Rosemary Pearre Anderson

Responsible for performing pre-service clinical coverage review for services requiring notification, utilizing applicable benefit plan documents and clinical guidelines. Determined medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination.

Specialized in radiation oncology, providing top-notch patient care for those receiving radiation therapy. Collaborated closely with clinical and administrative teams to achieve desired patient outcomes, supplying symptom management and education.

Monitored patients receiving hemodialysis by completing patient assessments, CVC care, and administering IV medications. Provided education to patients regarding their disease, treatment plans, and management of anemias and infection control.

Supplied direct care to patients receiving rehabilitation services and facilitated patient education and support to both patients and their families. Worked collaboratively with the entire rehabilitation team to help patients achieve their goals.

Coordinated multiple medical practices and facilities by providing management and monitoring of all office aspects. Reviewed claims, researched denials, and rebilled them with correct coding protocol, developing and implementing accounts receivable collection policies.

Directed and supervised the day-to-day operations for several medical offices across various specialties. Acquired Human Resources skills by aiding with recruitment, managed the revenue cycle, and balanced the budget.

Screened patient calls, entered and corrected demographic information, and maintained patient records. Scheduled outpatient procedures and follow-up appointments, and obtained authorizations from insurance companies.

Assisted physicians with physicals, obtained vitals, and documented in notes. Verified benefits, obtained prescription and procedure authorizations through insurance companies, and scheduled procedures.

Completed data entry in the Organ Transplant Tracking Record and scheduled patient appointments. Placed orders for lab work and discussed lab results with patients as needed, aiding clinical staff with patient care.

Maintained medical records and scheduled appointments, including procedures and admissions. Assessed patients, performed electrocardiograms, impedance cardiology testing, injections, and processed urinalyses.

Major in Registered Nurse. Related coursework included Anatomy and Physiology, pharmacology, nutrition, microbiology, chemistry, nursing skills, psychology, and human development.