Clinical Trial Customer Service
Resume:
NATOSHIA MITCHELL
********.********@*****.***
FARMERS BRANCH, TEXAS
PROFESSIONAL
A results-driven Clinical Trials Research and Billing Analyst with over 10 years of expertise in clinical trial case management, billing process supervision, and data analysis. Adept at streamlining billing operations to maximize efficiency and accuracy within the healthcare industry. Passionate about implementing innovative solutions to enhance revenue cycle management, foster relationship development, and improve customer service in a fast-paced, evolving healthcare environment.
EXPERIENCE
SENIOR CLINCIAL TRAIL BILLING AND RESEARCH ANALYST Feb 2018-Present
Emory Healthcare- Remote Atlanta, GA
Oversee clinical trial cases, ensuring precise billing and compliance with sponsor requirements.
Diagnoses and resolve recurring billing issues through effective collaboration with supervisors to ensure correct claims.
Leverage tools such as EPIC, Citrix, and OnCore to enhance billing and revenue management processes.
Conduct comprehensive billing audits for clinical trial studies, ensuring adherence to compliance standards.
Manage patient accounts and verify insurance coverage for research studies, optimizing financial processes.
Collaborate closely with research teams to ensure accurate billing documentation and adherence to protocols.
Specialty clinics which includes: Acute Care, Electrophysiologist, GYN Oncology, Breast Health, Cardiothoracic and vascular, Digestive Disorders, ENT, GI, Intensivists, Hospital Professional Services, Interventional Pain management, Neurology, OBGYN, Orthopedic, Psychiatry, Radiology, Surgical, Spine and Wound Care.
TEAM LEAD/ MANAGD CARE REFUND ANALYST Aug 2016- Feb 2018
Parallon Business Solutions Norcross, GA
Monitored payments and ensured strict adherence to billing and reimbursement guidelines set forth by governmental bodies and external sponsors.
Championed a team of customer service representatives, significantly improving overall customer satisfaction.
Orchestrated cross-functional teams in project planning and implementation consistently meeting critical deadlines.
Developed and instituted quality assurance processes, ensuring accuracy and efficiency in refund processing.
Utilized tools such as EPIC, Citrix, and OnCore to support comprehensive billing and revenue management.
REVENUE CYCLE/CHARGE ENTRY/BILLING SPECIALIST Feb 2016 – Aug 2016
Avery Partners Healthcare Roswell, GA
Scheduled and registered patients in client’s EMR system with production driven and quota base.
Updated patient demographics and insurance information. Analyzed patient packs and posted charges.
Converted ICD-9/10 codes and appended modifiers. Created and submitted claims for St. Francis Hospital and specialty Clinics. Accurately apply payments to patient accounts and reconcile bathes.
Verified insurance eligibility and COB information. Identified, track, report fee scheduled and coding issues. Experience with leading and developing teams (i.e. Providence team and high dollar accounts)
account receivables and resubmit clean claims that are denied for COB, medically necessary issues etc.
Appealed denied claims; Scrub claims; Managed delinquent accounts initiating collection procedures as required. Advised in resolution of patient billing issues through typical inquiries.
Gathered medical records to input and update patient information in computer system.
Specialty clinics which includes: Acute Care, Electrophysiologist, GYN Oncology, Breast Health, Cardiothoracic and vascular, Digestive Disorders, ENT, GI, Intensivists, Hospital Professional Services, Interventional Pain management, Neurology, OBGYN, Orthopedic, Psychiatry, Radiology, Surgical, Spine and Wound Care.
SENIOR MANAGED CARE DATA SPECIALIST June 2011- Jan 2014
Payments MD Atlanta, GA
Engineered and delivered training on billing procedures, enhancing operational efficiency while minimizing errors.
Facilitated robust communication channels between management and insurance payers, cultivating strong relationships and ensuring compliance with industry regulations.
Formulated data-driven strategies to enhance patient demographic data correction and eligibility verification processes, elevating accuracy and reducing discrepancies.
Led cross-functional teams in strategic project planning and execution, consistently meeting project timelines.
Developed and implemented comprehensive quality assurance processes, ensuring accuracy and efficiency in refund processing.
EDUCATION
Master of Business Administration, Health Administration 2014
Strayer University
Bachelor of Science in Business Management 2011
University of Phoenix
KEY SKILLS
Clinical Trial Billing & Case Management
Revenue Cycle Management
Financial Data Analysis & Reporting
Healthcare Billing Compliance
Process Automation & Technology Integration
HIPAA & Healthcare Regulations Compliance
Customer Relationship Management
Problem Solving & Process Optimization
Cross-functional Collaboration
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