Compliance Coordinator. Healthcare Administrator. Care Manager
Resume:
Charlene Evans
919-***-**** • *******@*****.*** • Raleigh, NC
Summary
Highly organized Healthcare Administrator with over 25 years of experience in patient advocacy and clinical coordination. Expert in Authorization Obtaining and Patient Scheduling for complex medical treatments, utilizing EMR proficiency and web-based portals to streamline patient intake and clinical documentation. Proven track record in high-volume, phone-based contact center environments requiring Diplomatic Conflict Resolution and meticulous Data Entry accuracy.
Work Experience
Lead Risk Map Coordinator II April 2012 – October 2023
BIOGEN IDEC
Managed high-volume Authorization Obtaining processes, proactively providing status updates to physicians and infusion sites to ensure timely Patient Scheduling and medication access.
Maintained territory-wide patient health records utilizing web-based portals to ensure 100% compliance with risk minimization protocols and medical safety requirements.
Executed 100% phone-based communication and Diplomatic Conflict Resolution to resolve non-compliance issues via inbound/outbound calls, fax, and electronic communication.
Led a team of REMS coordinators as Lead Coordinator, overseeing Data Entry accuracy and clinical workflow management for specialized patient populations.
Universal Patient Services Coordinator February 2011 – April 2012
BIOGEN IDEC
Conducted comprehensive health insurance benefit investigations and Authorization Obtaining for drug therapy coverage, ensuring accurate patient intake.
Utilized EMR proficiency and PRIMO systems for detailed Data Entry of adverse events and drug therapy records, maintaining strict regulatory documentation standards.
Care Manager March 2009 – August 2010
AMERICAN ELDERCARE, INC.
Performed internal audits and FCE Processing reviews of client charts to meet Federal Drug Administration guidelines and clinical accreditation standards.
Monitored expenditures for home health services and utilized Data Entry for monthly financial tracking based on state-allotted funds.
Marketing Manager August 2008 – March 2009
UTOPIA HOME CARE INC.
Initiated patient intake processes through detailed review of medical records and completion of critical enrollment paperwork for multi-site home care operations.
Care Manager April 2007 – August 2008
AGING WISELY, INC.
Executed Patient Scheduling and service coordination for elderly and disabled clients, ensuring medical needs were matched with appropriate provider resources.
Educational Support March 2005 – August 2006
WAKE COUNTY PUBLIC SCHOOL SYSTEM
Applied Physical Therapy Knowledge and Occupational Therapy Knowledge to support various therapy plans, ensuring consistent delivery of prescribed medical interventions.
Education
Master of Public Administration in Concentration in Healthcare Administration
The University of New Haven, West Haven, CT
Bachelor of Science in Public Health
Southern Connecticut State University, New Haven, CT
Additional Skills
Clinical Coordination: Patient Scheduling, Authorization Obtaining, Patient Intake, FCE Processing, REMS Compliance, Clinical Project Coordination
Technology & Platforms: EMR proficiency, Raintree, Web-based portals, Data Entry, Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
Specialized Knowledge: Physical Therapy Knowledge, Occupational Therapy Knowledge, Healthcare Administration, Compliance Management
Communication: Diplomatic Conflict Resolution, Remote Contact Center Operations, Customer Service, Phone-based Communication
Certifications
Insurance Producer - Accident & Health or Sickness
Certified Care Manager (CMC)
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