Christal Mason

Interview applicants to obtain appropriate personal information and additional data needed for application/enrollment in various programs.

Verify information obtained to ensure accuracy and evaluate information to determine whether eligibility is met for available healthcare programs.

Enroll applicants in programs determined eligible for.

Assist applicants with the completion of required applications/forms. Assess potential referral needs and direct applicants to services as needed, providing program information, benefits and services.

Maintain client files and enter accurate data into appropriate databases and/ or software.

Perform other duties as assigned.

• Performed accurate and detailed data entry for health center patients funded by grants
• Complete EMR chart reviews for patient data collection including payor confirmation, laboratory results, and social determinants of health needs
• Supports the overall grant data, reporting, and auditing activities
• Verify and correct errors in patient-level data as required

• Perform data entry to request medical records documentation, radiological images and/or pathology slides/blocks in the appropriate computer application system
• Identify and coordinate the method of procurement for the medical records documentation, radiology images and/or pathology slides/blocks with appropriate healthcare provider(s)
• Create medical record documentation, radiological images and/or pathology slide(s)/block requests accurately after verifying all information
• Provide accurate and timely updates on the status of the requested continuation of care items (verbal and/or non-verbal communication) within the STAT RRS system.
• Contact healthcare providers on status of medical record documentation, radiological images, and/or pathology slide(s)/block(s), if necessary
• Provide quality control for all incoming medical records documentation, radiological images, and/ or pathological slides/blocks (i.e. verification of data entry to ensure correct patient match with items received to in-house computer system database)
• Report daily productivity numbers to the immediate supervisor through prescribed methods.

• Process adverse events by issuing call tags to return products to manufacture warehouse
• Capture quality complaints, adverse events in Skin Medical emails and voice messages by entering into Global Track wise and Sales force software.
• Communicate and collect information from healthcare providers, consumers, and sales representatives

• Collaborated with company's account teams to accomplish all components of event planning
• Communicated regularly with venders, facilities, show management, and company partners
• Prepared accurate and detailed cost estimates for on-site services, labor, and supervision
• Managed competing deadlines and successfully completed all deliverables in required timeframes

• Handled calls from health providers verifying health plan members' coverage
• Reviewed pre-authorization request for medical procedures and determined insurance benefits
• Obtained required clinical histories from referring physician in order to grant authorization

• Managed 102 contracts with on-site medical and vision service providers in long-term care facilities
• Maintained positive working relationships with providers and resident locations, answering program questions, resolving treatment disputes, and growing network of providers

• Identified, developed, and maintained referral sources
• Worked collaboratively to establish strategic relationships with community hospitals, physicians, nursing home and community organizations