Customer Service Support Specialist

CHAUNDRA CAROLINA MINGO

Columbia SC ***** • 839-***-**** • adzn9w@r.postjobfree.com

Provider Relations Representative with 25+ years combined experience in the areas of Provider Education and Enrollment, Group and Individual, Major Group and National Accounts. I am also skilled in account management, membership enrollment, claims, customer service, sales and pharmacy support.

Clinical Trial Management Support Specialist, Junior Level- Manages queue of support requests by routing, updating, and resolving CTMS related requests in a timely fashion.

Objective: To pursue a challenging and rewarding career that will allow me to utilize my experience and skills. Longevity is extremely important so that I may grow and build with the company. Authorized to work in the US for any employer.

PROFESSIONAL SUMMARY

Premier Research February 2021-Present

Clinical Trial Management Support Specialist

Manages queue of support requests by routing, updating, and resolving CTMS related requests in a timely fashion

Data enters and maintains Drug Program and Investigator data within the CTMS based on requests received by the business users.

Conducts data quality activities, including but not limited to, regular internal audits of investigator and personnel data to eliminate duplicates.

Advocates and supports established Registry related business processes through interactions with end-users to ensure data quality standards are met consistently.

Creates and maintains Excel-based data compliance reports based on data extracts from the CTMS database.

Performs additional duties as assigned.

Knowledge of Good Clinical Practice/ICH Guidelines and/or other applicable regulatory requirements.

Excellent communication, presentation, and interpersonal skills. Basic level of critical thinking.

Trial Master File experience.

Blue Cross Blue Shield July 2015- February 2021

Medicaid Provider Enrollment and Education

Provider Relations Representative

Provide education and training for network providers, staff, suppliers and physicians, beneficiaries, or referral agents as necessary.

Conduct site visits to ensure Medicaid providers are compliant.

Process new enrollments.

Process revalidations.

Process initial review and sanction checks and other special projects.

Respond timely to Provider enrollment voicemail and emails.

Provider Service Center inbound/outbound calls.

Create monthly reports.

Schedule site visits.

Submit monthly travel expense reports.

Travel MSA and submit car rental request.

Credentialing for Medicaid providers (several different Provider Types).

Blue Cross Blue Shield December 2004-July 2015

National Accounts Membership and Enrollment

Member Service Coordinator (Team Leader)

Coordinated and ensured distribution and prompt processing of all paperwork for document production. Maintained pending and distributed daily work. Coordinated workflow processes to consistently meet all quality standards.

Proofed departmental documents prior to authorizing release to ensure accuracy.

Assisted supervisor with preparation and maintenance of group and electronic files for timely processing.

Served as team lead in the membership area handling escalated and urgent issues in National Accounts to secure ASO accounts.

Trained and motivated new employees and guided less-experienced staff.

Coordinated special projects as assigned by management.

Coordinated with other areas as necessary, including working with other group leaders in claims, customer service, billing, marketing, and pharmacy support (Caremark).

Market-place system testing.

Blue Cross Blue Shield March 1997-December 2004

Group & Individual (Small Group) Membership

Account Coordinator II (Enrollment)

Accurately pre-screened small groups and processed new group business for 2-50 lives.

Efficiently processed health and dental membership applications, and completed health and dental packages, including identification cards and benefit booklets.

Accurately ran proposals and billed for small groups (2-50 lives). Assisted internal and external sales agents with sales proposals, billing, and enrollment of small groups.

Professionally communicated with and assisted Underwriting, and internal and external sales agents to develop solid business relationships.

Blue Cross Blue Shield July 1991-March 1997

Government Contracts – Medicaid (MIVS)

Claims Analyst I and Claims Examiner II

Analyzed and corrected claims using error reports and error codes.

Processed adjustments when needed.

Responsible for identifying Third Party Liability recovery information on Medicaid claims.

Data Entry Clerk and Back-Up Information Systems Processor

Accurately entered and verified HCFA, UB82, and Dental forms.

Transmitted keyed claims through information systems.

EDUCATION

University of South Carolina – College of Humanities and Social Sciences

Coursework in Political Science

Earned 79.0 credit hours

1982-1985

Eau Claire High School

Honors Graduate

1979-1982

TRAINING

Microsoft Office applications, including Word, Excel and Access.

Blue Steps Customer Service Business Training.

Thorough knowledge and day-to-day experience using CES, TOTL, ABIL, SOND, ALGP, and INFO, IFLOW, Compliance 360, PECOS, Death Master File,

Marketplace testing.

Live Ops user.

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