Amber Wilson
Research Operations
Willow Grove,PA
Summary
Astute Project Specialist with background in a rapidly growing, changing environment. Meticulous, systematic, fast paced and highly experienced with strong case management and relationship-building abilities. Bringing solid record of accomplishment in roles by successfully budgeting and implementing strategies for developing improved project management. Skilled at balancing stakeholders' interests by fairly applying all policies.
Overview
7
7
years of professional experience
Work History
Project Specialist II
Merck
Upper Gwynedd, PA
11.2022 - Current
- Coordinated compliance and operational tasks in support of non-interventional research activities.
- Collected data and followed SOP's, operations manuals, and case report form requirements.
- Managed compliance activities for manuscripts via Inevision by maintaining project timelines for authorship forms.
- Coordinated contracting and budget management activities related to confidentiality and consultant agreements for GMVC studies in CORE.
- Assisted with development and planning activities for scientific meetings with stakeholders.
- Conducted transparency reporting on quarterly and ad-hoc basis for PPSA/EFPIA compliance.
- Managed external facing SharePoint site (Engagezeone) to communicate with external stakeholders to ensure confidentiality exchanging sensitive, pertinent information.
- Provided direction and guidance to internal teams in order to achieve targets.
- Managed project timelines and deliverables for Study Management Team via Inevision related to OSTIC submission and publication progress.
- Submitted 25 manuscripts to journals within fist 3 months of employment ensuring requirements provided by journal were sufficient.
- Assist with ad-hoc requests, which may include formatting documents, creating job aids/checklists, and developing training guides/presentations.
- Assessed clients' ongoing projects for potential issues, advising project managers on possible solutions and necessary precautions.
- Advocated for ways to streamline ongoing projects, prioritizing shorter turnaround times and consistent development quality.
Regional Administrative Coordinator
Penn Medicine, RCAT & LTC Rise PA State Grant
Philadelphia, PA
07.2021 - 11.2022
- Co-managed managed 2 grant funds of $2,000,000 and $26,000,000 dollars by resolving financial discrepancies and assessing cost control measures.
- Interviews and evaluates applicants using various selection tools, and recommends candidates for employment, reassignments or promotions.
- Recommends and implements process improvements while integrating new concepts.
- Implemented project management techniques to overcome obstacles and increase team productivity.
- Analyzed and solved multi-faceted problems that effected executive leaders and stakeholders.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Process Payroll utilizing Penn for People.
Radiology Medical Claims Specialist
Penn Medicine
Philadelphia, PA
02.2020 - 07.2021
- Investigate claims records and forms to determine whether patient has medical insurance with customer base of 5000+ maintaining 120% proficiency.
- Complete logs, reports, forms and records to properly document medical claims utilizing Microsoft Office.
- Maintained accurate compliance with local, state and federal regulations and company policies.
- Examined 1000 denied claims submitted by insurance companies, worker's comp policies, Medicaid, Medicare and International plans.
- Handle speedy processing of backlogged and pending claims for over 300 patients within first 3 months of employment.
- Ensures all financial obligations are communicated to patients clearly, are documented in EPIC, and detailed to ensure expeditious processing of accounts.
Multi-Disciplinary Medical Claims Coordinator
The Children's Hospital of Philadelphia
Philadelphia, PA
06.2017 - 02.2020
- Prepares comprehensive reports to effectively communicate with various stakeholders via EPIC.
- Utilized medical and claims management resources to facilitate clinical and financial outcomes for claimants with complex and catastrophic medical conditions.
- Analyzes, investigates, and evaluates denied claims to ensure proper documentation and accurately reflect clinical information and services to be performed.
- Analyzed financial risks and communicated possible solutions with Executive Leadership to expedite urgent cases.
- Processed over 1000 complex claim appeals for all patients with denied claims.
- Track insurance authorization and claim trends for payment, denials, and non-authorization utilizing strict organizational skills.
- Drove operational improvements which resulted in savings and improved profit margins.
- Developed team communications and information for meetings.
Radiology Administrative Assistant
Orthopedics East
Greenville, NC
11.2013 - 06.2015
- Managed 300 patients per day prepping X-ray rooms.
- Coordinated inpatient services and assigned codes to surgeries and procedures adhering to facility policies and guidelines via EPIC.
- Organized and maintained patient chart filing system and promoted quick data finding for staff.
Education
Bachelor of Science - Business Administration -Healthcare Administration
Gwynedd Mercy University
Associate of Applied Science - Healthcare Management
Pitt Community College
05-2016
Skills
- Administrative Leadership
- Problem-solving
- Strategic Thinking
- Conflict Management
- Project Management
- Risk Analysis
- Team Building
- IEnvision
- EPIC
- Salesforce
- Rev Ops
- Engagezone
- Veeva Vault
- Budget Management
Timeline
Project Specialist II
Merck
11.2022 - Current
Regional Administrative Coordinator
Penn Medicine, RCAT & LTC Rise PA State Grant
07.2021 - 11.2022
Radiology Medical Claims Specialist
Penn Medicine
02.2020 - 07.2021
Multi-Disciplinary Medical Claims Coordinator
The Children's Hospital of Philadelphia
06.2017 - 02.2020
Radiology Administrative Assistant
Orthopedics East
11.2013 - 06.2015
Bachelor of Science - Business Administration -Healthcare Administration
Gwynedd Mercy University
Associate of Applied Science - Healthcare Management
Pitt Community College
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