Clinical Operations & Patient Service Leader

CAROL ANN TREVINO

CLINICAL OPERATIONS SERVICES

OBJECTI VE

Dedicated professional transitioning

into a new field, bringing

transferable strengths in leadership,

client service, and strategic

planning. Committed to delivering

value through adaptability work,

and continuous learning.

,

EXPERIENCE

CLINICAL OPERATIONS SUBJECT EXPERT MATTER (SME)

CVS PHARMACY (Remote)

Richardson, TX

Oct 6, 2021 – present

Oversee daily pharmacy workflow operations to ensure efficiency, compliance, and quality patient care delivery. Provide subject matter experience on clinical programs, operational procedures, and regulatory requirements. Support the pharmacy team with troubleshooting, escalations, and workflow optimization.

Ensure adherence to HIPAA, Board Pharmacy regulations, and corporate compliance standards.

PATIENT LIAISON TEAM LEAD

Hormone Replacement Therapy Practice

San Antonio, TX

Seven Oaks Women's Center 7th Floor

Dr Brian Cox, MD and Owner

Oct 6, 2016- Oct 29, 2021

Lead and supervise daily operations of the patient care team, ensuring exceptional patient experience from initial consultation through engaging treatment support.

Serve as a primary point of contact for patients, addressing complex inquiries, resolving concerns, and ensuring continuity of care.

Coordinate scheduling, intake processes, lab follow-ups, and treatment plan communications between patients and medical providers.

Business Office Financial Specialist

Seven Oaks Women's Center

OBGYN/Gynecology Office 2nd Floor

San Antonio, TX

Manage front-end and back-end revenue cycle processes, including insurance verification, benefits investigation, and prior authorizations.

Post payments, reconcile accounts, and resolve billing discrepancies to ensure accurate financial payments. Submit and track insurance claims, follow up on denials, and coordinate appeals to optimize reimbursement.

ABOUT ME

Highly motivated and dependable

professional eager to contribute

strong work kills in a growth-

oriented environment. Quick

learner with the ability to manage

responsibilities effectively while

supporting team objectives.

EDUCATION

SAN ANTONIO COLLEGE, 2014

CPT, ICD-10, HCPSC MEDICAL

CODING

SKILLS

• Clinical Operation's

Management

• SME – Pharmacy & Clinical

Programs

• Patient Care Coordinator

• Workflow Optimization &

Process Improvement

• Regulatory Compliance

(HIPAA, CMS, Board of

Pharmacy

• Quality Assurance & Audit

Readiness

SW Methodist Hospital

Pediatric Oncology Group

San Antonio, TX

2012 – Oct 5, 2016

Mange full-cycle revenue medical billing processes, including charge entry, claims submission, payment posting, denial management, and accounts receivable follow-up.

Verified insurance eligibility, obtained prior authorizations, and ensured accurate benefits investigations for oncology-related treatments and procedures’

Reviewed clinical documentation to support accurate coding,

(ICD-10, CPT, HCPSCS) and maximize reimbursement compliance Coordinated with the Oncology Medical Director, Physician, nursing staff, and financial counselors to ensure complete and accurate charge capture.

Performed administrative support functions including scheduling, medial record management, correspondence, coordination of multidisciplinary appointments,

Meeting Minutes/Minutes-Taking – Officially recording discussions, decisions, and action items from staff meetings.

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