LVN

Sandra Kastner

Hemet, ***** California +1-951-***-**** *****************@***********.***

CLINICAL APPLICATIONS SPECIALIST LVN LEGAL STAFF ASSISTANT

A talented, dynamic professional with strong expertise in medical auditing and reporting Skilled at

document management with an emphasis on adhering to HIPAA regulations. Adept at communicating

with staff at all levels.

Authorized to work in the US for any employer

Summary

Detail-oriented Patient Service Representative with outstanding treatment knowledge and stellar communication skills. Successful at coordinating between patients and professionals and offering comprehensive patient education. Committed to organization and time management.

Skills

Appointment Confirmation

Patient Interviewing Skills

Recording Histories

Routing Lab Results

EMR systems

Hospital experience

Medical records

Communication skills

Computer skills

Data collection

Nursing • Filing

Document Management

CPT Coding

ICD-9 HIM (5 years)

Anatomy Knowledge • Medical Terminology • Auditing

Documenting behaviors

Experience

MAXIM HEALTHCARE SERVICES 07/2022 - 04/2023

Home Health LVN - Hemet, California

Provide skilled nursing care within the LVN's scope of practice in accordance with the patient's care plan.

Report any changes to your condition to the PCG, RN, and doctor.

Managed customer inquiries through telephone, email and social media interfaces.

Utilized active listening and communication skills to address customer inquiries and escalate issues to supervisor.

Execution and recording of assessments, drugs, nursing interventions, and treatments.

LVN CHARGE AUDITOR CLINICAL APPEALS 02/2021 - 07/2021

AW Gogin & Associates - La Habra, California

Clinical Appeals Coordinator on contract with Loma Linda Health Business Office.

Research denials of payments.

Verified documentation is present in the EHR to support the appeal.

Coordinated and performed patient admissions, transfers and discharges.

Wrote appeal letters to payers to recover payments.

CHARGE AUDIT SPECIALIST 10/2016 - 08/2020

Conifer Health Solutions - Hemet, California

Conducted a variety of medical billing audits, including insurance defense audits and MCR High Dollar.

Presented audit findings to the facility's Director of Revenue Analysis and Inquiry Resolution Team.

Submitted audit findings via a Charge Review plan or via MASS.

Trained in various patient accounting and electronic records programs, including EPIC and PBAR.

Handled patient dispute resolution, outlier denials, carve-outs, go-live, quality and risk audits, and forensic audits.

MEDICAL RECORDS CLERK 04/2015 - 10/2015

Grays Harbor Community Hospital - Aberdeen, Washington

Assembled paper charts into the correct format.

Completed faxed 'Requests for Information promptly.

Scanned documents into the computer for E.H.R. format.

Maintained HIPAA Regulations when working with PHI.

Organized patient charts, gathering medical histories, lab results and consents.

APC COORDINATOR 01/2010 - 01/2013

JFK Memorial Hospital - Indio, California

Assist hospital clinical directors with action plan completion.

Performed retrospective chart audits of medical services, including insurance company defense audits, patient complaint audits, and corporate concurrent audits, for the hospital's business office.

Evaluated audit findings according to established billing process guidelines

Maintained records of customer needs and preferences.

Planned and managed operations to achieve objectives within budgets.

Education and Training

Franklin County Area Vo-Tech Sch - Chambersburg, Pennsylvania Diploma

Practical Nursing

Western Business College - Portland, Oregon Associate of Science

Paralegal Studies

Nursing Licenses

PN Expires:

February 2025

State: CA

Certifications

Basic Life Support (BLS)

August 2022 to August 2024

AHA CPR/BLS

AHA Heartsaver First Aid

Licensed Vocational Nurse February 2025

IV and Blood Withdrawal Certificate Present

Contact this candidate