This document is a resume for Theresa Hunter seeking a career in which she can utilize her skills in communication, customer service, personal consulting, and financial advisement. She has obtained health information technology certificates with an emphasis on billing and coding from Western Career College of Antioch and Santa Barbara City College. Her most recent work experience includes positions as a claims examiner at Kaiser Permanente and a reimbursement specialist at Genentech. She provides references and expresses confidence that her over 10 years of office administration, bookkeeping, and customer relations experience make her an ideal candidate.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
1. Objective:
To secure a career in which I can utilize my
excellent communication, customer service,
personal consulting, and financial advisement
skills to assist others while working alongside a
great team.
Education:
Western Career College of Antioch, CA 2009
Santa Barbara City College 2010
Health Information Technology Certificates
with an emphasis in billing and coding
“I am an active, current AHIMA Organization member.
Continuing my education on a regular basis”
Certified Medical Reimbursement
Specialist
With The Follow ing Demonstrated Skill set:
ICD-10 Experienced
Advanced Pivot Tables
Strong Ad Hoc Reporting
Medicare UB Web Strat Pricing
10-Key by Touch and Sight
Medi-Cal COOL Pricing
Claims Adjudication and Reconciliation on
High Dollar Claims
Anatomy and Physiology
Medical Audit Follow-up
HMO, PPO and Work Comp Experienced
HIPAA Compliance Certificate
Implementing Meaningful Use
Contracts and Procedure Writing
Accounting, A/R, A/P, Collections/Follow-
Up
Extensive Knowledge of Billing Procedures
ERN/EOB payer posting
Qualifying and introducing patients to
Flexible Spending Accounts, Setup and
Maintenance
Multiplan Negotiations and Work Comp fee
schedule negotiations
Doctor Credentialing
Theresa Hunter
249 Creektrail Ct. Brentwood CA 94513 925.240.8999
akalia96@hotmail.com
Fluently Known Software
Microsoft Office Professional, Officemate, Emdeon, Capario
BrighTree, IMS, Athena, Stratford, AR Allegiance, Infor,
Office Ally, Practice Fusion, Tapestry AP, Foundations/
Caps, Claims Auditor
Current Position
Kaiser Permanente Claims Examiner-Oakland
Heavy high dollar, urgent, emergent, UB and
Professional claims adjudications, Creating RFI letters.
Applying contract vs. billed rates. Adding case rates
when excluded. Strong attention to Medi-Care claims.
Thirdparty pricing negotiations.
Professional Experience
Genentech 2016-2017
Reimbursement Specialist- S. San Francisco
Investigates patient benefits: Identify network providers,
providers restrictions, co-pays, documents insurance
requirements, pursue product coverage for patients as
authorized, correspond with patients regarding
reimbursement status, maintain payer profiles and
collect/ input data for distributor referrals.
State of CA Public Health (Contracted) 2015-2016
Claims Processor-Point Richmond
Requiredto submit 180 claims per day with Medi-Cal
claims being priority. Heavy data entry andattention to
detail. I am a Medi-Cal first focusedclaims processor.
Ortho Innovations (Unfortunate Closure) 2012-2014
Office Manager- San Ramon
I implementedthe electronic practice management systems
and clearing house. Submittedto hospitals, surgery
centers, insurances andpatients. I postedpayments,
negotiatedfees, heavy Work Compand Medicare billing,
ran same andsimilar, obtainedauthorizations and
collectedpatient payments.
Grove Medical (Independent Contractor) 2012
Billing Department Manager- Alameda
I was privately contractedto fix the billing, manage 2 billing
reps and 4 operations techs while: posting payments,
negotiating out of network pricing, scheduling payment
arrangements, introducing patients to Flexible Spending
Accounts, procedure writing, submittedthe Medicaidas
secondary contract, negotiating fee schedules with
insurance companies, While being accountable for my
team’s task andstreamlining the work flow procedures.
Amerit Consulting Agency 2010-2012
McKesson (Contract)
Pharmaceuticals Billing- San Ramon
Apria Healthcare (Contract)
Revenue Qualifications Specialist- Concord
2.
3. References
Teela Patrick (Professional)
Grove Medical
Email: ambitiousteela@yahoo.com
Business address: 985 Atlantic Ave. #260
Alameda CA 94501
Jessica Lisinac (Professional)
McKesson
Email: jessica.lisinac@mckesson.com
Office: 925.973.0830
Business address: 2420 Camino Ramon Suite 270
San Ramon, CA 94583
Randall Smith (Professional)
Smith’s Services Taxes and Notary Services
Email: randallstaxes@gmail.com
Office: 510.969.4391
Business address: 3996 San Pablo Ave. Ste A
Emeryville, CA 94608
Salaryrequirementsare negotiable.Myrequirementsare
basedon jobduties,title andtravel.
Theresa Hunter
249 Creektrail Ct. Brentwood CA 94513 925.240.8999
akalia96@hotmail.com
Greetings Hiring Personnel,
Please reviewmy enclosedresumefor your availablemedical
financial position. Youwill findthatIam the ideal candidate to
represent leadershipand being a team player inany position
granted by you. I am dedicated to demonstrating the momentum
and self-driveninspirationto master the fieldIchooseto become
a pillarin. Withover10 years of officeadministration,
bookkeeping, correspondence and consumerrelations
experience, I will remainan asset.
I am confident Ican do so, from priorexperience of maintaining
two jobs, multitaskingis secondnaturefor me. I also exhibitthe
ability, drive, anddiligenceto overcomeany challenges set before
me, successfullythroughself-motivation, determinationand
knowledge.
Thank youinadvance fortaking the time to review my attached
resume. I look forward to discussinginfurther detail howmy
prior career choices, work ethics, training, andpersonal traits
make methe bestcandidate foryouravailableposition. Pleasedo
not hesitate to reach meat the abovelistedcontactinformationto
schedulean interviewand negotiate my salary expectations.
Sincerely,
TheresaHunter
Enclosures (1)