Michelle Watson

Cell phone# 206-***-**** or Email: adc8pd@r.postjobfree.com

Professional Summary:

• Clinical Patient Navigator/Certification Harold P. Freeman Patient Navigator Institute in New York City, NY. 4 years

• Patient Financial Coordinator-11 years

• Financial Clearance Trainer-3 years

• International Self Pay Finance Coordinator-4 years

• Access Supervisor 4 years

• Prevention and Wellness advocate

Professional Experience:

Clinical Patient Navigator-General Oncology

10/2014 to present:

Seattle Cancer Care Alliance Seattle, WA

Patient Navigators assist patients/families with the following:

• navigating SCCA/UWMC/HMC health care systems.

• Financial resources- SCCA Financial Assistance/Charitable resources/Drug Manufacturer Financial Assistance/Co-pay Assistance.

• Temporary Medical lodging options/Local Transportation/Air travel resources

• Assist patients with barrier to treatment/care.

• Screen patients for Medicaid (WAMI Region)

• Assist patient with understanding Social Security Disability Process.

• Care Coordination with internal and external affiliates

• PN advocates for patient and families.

• PN communicate cultural norms to care teams

• PN assist patient/family with practical needs

• Outreach Wellness and Prevention Community Events Access Supervisor

8/2010 to 10/2014

Seattle Cancer Care Alliance - Seattle, WA

Supervised three areas of the Revenue Cycle Department. 13 PFS Coordinators, 4 Patient Access Specialist and two Financial Counselors.

• Supervise 13 PFS Coordinators responsible for confirming benefits, eligibility and requesting authorizations from Insurance Companies for General oncology and Bone Marrow/Stem Cell Transplant services.

• Served as liaison between management, clinical staff and the community.

• Provide written documents and benefit information to patients as needed.

• Monitor DSHS, Cobra and month to month eligibility on a monthly basis.

• Meet with patients upon arrival and throughout treatment to clarify benefits and answer questions.

• Prioritize daily duties during team huddles.

• Department resource for nursing, physicians, team schedulers and PA's regarding Transplant and General Oncology clearance process.

• Responsible for identifying potential financial risk issues and notifying Access Manager.

• Reviewed and resolved patient complaints

• Knowledge of treatment protocols and financial clearance requirements for transplant and General oncology.

• Obtain insurance prior authorization approval for clinic administered medications and chemo drugs as needed.

• Initiate Advanced Beneficiary Notice process with patients as appropriate.

• Refer patients to Patient Assistance Program as appropriate.

• Train staff on new Financial Clearance Policy and Procedures for Transplant, General Oncology and Research.

• .Evaluated patient care procedural changes for effectiveness.

• Trained Financial Clearance Team on policy and procedures.

• Organize and delegate work for daily general oncology services.

• Audit transplant financial files each week to make sure all patients are clear for arrival.

• Experienced in all aspects of medical/Oncology/Bone Marrow/Stem Cell Transplant financial clearance.

• Screen all new patients on Med Advantage plans to verify if accepted at SCCA.

• Diversity Council Member since 2010

Patient Finance Rep II

November 2002 to September 2004

Puget Sound Blood Center Business Office - Seattle, WA.

• Process Claims for DSHS, Tricare, Molina and Medicare.

• Monitor accounts for insurance payments.

• Track down missing account information.

• Post insurance and patient payments. Process monthly statements Worked insurance denials or more information requests

• Answer phones.

Patient Finance Representative II

August 2001 to October 2002

Seattle Cancer Care Alliance Patient Financial Services - Seattle, WA.

• Report benefits, eligibility and approval issues to other institutions.

• Provide written documents to patients as needed-Monitor DSHS eligibility on a monthly basis.

• Meet with patients upon arrival and throughout treatment to clarify benefits and answer questions.

• Prioritize daily duties with patient meetings.

• Resource to nursing, physicians, team schedulers and PA's regarding clearance process.

• Responsible for identifying potential risk issues and notifying supervisor and or manager appropriately.

• Receive patient complaints, assess needs and refer if unable to resolve.

• Maintain clear understanding of new treatment protocols and financial clearance requirements for transplant and medical oncology.

• Obtain insurance prior authorization approval for clinic administered medications as needed.

• Initiate Advanced Beneficiary Notice process with patients as appropriate.

• Refer patients to Patient Assistance Program as appropriate. Member Services Rep II

May 1998 to October 2001

Pacific Medical Center - Seattle, WA.

• Answer 70-90 calls per day for USFHP and other managed care programs.

• Assist members and providers with benefits, eligibility, referrals and claim status.

• Handled claim payment reviews to verify is providers were paid according to Contract.

• Processed prescription reimbursements for USFHP members.

• Handled all patient and provider complaints.

Education and Training:

• 9/2018 Harold P. Freeman Patient Navigator Institute-Certified Patient Navigator

• 4/2014 Lean Leader Training-certification

• 4/2011 Diversity/Inclusion Training

• 9/2010 Epic Super User Training-certified trainer

• 9/2009 Completed Medicare Billing Boot Camp

• 4/1982 United States Airforce Training-Administrative Assistant/honor graduate

• 6/1980 Pershing High School Detroit, MI-Graduated Skill Highlights

• Patient/family Oriented

• Self- Motivated

• Sound decision making

• Claims analysis and review specialist

• Problem Solving

• Patience and self-disciplined

• Conflict Resolution

• Personal and professional integrity

• Staff Training and development

• Epic Super User/IDX experience (4 years)

• Experienced with interacting with insurance customer service and case managers.

• Strong knowledge of medical terms for routine patient care and Oncology.

• Skilled Trainer

• Great Multi-Tasking Skill

• Warm, compassionate and empathetic assistance to all staff, patients and families.

Contact this candidate