Paralegal
Resume:
Bridget Brown
Health Administration
Paralegal (ABA Approved Program)
Business Development
Salisbury, NC 28147
*******.*****@*********.***
SKILLS
LexisNexis, CRM, Contracts, Legal Terminology, Pacer, Disability Law, Legal Research and Writing, Discovery Management, Analytical Mindset,6th Sense
Microsoft 365, Sharepoint, Google Docs, E-Filing, Salesforce, Auto Coder, Healthcare Claims, HIPPA, and GCP, SOPs, Medical Terminology and Reporting, Benefits Analysis, ICD-10 Coding, CPT and HCPCS Coding, JCAHO, URAC, HealthCare Education, Document Control,Time Management, Call Center Operations and Management, Corporate Trainer Cross-Team Communications, Public Speaking
EXPERIENCE LEGAL 2022-Current
Heard and Smith LLP Legal Assistant
●Retain and recall SSA (Social Security Administration) and company policies and processes
● Research SSA HALLEX, POMS, and various SSA Publications to educate and confidentially resolve client issues
●Keep updated records and detailed documentation of client interactions, concerns, and complaints in a paperless database system
●Conduct evidence reviews for Attorneys before ALJ hearings
●Maintain Medical Evidence of Record for clients Nationwide
●Communicate with SSA Disability Examiners, Paralegals, Decision Writers and Field Office Personnel during various stages of Discovery
●Communicate favorable and unfavorable decisions to clients and educated them on Reconsideration / Appeals Process.
●Research and connect clients to social and community resources to assist with basic needs while experiencing dire need
●Maintain a professional manner and high level of time management during problem analysis
ZELMETRIC LLC Director/Contracts
2017-2022
●Reviewed and approved SOWs for contractors to work-from-home for companies such as Home Depot, Disney, Airbnb and MD-Live
●Researched fact and law to resolve contractual discrepancies by way of Demand Letters, and Memorandum for Legal Dept.
●Lead the development of the organization's long- and short-term strategies towards contractor retention and security compliance
●Managed and negotiated partner contracts that supported Community Outreach with Schools and Social Programs.
●Drafted and enforced contracts for high-value transactions that included relationships with equipment vendors and tech support vendors
●SOW Maintenance of a roster of over 300 contracted Customer Service Professionals nationwide.
EXPERIENCE HEALTHCARE 2020-2022
ABBVIE Pharmaceuticals Resource Advocate (Contract via Zelmetric)
●Maintained Ambassador relationships of 500 patients monthly
●Telephone support of patients diagnosed with chronic Immunology Diseases that are on Humira, Skyrizi and Rinvoq treatment plans
●Adverse Event Reporting
●Insurance eligibility and Savings Program Education
●Recommended resources to assist patients with ease of care
●Mentored new and existing Advocates
2009-2017
Steel City Health Initiative Director/Contracts
PA, NJ, NY, WA
●Responsible for building a client base from schools and youth organizations to promote Health Initiatives through Performing Arts
●Hired mentors and placed them at contracted organizations to demonstrate the mission to fight obesity through movement and team-centered projects.
●Monitored and supervised up to 10 locations to ensure contractual agreements were meeting the expectations of the board.
●Demonstrated a work combination of Legal and Health Initiatives
●Designed all promotional and presentation materials including brochures, web-sites, flyers, business cards, and Power Points
●Assesed organizational missions and drafted customized contracts for initial review and negotiations to meet the needs of youth and senior mobility
●Designed performance programs and field trips for ages 7-24 that centered around dance, positive mentorship, morale boosting, and nutritional counseling
●Maintained database, invoices, timesheets, payroll, and program enrollment of 10 locations, that included over 400 youths ages 5-24 and senior citizens
2007-2009
Isolagen Pharmaceuticals Document Control
●Prepared follow-up correspondence to medical facilities that were participants in clinical trials Phase III
●Maintained database and generated specimen labels for medical facilities participating in clinical trials
●Maintained SOP records
●Prepared batch documents for daily clinical tests
●Prepared and distributed SOP training materials to medical team
2004-2007
Blue Cross of NC and PA Utilization Review
●Evaluated Healthcare claims for medical professionals, surgical facilities and Durable Medical Equipment providers for accuracy before processing.
●Researched and resolved escalated issues and communicated to members and medical professionals via telephone, web or written correspondence.
●Provided emotional support and education to members with illnesses via inbound calls
●Gathered clinical information from internal medical staff to initiate authorizations for inpatient and outpatient procedures while carefully adhering to HIPAA guidelines.
●Assisted network management by educating providers on contracted fees for various medical services and improper bill coding.
●Gathered and researched information on denied claims that were appealed by members and escalated to the Department of Insurance.
●Participated in training new hires and providing feedback on quality metrics.
●Provided correspondence to patients via telephone and electronic mail
●Solicited clinical records from doctors, hospitals and ancillary providers that would support multiple clinical activities and treatment plans for reimbursement of Healthcare Claims
2002-2004
Celgene Pharmaceuticals Health Educator
●Educated Medical Professionals and Patients on Thalomid Rx
●Served as Primary Liaison for the Cleveland Clinic on Drug Education
●Reported adverse events to Medical Staff and Drug Safety Team
●Medical Policy Communications
●Educated Members and Providers on Service Contractual Agreements
EDUCATION
Keiser University Health Admin Associates Degree 2005
UNC Charlotte, NC ABA Approved Paralegal Certificate 2022
NC Judicial Branch Guardian ad Litem (Rowan County) 2022
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