Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

James Wilson

Fairmont,WV

Summary

Proven leader in healthcare management, adept at enhancing patient care and improving clinical outcomes, demonstrated during tenure at United Hospital Center. Skilled in Electronic Health Records Systems and fostering client relationships, I significantly increased customer service ratings. Expertise in team leadership and solution implementation, ensuring compliance and high morale across multidisciplinary teams.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Clinical Supervisor

United Hospital Center
Bridgeport, WV
11.2024 - Current
  • Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
  • Investigated complaints from clients or families concerning their care or treatment.
  • Analyzed clinical data to identify trends, improve outcomes, and inform strategic planning.
  • Provided consultation services to other departments or organizations regarding clinical matters.
  • Improve policies and procedures through development, implementation, revision and evaluation of new protocols.
  • Reviewed case notes and other documentation to ensure compliance with regulations and standards of care.
  • Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
  • Participated in team meetings to discuss best practices for client care.
  • Explained policies, procedures and services to patients.
  • Assessed and evaluated clinical staff performance, providing feedback to ensure quality standards were met.
  • Interviewed applicants and made recommendations for new hires.
  • Established a supportive and collaborative work environment, promoting team cohesion and high morale.
  • Facilitated interdisciplinary team meetings to discuss patient care, treatment plans, and progress.
  • Coordinated weekly work schedules for department employees.
  • Collaborated with multidisciplinary teams to ensure continuity of care for clients.
  • Provided clinical supervision and mentorship to less experienced clinicians, fostering a culture of learning and growth.

Referral Coordinator

WVU Medicine
Morgantown, WV
03.2024 - Current
  • Assisted in the development of referral processes and procedures.
  • Maintained accurate records of all referrals, including contact information and follow-up activities.
  • Resolved conflicts between referring physicians and receiving providers.
  • Participated in regular meetings to discuss referral strategies, network expansion, and program performance metrics.
  • Scheduled patients according to availability, urgency and insurance authorization guidelines.
  • Answered questions and resolved concerns raised by both patients and specialists.
  • Managed daily patient referrals daily through multi-line telephone system.
  • Coordinated with external agencies to ensure timely processing of referrals.
  • Conducted outreach to community providers for referrals and resources.
  • Monitored patient progress throughout the referral process.
  • Created reports on referral activity and outcomes.
  • Provided feedback on relevant referral trends, issues, and best practices.
  • Performed data entry related to referrals into electronic health record systems.
  • Advised staff on appropriate protocols when making a referral.
  • Reviewed demographic, clinical and insurance information before sending to referred specialists.
  • Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
  • Performed additional office duties, handling patient service inquiries and receiving payments.
  • Created and maintained office policies and procedures to ensure smooth operations and compliance with all state regulations.
  • Trained new staff on office procedures, software programs and customer service protocols.
  • Assisted in resolving conflicts between staff members and addressing any issues that arose related to patient care or safety concerns.
  • Reviewed employee time sheets for accuracy before submitting them for payroll processing.
  • Oversaw day-to-day operations of the front desk area to ensure efficient flow of patients through check-in and checkout processes.
  • Pitched in to help with office tasks during busy periods and staff absences.
  • Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
  • Worked with management team to improve workflows and eliminate unnecessary tasks.
  • Collaborated with other departmental leaders to establish organizational goals, strategic plans, and objectives.
  • Managed busy calendar for executive team, planning and preparing meetings and communications.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Epic trained in Cadence and Compass Rose.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.

Hospitality Manager

Muriales Italian Kitchen
Fairmont, WV
03.2009 - 03.2024
  • Increased customer service ratings significantly through personable service.
  • Scheduled work hours for 50 employees to achieve adequate manpower coverage.
  • Tracked guest satisfaction surveys to recognize trends and create action plans for improving guest services.
  • Filed incident reports and handled inappropriate behavior to document problems and disturbances.
  • Coached and developed associates to improve soft skills and recovery techniques.
  • Handled guest complaints and offered complimentary services to maintain high guest satisfaction rates.
  • Hired and trained new employees, demonstrating best methods for serving clients and guests.
  • Participated in financial activities such as setting room rates, establishing budgets and allocating funds to departments.
  • Booked large groups for weddings, seminars, conferences and other events, providing best available room rates.
  • Offered appropriate reservation options based on expected attendees when coordinating events.
  • Boosted hotel quality and service scores from by motivating and supporting guest services and housekeeping employees.

Patient Access Specialist

WVU Medicine Children's
Morgantown, WV
09.2022 - 06.2023
  • Collected and validated patient demographics and insurance information.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Prepared patient identification band and completed admissions papers.
  • Performed patient pre-admission, admission, transfer and discharge activities.

Clinical Associate

Ruby Memorial Hospital
Morgantown, WV
03.2017 - 04.2019
  • Sanitized, restocked and organized exam rooms and medical equipment.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions.
  • Assisted patients with basic care needs.
  • Equipped patients with assistance required for basic care.

Education

Bachelor of Science - Biology

WVU
Morgantown, WV

Associate of Science - Health Sciences

Pierpont Community And Technical College
Fairmont, WV

Associate of Science - Nursing

West Virginia Junior College
Morgantown, WV

Skills

  • Medical Histories and Vital Statistics
  • Diagnostic Codes
  • Electronic Health Records Systems
  • Hospital Security
  • Team Leadership
  • Solution Implementation
  • Verifying Eligibility
  • Payment Processing
  • Co-Payment Collection
  • Patient Interviewing
  • Front Desk Operations
  • Customer Satisfaction
  • Medical Terminology
  • Patient Registration
  • Multi-Line Telephone Systems
  • Patient Contact
  • EMR Updating
  • Punctual and Hardworking
  • Educate Patients
  • Patient Rights
  • Improve Patient Care
  • Account Inquiries
  • Guest Account Management
  • Client Relationship Management
  • Customer Rapport
  • Marketing

Certification

  • Medical Terminology
  • CNA
  • BLS

Timeline

Clinical Supervisor

United Hospital Center
11.2024 - Current

Referral Coordinator

WVU Medicine
03.2024 - Current

Patient Access Specialist

WVU Medicine Children's
09.2022 - 06.2023

Clinical Associate

Ruby Memorial Hospital
03.2017 - 04.2019

Hospitality Manager

Muriales Italian Kitchen
03.2009 - 03.2024

Bachelor of Science - Biology

WVU

Associate of Science - Health Sciences

Pierpont Community And Technical College

Associate of Science - Nursing

West Virginia Junior College

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James Wilson