Summary
Overview
Work History
Education
Skills
Training
Timeline
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CHAUNDRA CAROLINA MINGO

Columbia,SC

Summary

Provider Relations Representative with 25+ years combined experience in the areas of Provider Education and Enrollment, Group and Individual, Major Group and National Accounts Management. Highly skilled in membership enrollment and medical 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.

Overview

32
32
years of professional experience

Work History

Clinical Trial Management Support Specialist

Premier Research
02.2021 - Current
  • 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
  • Informed Consent experience
  • Standard Operating Procedure (SOP) completed on-going trainings
  • Quality Assurance
  • Data entry
  • Knowledge of IRB
  • Knowledge of KPIs.

Provider Relations Representative

Blue Cross Blue Shield
07.2015 - 02.2021
  • Provided education and training for network providers, staff, suppliers and physicians, beneficiaries, or referral agents as necessary
  • Conducted site visits to ensure Medicaid providers are compliant
  • Processed new enrollments
  • Processed revalidations
  • Processed initial review and sanction checks and other special projects
  • Responded timely to Provider enrollment voicemail and emails
  • Provider Service Center inbound/outbound calls
  • Created monthly reports
  • Scheduled site visits
  • Submitted monthly travel expense reports
  • Traveled the MSA and submit car rental request
  • Credentialing for Medicaid providers (several different Provider Types).

Member Service Coordinator (Team Leader)

Blue Cross Blue Shield
12.2004 - 07.2015
  • 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.

Account Coordinator II (Enrollment)

Blue Cross Blue Shield
03.1997 - 12.2004
  • 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.

Claims Analyst I and Claims Examiner II

Blue Cross Blue Shield
07.1991 - 03.1997
  • 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.

Education

Coursework in Political Science -

University of South Carolina – College of Humanities and Social Sciences
01.1985

Honors Graduate -

Eau Claire High School
01.1982

Skills

  • Technical Proficiency
  • Training and Development
  • Attention to Detail
  • Decision Making
  • Quality Assurance
  • Team Leadership
  • Customer Service
  • Organizational Skills
  • Effective Communication
  • Problem Solving
  • Time Management
  • Process Improvement
  • Relationship Building
  • Administrative Tasks
  • Excel Spreadsheets
  • Support Services

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

Timeline

Clinical Trial Management Support Specialist

Premier Research
02.2021 - Current

Provider Relations Representative

Blue Cross Blue Shield
07.2015 - 02.2021

Member Service Coordinator (Team Leader)

Blue Cross Blue Shield
12.2004 - 07.2015

Account Coordinator II (Enrollment)

Blue Cross Blue Shield
03.1997 - 12.2004

Claims Analyst I and Claims Examiner II

Blue Cross Blue Shield
07.1991 - 03.1997

Coursework in Political Science -

University of South Carolina – College of Humanities and Social Sciences

Honors Graduate -

Eau Claire High School

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