CBenn7630
Guest
I am a Registered Nurse and a CPC. I need to find Part Time work from home to do at night and weekends to supplement my income. I have experience with chart reviews for medical necessity. I have worked with Medicare, Tennessee Medicaid (TennCare), and commercial products. If you have anything available please contact me. My resume':
125 ADRIENNE LANE
PHONE 423-902-4438
WORK 423-535-5349
E-MAIL CBENN7630@AOL.COM
CHERYL BENNETT
EMPLOYMENT
1995-Present Blue Cross Blue Shield of Tennessee Chattanooga, TN
Healthcare Service Coordinator/Supervisor/Sr. Nurse Consultant/Clinical Educator
Leadership/Supervise of 30 registered nurses
Develop and conduct educational training material for clinical and non-clinical employees
Develop, conduct and maintain policies and procedures for several departments
Assisted with development of Commercial appeals department
Educated and trained internal employees and provider community with respect to Medicare and Medicaid
Developed and completed appeal process for Commercial and Medicare DME products
Conduct quality checks for clinical and non-clinical staff. Results forwarded to upper management for second level appeals for DME
Experience in UM for Commercial, Managed Care Products, TennCare and Medicare products
Completed questions and answers for (Inter-Reviewer Reliability (IRR)) timely and accurately
Experience with Pricing and Coding for Commercial and BlueCare claims
Review claims for medical necessity based upon CMS (formerly known as HCFA) guidelines
Worked appeals and reconsiderations directly with physician?s office
Handle special projects delegated by Management
1990-1995 Various Hospitals in Tennessee Chattanooga, TN
Registered Nurse
Nurse Labor and Delivery- East Ridge Hospital
Supervisory/Charge nurse for newborn nursery ? East Ridge Hospital
Supervised Home Health Aides-Superior Home Health
Staff Nurse- Superior Home Health
Patient Care ? Hutcheson Medical Center
Pediatric Patient Care- Memorial
Maintained coverage of entire hospital on the IV team
Patient care medical/surgical floor, trauma step-down unit, orthopedics- Contin-U-Care
Patient Care at Erlanger Medical Center- Contin-U-Care
SUMMARY OF QUALIFICATIONS
Leadership Experience: 21 years of combined leadership and professional business experience. Includes direct employee supervision, administration, customer service, personnel training and development, Quality reviews, Clinical, cost containment, data analysis, and problem resolution.
Knowledge Strengths: Excellent knowledge of CMS guidelines, FISS, Excel, Word, Access, CPT books, AS400, Amisys, Facets, Optimed, and CareAdvance.
Technical Skills: Proficient in MSWord, Excel, PowerPoint software programs, FISS, CPT, AS400, Amisys, Facets, Optimed and CareAdvance system.
Excellent organizational, leadership, interpersonal and communication skills. High level of initiative and self-motivation. Big picture oriented and enjoy using creative and flexible means to effectively problem solve. Able to function independently and manage large groups of diverse staff and tasks efficiently.
EDUCATION
1989-1992 Chattanooga State Technical Community College
Chattanooga, TN
Associates Degree - Nursing
2000-2001 Covenant College
Lookout Mountain, GA
Bachelor of Science- Organizational Management
Skills and additional information
Certified Professional Coder- CPC
Published article, The Coding Edge
5+ years Clinical experience
7+ years diversified systems experience
7+ years leadership experience
125 ADRIENNE LANE
PHONE 423-902-4438
WORK 423-535-5349
E-MAIL CBENN7630@AOL.COM
CHERYL BENNETT
EMPLOYMENT
1995-Present Blue Cross Blue Shield of Tennessee Chattanooga, TN
Healthcare Service Coordinator/Supervisor/Sr. Nurse Consultant/Clinical Educator
Leadership/Supervise of 30 registered nurses
Develop and conduct educational training material for clinical and non-clinical employees
Develop, conduct and maintain policies and procedures for several departments
Assisted with development of Commercial appeals department
Educated and trained internal employees and provider community with respect to Medicare and Medicaid
Developed and completed appeal process for Commercial and Medicare DME products
Conduct quality checks for clinical and non-clinical staff. Results forwarded to upper management for second level appeals for DME
Experience in UM for Commercial, Managed Care Products, TennCare and Medicare products
Completed questions and answers for (Inter-Reviewer Reliability (IRR)) timely and accurately
Experience with Pricing and Coding for Commercial and BlueCare claims
Review claims for medical necessity based upon CMS (formerly known as HCFA) guidelines
Worked appeals and reconsiderations directly with physician?s office
Handle special projects delegated by Management
1990-1995 Various Hospitals in Tennessee Chattanooga, TN
Registered Nurse
Nurse Labor and Delivery- East Ridge Hospital
Supervisory/Charge nurse for newborn nursery ? East Ridge Hospital
Supervised Home Health Aides-Superior Home Health
Staff Nurse- Superior Home Health
Patient Care ? Hutcheson Medical Center
Pediatric Patient Care- Memorial
Maintained coverage of entire hospital on the IV team
Patient care medical/surgical floor, trauma step-down unit, orthopedics- Contin-U-Care
Patient Care at Erlanger Medical Center- Contin-U-Care
SUMMARY OF QUALIFICATIONS
Leadership Experience: 21 years of combined leadership and professional business experience. Includes direct employee supervision, administration, customer service, personnel training and development, Quality reviews, Clinical, cost containment, data analysis, and problem resolution.
Knowledge Strengths: Excellent knowledge of CMS guidelines, FISS, Excel, Word, Access, CPT books, AS400, Amisys, Facets, Optimed, and CareAdvance.
Technical Skills: Proficient in MSWord, Excel, PowerPoint software programs, FISS, CPT, AS400, Amisys, Facets, Optimed and CareAdvance system.
Excellent organizational, leadership, interpersonal and communication skills. High level of initiative and self-motivation. Big picture oriented and enjoy using creative and flexible means to effectively problem solve. Able to function independently and manage large groups of diverse staff and tasks efficiently.
EDUCATION
1989-1992 Chattanooga State Technical Community College
Chattanooga, TN
Associates Degree - Nursing
2000-2001 Covenant College
Lookout Mountain, GA
Bachelor of Science- Organizational Management
Skills and additional information
Certified Professional Coder- CPC
Published article, The Coding Edge
5+ years Clinical experience
7+ years diversified systems experience
7+ years leadership experience
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