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Clinical Trial Coordinator, Financial Counselor, Precertification Spec

Location:
Summerville, SC, 29483
Salary:
60,0000.
Posted:
July 28, 2022

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Resume:

LINDA WASHINGTON

**** **** ******* *****, ***********, SC 29483

Phone: 843-***-****

Email: adrw1t@r.postjobfree.com

Objective

Detail-oriented professional with strong interpersonal skills and judgment, with over 20 years of administration, customer service and financial experience. Looking for a position, able to provide compassionate support to employees while maintaining the financial interests of the company at large.

Employment History

01/2020 - 05/2022

Program Coordinator I

Medical University of South Carolina -University, Charleston, SC

Manage and execute studies involving cohorts of oncology cancer populations.

Assist with training new hires and provide supervision of staff working in key areas.

Analyze data and observations and write result summaries to validate deviations from existing standards.

Assists with procedures for integration and efficient data management. Assists with routine client visits, collect urine samples prepare research blood collection kits as requested by sponsors, and manage document transfers to clients.

Facilitate disease focus group meetings to introduce prospective trials for cancer patients and discuss feasibility with principal investigators, Clinical Trials Office finance team, MUSC IRB, and physician staff.

Screens all patients at the Cancer Center that have been newly diagnosed have progressed or experienced a recurrence for possible inclusion into active trials.

Informs potential candidates on study specifics, coordinates initial protocol procedures/ treatment plans, and ensures required follow-up procedures.

Ensures database updates to reflect accurate subject status. Utilizes office tools including systems as SharePoint, Encore, Epic, Inteliquet, RAVE, Clinical Data Center.

01/2011 - 09/2019

Financial Counselor/Precertification Specialist

Medical University of South Carolina-University Medical Associate, Charleston, SC

Ensuring transfer of medical records from supported Multi-Site Operations and data entry.

Review, analyze, and implement processes and report trends to promote customer satisfaction and payments.

Prepare financial reports, process various medical insurance.

Coordinate and participate in duties associated with daily clinical process, identification, check-in/out, charge posting, calculating and collecting surgery payments, providing financial counseling on delinquent accounts and cash management.

Plan and conduct interviews; train co-workers on insurance benefits, and company policies and regulation.

Obtain prior authorizations and process deniasl accounts.

Familiar with Medical Terminology, billing requirements, and ability to interpret EOBs. Familiar with in and out of network bulling.

Maintaining spreadsheets to validate data tracking, making follow-up calls on a daily basis, completing electronic forms for cost estimate/payment; consistently verifying and updating demographics and insurance information.

Coordinate and participate in duties associated with the daily clinical process, charge posting, calculating and collecting surgery payments, providing financial counseling on delinquent accounts, and cash management.

Review multiple Medicaid application and other financial documents for processing and rating for health insurance.

01/2005 - 01/2011

Central Revenue Qualification Specialist

American Home Patient, Summerville, SC

Patient registration, research, analyze, reconciling accounts, collections and prepare financial reports.

Communication with clinical staff, giving advice, counsel or instruction to employees on both work and administration matters.

Coordinate and participate in a variety of duties associated with daily process, patient identification, patient check-in/out, charge posting, calculating and collecting surgery payments, providing counseling on delinquent accounts and cash management.

Plan and conduct interviews; train co-workers on insurance, benefits, and company policies and regulation; knowledgeable with Tricare and other commercial insurance carriers.

Obtain authorizations prior and denial to patient's services.

Resolve issues related to the agency policy. Budgeting & Finance, Decision-Making and Performance Optimization.

Coordinated and evaluation appointments. Worked with state fund Medicaid, Grants and contracts for payment.

Provide services for the East Coast Region regarding Durable Medical Equipment’s (DME).

05/1993 - 05/2001

Traffic Management Coordinator/Transportation

US Army Reserve, 1189th Transportation Brigade, Charleston, SC

Supervised 3 small Detachment Units

Inspection and oversight 80 military equipment for service.

Proficient in maintaining adequate time for missions confirming military orders by processing time sheets and travel.

Strategize plans to ensure the security and integrity of all soldiers by ensuring all training requirements were met and assignments carried out.

Collaborating with team to develop contracting strategies and confirming military orders process time sheets and travel payment.

Coordinated and conducted PT Test. Counseled military personnel/reviewing reports for accuracy and policy.

Conducted direct contact with solider for proper course requirement; provide on-the job training for new and current soldiers.

Review invoices, journal vouchers or statements, verifying information and if questionable, resolve with submitting office.

Education History

Theology/Bachelor Of Science

Master's Degree

Covenant Bible College and Seminary, Summerville, SC

Certification in Medical Terminology

Vocational School Certificate

Trident Technical College, Charleston, SC

Electronics Technology

Associate's Degree

Nielsen Electronic Institute, Charleston, SC

Occupational Licenses, Certificates and Training

Notary Public Expiration: November 2030

Medical Terminology

Certified Transportation Specialist and Traffic Management Coordinator

Additional Information

I have a strong knowledge of Medical Billing and prior authorization. Known for having a deep understanding of customer service, data entry and file management; highly skilled in time management, organization and confidentiality.

Detailed References

Dr. Latasha Rivers, Senior Social Worker

Tennessee Valley Veterans

adrw1t@r.postjobfree.com Cellphone: 843-***-****

Melodye Whitfield, Patient Advocate

United Health Care

adrw1t@r.postjobfree.com Cellphone: 678-***-****

Sandra Perez, Maintenance Technician II/Secretary

Charleston County School District

adrw1t@r.postjobfree.com Cellphone: 843-***-****



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