Clinical Coordinator

Judy Rich

San Antonio, Texas *****

****.****@*******.*** • 210-***-****

Qualifications Profile

Dynamic professional with nearly 10 years of success supporting healthcare teams, including 5 years of directly relevant experience in clinical administration and training.

Highly organized and efficient with the proven ability to improve internal operations through efficient data entry and records management.

Demonstrated ability to design and conduct training programs to align staff performance with leadership goals.

Knowledge of commercial and government-based insurance programs, including Medicare, Medicaid, and private insurance companies.

Directed compliance audits for Federal subsidy programs.

Excellent communication and interpersonal skills, capable of rapidly integrating into new workplace cultures; awarded for workplace performance and positive attitude.

Technologically advanced with the ability to rapidly adjust to new information systems; proficient in Windows, MS Office, Lotus One Note, Apollo, EMR programs, and Avaya phones.

Professional Experience

UNITED HEALTHCARE, San Antonio, Texas

Clinical Administrative Coordinator, Optum, 5/2017-Present

Collaborate cross-functionally with clinical managers, case managers, and more to enroll program participants in appropriate healthcare programs. Process service level agreements to determine member eligibility for insurance programs through companies such as BlueCross BlueShield, BlueShield of California, WellCare, and Centene. Conduct risk assessments according to client expectations. Maintain complete and accurate data records in information management systems.

Clinical Administrative Coordinator, WellMed, 11/2014-5/2017

Collected and analyzed key data metrics while adhering to the technical specifications and requirements established by the NCQA. Conducted audits and measured physician performance and identify specific documentation related to HEDIS/STAR defined quality measures.

SANFORD BROWN COLLEGE, San Antonio, Texas

Medical Assistance Instructor, 6/2014-10/2014

Applied industry-specific pedagogical tools to instruct 15 adults in medical assistance procedures. Provided training on laboratory procedures, anatomy, pharmacology, and medical coding. Administered tests and graded class assignments to track and evaluate student understanding of subject matter.

PREMISE HEALTH, San Antonio, Texas

Certified Medical Assistant / Health Coach, 7/2009-7/2014

Provided expert assistance to nursing and physician staff in front and back offices of a corporate healthcare clinic. Coordinated the execution of patient healthcare needs. Reviewed and adhered to legal regulations and internal policies. Recorded patient healthcare information in the EMR system. Conducted coaching sessions on disease management, smoking cessation, and weight loss.

TEXAS MEDCLINIC, San Antonio, Texas

Medical Assistant, 8/2008-7/2009

Supported physicians delivering medical care to patients with the areas of emergency care, work-related injuries, drug screenings, and physicals. Handled logistics of patient transport in a high-volume clinic environment.

Educational Background

Certificate

COLLEGE OF HEALTH PROFESSIONS– San Antonio,TX

WELLCOACHES SCHOOL OF COACHING – San Antonio, TX

NATIONALLY CERTIFIED MEDICAL ASSISTANT, American Association of Medical Assistants

Contact this candidate