hospital while also collaborating with all medical professionals to ensure effective patient care delivery and achievement of desired patient outcomes.

· Remains knowledgeable on current federal, state, and local laws, accreditation standards, or agency requirements that apply to the as signed area of responsibility and ensured compliance with all such laws, regulations, and standards.

· Assess learning needs and implement a teaching strategy appropriate for diverse needs of the patient, family, and health care team.

· Utilize data, information and knowledge to evaluate and promote change in order to achieve optimal outcomes.

· Communicate, delegate and manage nursing team resources properly and serve as a member on the Interdisciplinary Team. Patient Financial Advisor-PAE Baton Rouge General Medical Center Baton Rouge, LA 01/2015-11/2019 Utilize clinical and financial resources submitted by physicians prior to each patient scheduled procedure date.

· Knowledge of medical insurance, terminology, viewing individual policy details for upcoming surgeries and procedures.

· Calculate and finalize out of pocket estimated costs then thoroughly reviewed with patients in my office.

· Collect payment from patients for responsible costs for upcoming procedures. LICENSES AND CERTIFICATIONS

Licensed Practical Nurse (LPN) Louisiana State Board of Nursing, Compact Status: Multistate, License # 30000604, unencumbered and unrestricted, expires 02/2023

Pediatric Advanced Life Support (PALS), American Heart Association, expires 09/2023 Basic Life Support (BLS) American Heart Association, expires 06/2023 Advanced Cardiovascular Life Support (ACLS) American Heart Association, expires 06/2023 Crisis Prevention Institute (CPI) Ochsner Health

EDUCATION A.A.S Degree in Practical Nursing (LPN), River Parishes College, Reserve, Louisiana, December 2019

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