Medical Coordinator/Administrative/Insurance Professional Experience

CLYDETTE JOHNSON

301-***-**** ********@*****.***

MEDICAL COORDINATOR/ADMINISTRATIVE/FINANCIAL SUPPORT

Versatile and hard-working professional; has over 25 years of diverse experience in administrative services and support in a hospital setting. Results-oriented and resourceful with strong administrative skills in report documentation, confidentiality, and protection of patient rights. Reliable patient liaison in financial discussions and recommendations; possesses strong communications and interpersonal abilities to develop relationships with patients, staff, and management to ensure positive customer service. Proven success in identification and evaluation of process improvements to enhance program effectiveness and reduce costs.

CORE COMPETENCIES

Administrative Services

Process Improvements

Training / Development

ICD-9/10 and CPT codes

Report Documentation

Medicare/Medicaid/Private Insurance

Team Leader / Motivator

Verifies insurance/Authorization

Patient Relationships

Quality Improvement

Financial Counseling

Referrals

Epic/Presidio

PROFESSIONAL EXPERIENCE

UNIVERSITY OF MARYLAND, Baltimore, MD April 2016 – December 2016

BMT Transplant Financial Coordinator: Blood and Bone Marrow Stem Cell

Provided transplant financial counseling to patients about insurance, billing, policy concerns, and limitations during transplant evaluation.

Served as liaison between the patient and health insurance company regarding patients’ ability to pay for the Neupogen medication and other concerns.

Submitted clinical forms for approval, ensuring all authorizations are up-to-date; kept staff informed of patients’ status.

Opened all Global cases before the consult date for Autologous and Allogeneic patients.

Ensured the database was up-to-date with all new patients, mobilization dates, testing dates, harvest, and authorizations.

Monitored the financial program to determine its effectiveness with patient account tracking, cost analysis, and charge trends in specific transplant programs.

Collaborated with University Transplant Center leaders to identify and evaluate operational and procedural improvements related to financial services for transplants.

UNIVERSITY OF MARYLAND, Baltimore, MD Aug 2003 – April 2016

Transplant Financial Coordinator: Kidney, Liver, Pancreas, Heart and Lung

Assisted in monitoring the effectiveness of the overall financial program through participation in improving activities, tracking patients and scheduled evaluation appointments.

Consulted with potential transplant candidates regarding financial counseling to patients about insurance, billing, policy concerns and limitations during transplant evaluation; liaison between the patient and health insurance company regarding patients’ ability to pay for medication and other concerns.

Provided financial counseling to each patient and reviewed insurance coverage with patients. Documented charts with information provided by patients. Notified team and patients of any concerns/issues in order to get the patients approved for transplant.

Submitted clinical forms for approval, ensured all authorizations were up-to-date and kept staff informed of patients’ status.

Monitored the financial program to determine its effectiveness with patient account tracking, cost analysis, and charge trends in particular transplant programs.

Checked the UNOS list weekly to ensure there were no deceased patients on the list.

Conducted face-to-face interviews with the patients to discuss coverage, contacted patients via telephone prior to the evaluation to make sure the referral was on file.

Attended external meetings and participated in transplant-related activities to gain further knowledge of issues facing transplant patients.

Trained representatives from several departments and informed trainee of hospital’s standards which allowed them to perform in an inpatient and outpatient environment efficiently.

Collaborated with University Transplant Center leaders to identify and evaluate operational and procedural improvements related to financial services for transplants.

EMORY UNIVERSITY HOSPITAL, Stone Mountain, GA Apr 1999 – Aug 2003

Transplant Financial Coordinator: Kidney and Pancreas

Provided financial counseling to potential transplant candidates regarding insurance, billing, policy concerns, and limitations during transplant evaluation; conducted a thorough financial assessment to optimize opportunities for access to transplant. Screened solid organ transplant candidates based on program guidelines and ensured that adult solid organ transplants would be covered; provided customer support to maximize reimbursement and enhance the financial process.

Monitored the financial program to determine its effectiveness with patient account tracking, cost analysis, and charge trends in specific transplant programs.

Maintained calendar for two surgeons.

Arranged for admissions and bed assignments for the entire hospital and coverage for the emergency room.

Scheduled potential evaluation patient on the days they did not have dialysis.

Collaborated with University Transplant Center leaders to identify and evaluate operational and procedural improvements related to financial services for transplants.

Faxes physicians’ clinical to support the operation, data entry on all new admission.

Ensures that patient’s and customers receive the highest quality of service.

OTHER PROFESSIONAL EXPERIENCE

EMORY UNIVERSITY HOSPITAL

Admissions Coordinator, Aug 1995 – Apr 1999

WASHINGTON HOSPITAL CENTER

Admissions Coordinator, Oct 1983 – Jun 1995

EDUCATION / CERTIFICATIONS

ASHWORTH UNIVERSITY COLLEGE, Atlanta, GA

Associate of Science, Health Management

(In Progress – April 2017)

Certified Medical Terminologist

Physically Limited and Fitness

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