Assistant Office Review Nurse

Maimoona S. Ali

** ********* ******, ***********, ** 07621

Mobile: 551-***-****

e-mail: ********@*****.***

OBJECTIVE:

Seeking the challenging and responsible position of a Utilization Review Nurse.

CAREER PROFILE:

• Possess knowledge of ICD and CPT codes and have the understanding of insurance coverage.

• Possess strong analytical skills, able to assess and respond effectively to new and changing environment.

• Ability to maintain records, compile data, and prepare reports for various agencies.

• Capable of working independently in a time efficient manner and multitasking.

• Experienced, with the administrative process of patient registration, admission, and precertification.

• Knowledge of health care issues and trends.

• Computer and keyboard skills – Microsoft Word, Excel, PowerPoint etc.

WORK EXPERIENCE:

PHYSICIAN CERTIFIER: 07/2005 - present

Englewood Hospital & Medical Center

350 Engle Street, Englewood, NJ 07631

Precertification of oncology, hematology and other drugs.

Prior authorization of various outpatient and inpatient procedures.

Verifying benefits from various insurance companies and advising patients of their copays.

Cross trained in patient/client registration.

REGISTERED NURSE 01/2011 - present

Aveanna Healthcare

3 University Plaza Dr #124, Hackensack, NJ 07601

• Providing case management for home care patients: developing care plans through consultation with other members of the health care team.

• Performing independent nursing assessment of pediatric patients.

• Providing nursing intervention based on the assessed needs.

• Advocating for patients’ needs through communication with other members of the healthcare team as well as the patients’ families.

ASSISTANT OFFICE MANAGER 07/2003 - 06/2005

Ridgefield Park Medical Services

92 Euclid Avenue, Ridgefield Park, NJ 07660

• Supervising a team of three employees.

• Office billing.

• Pre-certifying procedures from the insurance companies.

• Referring patients to various specialists & admission to various hospitals.

MEDICAL SECRETARY 07/2000 - 06/2003

Ridgefield Park Medical Services

92 Euclid Avenue, Ridgefield Park, NJ 07660

• Front desk, creating and maintaining patient files & records.

• Scheduling appointments & office billing.

• Contacting pharmacies for patient prescriptions.

CERTIFIED HOME HEALTH AIDE 07/1994 - 06/2000

Norrell Health Care, Inc.

Banta Place, Hackensack, NJ 07601

• Provision of care to patients across all age groups at their residence / home.

LICENSES & CERTIFICATIONS:

• Registered Professional Nurse – NJ 04/2022 - 05/2024

• BLS for Health Care Providers (CPR & AED) 09/2020 - 09/2022

EDUCATION:

AAS NURSING Bergen Community College, Paramus, 12/2009

BACHELOR OF SCIENCE Maharani’s Science College, India 07/1986

• Majors: Chemistry, Human Nutrition, & Zoology.

REFERENCES: Will be provided when needed.

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