RN | Health Insurance & Utilization ManagementRN | Health Insurance & Utilization Management

Key Achievements:

● Customer Relations: Knowledge and experience in the principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. ● Relationship Management: Ability to build loyalty by providing support to the trade through regular visits, accurate communication, maintaining constant communications with the clients and ensuring customer satisfaction. ● Risk Management: I have effectively carried out Medical Fraud investigation and management through Medical service provider vetting, accreditation and termination. ● Communication and interpersonal skills: Through my work experience and I have learned how to relate with people, maintaining good and professional relationships with my colleagues and also interacting with suppliers to reach an agreement. ● Nursing skills: Knowledgeable and expert in assisting patients, by administering medical procedures as directed by the doctor so as to contribute to improving their health and steady recovery. ● Counselling skills: Knowledge and passionate on offering guidance and counseling to patients and their families on health seeking behaviors, self-care skills, and treatment option ● Equipment Usage: I have proficiency in using equipment like; Oxygen concentrators and cylinders, O2 delivery devices; nasal cannula, masks, Nasal gastric tubes, Nebulizer for administering treatment in vapor form as inhalation. ● Administration of Medical Procedures: Successfully administered oxygen and prescribed drugs through infusions such as inotropes, antibiotics, sedatives such as morphine, and also administering any other prescribed medication ● Team working skills: Experienced in working with a team of nurses and doctors collaboratively in order to ensure the promotion of proper and professional healthcare services to patients. ● First aid skills: Knowledge of first aid basics and can hence tend to any accidents or illnesses in case any such incident happens ● Basic life support-AHA certified

Key Achievements:

Medical Provider Management Medical Fraud Investigation Complaint Resolution Account Reconciliation Contract & Price Negotiation Client Relationship Management Healthcare Network Optimization Provider Accreditation & Compliance Insurance Policy Training Stakeholder Communication Revenue & Discount Management Healthcare Operations Management Risk Assessment & Mitigation Conflict Resolution Process Improvement & Quality Assurance

Key Achievements:

CV-Friendly Competencies Pediatric & Neonatal Care Immunization Administration Medication Management Infection Control Patient Advocacy Health Education Clinical Procedures Care Coordination Child Health Monitoring Multidisciplinary Collaboration Case Management Quality Patient Care Medical Billing Verification Clinical Documentation Hospital Care Management