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Medical Service

Location:
Scotch Plains, NJ
Posted:
September 29, 2014

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Resume:

Korri Keats

Member - American Academy of Professional Coders

Scotch Plains, NJ

acf6ue@r.postjobfree.com - 908-***-****

WORK EXPERIENCE

Member

American Academy of Professional Coders - 2012 to Present

AAPC), 2010

Managed Care Coordinator

Horizon NJ Health - Trenton, NJ - 2013 to 2014

Performs review of service requests for completeness of information, collection and transfer of non-clinical

data.

* Reviewing professional medical/claim policy related issues or claims in pending status.

* Prepare, document and route cases in appropriate system for clinical review.

* Managed the fax press and routed all targeted patient cases by their county to the appropriate managed

care coordinator covering.

* Initiates call backs and correspondence to members and providers to coordinate and clarify benefits.

* Perform other relevant tasks as assigned by Management.

Project Monitor

Esoterix a Lab Corp Company - Cranford, NJ - 2007 to 2010

Monitored/ closed out various phase studies. Applied patient enrollment for studies that I screened.

* Researched missing specimens, set up additional testing and author documents for regulatory submissions

which GCP and ICH guidelines that I strictly followed.

* Interfaced with team and other departments to ensure accurate and appropriate configuration of database

maintenance, and various projects.

* Effectively communicated information to clinical investigators in an effort to provider outstanding customer

service.

* Filed, faxed documentation and ordered study material needed, also supplies to covering clinical physicians.

* Interfaced with all levels of laboratory personnel on a daily basis to answer inquiries.

* Served as a liaison between LabCorp, pharmaceutical companies and clinical investigators to provide

technical assistance in the area of pharmaceutical clinical testing.

* Filled in and help out in QA department when needed.

Human Resource Assistant

Citistreet - Somerset, NJ - 2006 to 2007

Processed employee's 401k enrollment forms. Entered over 300 entries into HR database.

* Managed all administrative aspects of defined benefit plans, including assistance with participant issue

resolution.

* Developed, documented, monitored and established controls for all benefit processes within Human

Resources (HR) as well as those affecting other departments.

* Worked with management staff in an effort to accurately update employee worksheets.

* Rewarded for consistently meeting quality and production standards.

PROFESSIONAL

EDUCATION

National Bartenders School - Woodbridge, NJ

2013

Medical Coding

Union County College - Union, NJ

2010 to 2010

A.S. in Computer Information Systems

DeVry University - North Brunswick, NJ

2002 to 2006

ADDITIONAL INFORMATION

TECHNICAL SKILLS

Microsoft Office Internet Navigation Electronic Medical Records (EMR)



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