Administrative Assistant/Call Center/Reimbursement Counselor
Resume:
Cleona C. Fuller
Gaithersburg MD, 20878
Mobile: 240-***-****
*********@*******.***
TRAINING AND CERTIFICATIONS
Web-ex Trainer Certification- December, 2004
DIA Intro To Clinical Data Management Training- April, 2008
PROFESSIONAL EXPERIENCE
Reimbursement Counselor
Amerisource Bergen/Lash Group- Rockville, Maryland 11/16-Present
•Research payers to identify existing contracts, determine if particular specialty products are covered by a contract or coverage policy, and determine the best step is to take if no coverage policy is in place.
•Identifies any restrictions and details on how to expedite patient access.
•Documents and reports prior authorization, claims and appeals procedures.
•Reports any payer trends to program Managers.
•Successfully prioritizes responsibilities to ensure urgent/emergency cases are competed and turned around within the required 24-48 hour window.
•Utilizes the plan payer’s website to obtain specific forms/information necessary to conduct benefit verifications.
•Remains flexible in a fast paced, progressive environment.
Program Specialist
COVANCE MARKET ACCESS- Gaithersburg, Maryland 08/15-Present
•Collects and reviews all patient insurance information needed to complete the benefit verification process.
•Verifies patient specific benefits and precisely documents specifics for payer plans including patient coverage and cost share.
•Assists providers with documenting and initiating prior authorizations, claims and appeals.
•Reports any payer trends to program Associates/Supervisors.
•Assists patients and providers with navigating the program manufacturer’s website to obtain specific forms/information necessary to conduct benefit verifications.
•Responsible for checking the Program voicemail daily, and following up with requestors and/or in-house agents to ensure quality customer satisfaction.
Sales Partner 06/13-06/15
ARCHITECTURAL CERAMICS- Chevy Chase, Maryland
Provide support for the Senior Sales team
•Assists sales staff in the closing, processing and follow up of pending orders.
•Works with Senior Sales staff in creating schedules and priority lists in an effort to effectively reach sales goals.
•Greets customers and gathers necessary information for follow up.
•Performs front desk duties such as answering the phone, taking messages and the receiving & distribution of faxes
•Generates daily sales reports (including, but not limited to the close-out of the credit card machine), and customer sign-in reports.
•Tracks showroom traffic by entering walk-in/client demographics into CRM
•Assists in the creation and implementation of showroom standard operating procedures.
•Makes appointments for sales staff and provides post appointment follow up via email and phone call.
•Checks showroom tile samples in and out, and follows up with clients for the return of samples.
•Helps maintain showroom maintenance/cleanliness.
•Responsible for the ordering and receiving of showroom supplies.
•Places, follows up and receive showroom/client samples from various domestic, as well as international vendors.
•Helps maintain library of vendor information and product.
•Performs monthly product inventory check.
•Writes and processes orders in the absence of the sales staff.
•Responsible for the receiving and shipping or product via UPS/FED-EX/Courier service.
•Performs general administrative duties for sales staff as necessary.
Equipment Associate 03/11-5/12
CORELAB PARTNERS, INC. Rockville, Maryland
Responsible for the inventory, shipping, receiving, and maintenance of all Core Lab Non-Invasive Research Technology.
•Maintain equipment in a standardized and controlled fashion according to SOP.
•Distribute and inventory supplies according to SOP.
•Implement start-up processes.
•Test new and returned equipment (following project completion) according to SOP.
•Route malfunctioning equipment for service, track data and reports cause of failure.
•Respond to day-to-day equipment/supplies shipping requests for studies.
•Cover help desk for calls/questions on technology issues.
•Conduct equipment “functional site setup” for study (Role Out) process according to study specific
Documentation and SOP.
•Attend client meetings and Investigator Meetings to support set-up and training.
•Coordinate equipment needs and shipping for Investigator Meetings/Training initiatives.
•Support of Project Operations and office duties to include copying, faxing, filing and mail distribution as needed.
•Purchase local study supplies and office supplies as needed.
•Maintain order/organization of inventory room.
•Maintain knowledge of WebHeart for shipping and inventory requirements.
•Other duties as assigned by the equipment manager.
Clinical Data QC Analyst I 08/06- 4/09
MEDIMMUNE, INC.- Gaithersburg, Maryland
Enlisted to QC Data Management Data
•Compares data recorded on Case Report form to clinical and analytical database output, integrated and statistical reports, abstracts and publications.
•Utilizes Oracle Clinical and/ or SAS to produce data listings for quality control comparisons to Case Report Forms.
•Independently identifies and reports issues involving data and/or programming discrepancies between Case Report Forms and database output..
•Prepares reports of Quality Control findings and maintains a close relationship with Data Managers to resolve quality control findings.
Data Technician 12/04- 08/06
CARDIOCORE, INC. - Bethesda, Maryland
Hired to provide site support and perform daily study document maintenance
•Identified and resolved queries.
•Maintained clinical equipment and supply database ensuring that all incoming and outbound equipment is properly accounted for.
•Researched and contacted various vendors to purchase the most cost effective equipment and supplies, ultimately saving thousands of dollars.
•Quality control and shipment of equipment and supplies to investigative sites.
•Tracked and confirmed receipt of data, maintaining detailed data inventory and processing status reports; assists in managing data flow to and from investigative sites, other data vendors and internal providers.
•Successfully trained over 200 sites for various protocols on ECG/ Holter technologies and study procedures.
•Managed Phase I-III clinical trials with over 50 sites per protocol.
•Entered ECG and Holter data into database ensuring accuracy and completeness.
•Assisted Director of Quality Assurance in the creation and implementation of Departmental SOPs, WPDs, and WIPs.
•Maintained close working relationship with sites, sponsors and CROs ensuring all ECG/ Holter procedures were properly executed.
•Handled protocol specific CRFs, DCFs and other source documents daily.
•Ensured prompt posting of all clinical data to company website for sites, sponsors and other vendors' viewing.
•Provided 24 hour support to Domestic and International sites, sponsors and CROs
EDUCATION
General Equivalency Diploma 2005
Contact this candidate