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Executive Administrative skills, Nurse, insurance and finance

Location:
Lexington, SC
Posted:
July 03, 2023

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Resume:

Patricia Jordan-Rucker

*** ****** *****

Lexington, SC 29072

803-***-**** Mobile

Employment History:

****-**** ********* ****** ******** 1 Lexington, SC

Float nurse to cover all health rooms where needed when the primary nurse is out or has screenings to complete, administer all scheduled and PRN medications, update date student records, record immunizations, assess student complaints and take appropriate action as needed.

Transferred to Pelion Middle School as the executive secretary. This position required attention to the day-to-day operations for the campus and such as: purchase orders for supplies, furniture, maintenance, time and attendance for staff, maintain calendars for administrators and monthly activities, athletic functions, banking, billing, all Title 1 orders and meetings, staff time and attendance, all workers comp claims, and any issues that needed attention when administrators were not available. FY budgets and projections for next school year’s budget for all departments in the schools.

I was the project manager for the new middle school. I placed orders for all necessary supplies, furniture, plants, ice machines, instruments, athletic equipment, interior decorative items, plan the Ribbon Cutting Ceremony with invitations to District Superintendent, Local and Community Leaders, parents, students, and family members of staff. I transferred to Lexington Elementary School as the executive secretary, which was closer to home. I had the same responsibilities as the above executive secretary except I this was an elementary school, so they did not have any athletic department.

Reason for Leaving: Retired

2016- 2016 NHC Homecare West Columbia, SC

Schedule RNs, PT and OT for home care. Process all incoming itineraries for billing, distribute referral information to appropriate disciplines. Weekly follow-up of all schedules, text staff and call updates to staff as needed. Work daily reports and work from a DOS system.

Reason for leaving: Offered current position

2016-2016 Anchor Health and Rehab Aiken, SC

Worked as a staff nurse on the rehab unit and passed all medications, performed patient care and monitored patient's progress.

Reason for leaving: Distance

2015-2016 Nurse Finders Charleston, SC

Travel to facilities when needed as a per diem nurse. Perform duties as assigned.

2012-2015 Caring for mother, father in-law and grandson full time

2010-2012 University Medical W. Columbia, SC

Front office manager, Medicare claim processing, reporting, compliance, payment review, medical correspondence, scheduling DME appointments, called patients and/or physician's office for medical necessity forms, verified insurance, reviewed all documentation for accuracy, customer service

Reason for Leaving: Company went out of business.

2009-2010 First Community Bank Lexington, SC

Teller Supervisor/Float Staff

Teller transactions and monitored all security procedures, scheduling, time and attendance, disciplinary actions, monthly reports, monthly audits, all currency transactions, balancing vault and maintaining Federal Regulations, processing large cash transactions, processing payments and receiving weekly vault currency, customer service, random weekly teller audits. Reason for Leaving: Moved; stayed with my mother.

2008-2009 Carolina Urology Practice W. Columbia, SC

Part time Insurance Follow- up

Claims investigations, patient follow up, answer insurance calls, maintain current information regarding Medicare and Medicaid regulations, researched denied claims and obtain necessary information to resubmit claims or file appeals for reconsideration.

Reason for Leaving: Position now required certified coder.

2007-2008 Edisto Regional Health Services Orangeburg, SC

Insurance Specialist

Reviewed payments, processed denials, resubmitted claims, and determined claim issues/ status, contacted patients or physicians for insurance verification and records.

Reason for Leaving: My mother was diagnosed with the early stages of Alzheimer's.

1987-1990 Dr. Robert Crooks Columbia, SC

Chair side assistant in two offices, office manager, filing, correspondence, billing, OR assistant, scheduling, check in & check out patients, pre/ post op instructions, insurance claims, customer service and collections Reason for Leaving: Husband was ill and needed flexible hours to care for him.

1993-2007 Lexington Medical Center- Patient Access and Communication Manager

1992-1993 Nurse Auditor

1990-1991 Staff Nurse 1986-1987

Staff Nurse -As a staff nurse, performed patient care, patient education, family support, carried out physician's orders, performed duties that were within my state license. I worked in pediatrics and newborn nursery as needed. As the nurse auditor, audited patient charts for missed or incorrect charges and performed external audits with outside agencies. I initiated the appeals for denied services. As the Patient Access Manager responsible for the daily operations of Central Registration, Women's Imaging, Radiology and Emergency Room registrations, and three community offices. Managed time and attendance, yearly reviews, disciplinary actions, incentive programs, employee productivity, staffing for all areas, weekly reports, monthly reporting, FY budgets, employee retention, error corrections, employee education, reviewed patient complaints for appropriate resolution.

Reason for Leaving: My husband passed away in 1991, stayed home to care for my small children, was rehired in 1992 then promoted to manager in 1993.

Education: Midlands Technical College Nursing LPN

Attended USC Undecided

Skills: GIFT, Lawson, Meditech, Misys, Mestamed, OR Manager, Hiring Manager, Softmed, People Soft, Lawtrack, Emed, Print Master, HP photo shop, Quick Books, WLT, Travis-Cobra

Completed Courses: Employment Law, Supervisor Knowledge, Management and Employee Relations,

Understanding Employee situations in the Workplace, Code of Conduct, Conflicts within the Workplace, Dealing with Behavior Issues, EMTALA and You, Stop the Bleed Certificates: Charge Master-Radiology & Catheterization Laboratory HIPAA Implementation Roundtable

Outpatient Revenue Integrity & Reduce Denials Best Practices of Denial Management

ICD-9 Diagnosis Codes & ICD-9 CM Coding



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