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Brian Posner 0000 xxxxxx xxxx , xxxx , xxxxx 00000 abc@xyz.com
Healthcare/Medical Industry Professional
Profile of Qualifications
Numerous years of experience in healthcare sector, with background spanning administrative through direct patient care; well versed in healthcare system operations, processes and regulatory standards
Proficient in prioritizing and scheduling patient appointments, coordinating referrals and resources, verifying insurance, facilitating reauthorizations, and handling insurer and patient payments/ reimbursements as well as developing and maintaining documentation/records/information systems
Supporting experience as Certified Nursing Assistant (CNA); includes delivering care, monitoring and reporting on status, maintaining patient documentation, and providing patient education/instruction
Successfully completed courses in Medical Terminology, Pharmacology, Body Systems, and Biology
Dynamic communication skills, with strong background in productively interfacing with physicians, nurses, facility staff, service providers, and patients
Adept in researching, compiling and interpreting complex medical/clinical, insurance and financial data
Effectively plan, organize and manage workflow to maximize productivity and meet critical deadlines
Self-driven team player equally effective in independent and collaborative roles; sharp problem solving and decision making skills
Strong work ethic and high level of professional integrity; Veteran of United States Navy
Reauthorization Coordinator, Option Care-San Diego, CA 2015-2017
Joined organization part time and progressed to full-time Driver Technician within 3 months; subsequently promoted to Reauthorization Coordinator in 2016
Efficiently collected and reviewed patient medical information, clinical notes and physician orders and submitted documentation to insurers extending patient medications, supplies and home nursing visits; effectively created documentation in compliance with policy and payer guidelines
Researched and verified insurance coverage; determined estimated patient financial responsibility for out-of-pocket costs and developed financial documents for patient signature acknowledging agreement to personal financial obligations
Closely monitored reimbursables for timely payment; entrusted with troubleshooting and resolving issues
Proficiently coordinated timely delivery of equipment, supplies and medications to patients; ensured ongoing compliance with federal, state and local blood borne pathogens and safety regulations
Routinely contacted and interfaced with patients, physician offices, medical groups, and insurers daily
In initial Driver role (2015-2016) efficiently delivered medications, Enteral formula and supplies to patients as well as assisted with setting up equipment; provided patient education in use of equipment
Certified Nurse Assistant/Patient Transporter, Kindred Healthcare-San Marcos, CA 2013-2015
Prioritized and scheduled patient appointments as well as provided transport to various medical facilities; awarded Employee of the Month in recognition of providing excellent care and service
Attended patient appointments and served as liaison between patient, physician and nursing facility; communicated with medical/nursing staff on patient status, issues, etc.
Provided quality direct patient care across wide range of illnesses and injuries; maintained detailed supporting documentation
Shuttle Driver, Vista Community Clinic-Vista, CA 2010-2012
Safely and efficiently transported patients, provided customer service and answered questions
Diligently maintained both vehicle and operations logs
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Prior Background
Customer Service Representative, Probuild-Solana Beach, CA 2007-2009
Account Executive, Countrywide Full Spectrum Lending-Carlsbad, CA 2006
Account Executive, Household Finance-Escondido, CA 2005-2006
Previously built career in client-focused, service-oriented industries, with focus on effectively defining and meeting customer needs, providing customized solutions and services, driving business growth, and maximizing revenue performance; details on request
Military Service
Aviation Mechanic, United States Navy-USS George Washington 1995-1998
Education
AA-concentration in Math and Science, Mira Costa-Oceanside, CA; pending
Member, Phi Theta Kappa Honor Society ~ GPA: 3.8
Nurse Assistant Certificate, Poway Adult School-Poway, CA; earned 2012
Prerequisites toward AA-LVN/Surgical Tech, Mira Costa College-Oceanside CA
General Education toward AA Degree, Palomar College-San Marcos CA
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