Highly-motivated reliable employee currently working in a busy multi-practitioner dermatology office with desire to enter into field reimbursement or access reimbursement to apply my biologic, coordination and insurance knowledge in a broader capacity. Strong work ethic, and adaptability. Fast learner, able to quickly master new skills. Biologic coordinator proficient in information gathering, report preparation and data compilation capabilities. Is successful in achieving biologic approvals of 95% of cases. In-depth Clinical Research Coordinator knowledgeable in insurance coverage forms, procedures, and policies. Experience in complying with study protocols and procedures for multiple clinical trials. A Phase 3 Randomized, Placebo-Controlled, Double-Blind Study for Moderate to Severe Atopic Dermatitis #M16-047-AD sponsored by ABBVIE and the CorEvitas Psoriasis Registry PSO-500.
Overview
10
10
years of professional experience
Work History
Biologic & Clinical Trial Coordinator
J. Schwartz, MD, PLLC
Troy, NY
06.2018 - Current
Obtain prior authorizations and submit requests of appeals and requests of medical necessity.
Ensure a 95% success rate of biologic approvals while maintaining a biologic caseload of 300 patients.
Maintain accurate records of all authorization activities in the database system.
Insurance verification of commerical, Medicare and Medicaid plans in order to Determine eligibility of and to support patient enrollment for assistance, support services.
Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Organize and track essential documents related to clinical trials according to ICH GCP guidelines.
Keep patient care protocols and clinical trial operations in compliance with HIPPA , local, state and federal regulations, and IRB approvals.
Practice management, Provided leadership and guidance to the medical team.
Resolve escalated customer service issues in a timely manner while maintaining a high level of professionalism.
Ward Clerk
Van Rensselaer Manor
Troy, NY
01.2014 - 07.2017
Answered inquiries from patients regarding insurance coverage, billing issues and other questions related to their care.
Assisted in the preparation of patient charts prior to doctor visits.
Collected paperwork for patients, nurses, and physicians.
Maintained strong and trusting rapport with patients and all healthcare staff to build relationships.
Managed unit call reception and routed calls to correct department.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Answered telephones and directed calls to appropriate medical or administrative staff.
Prepared discharge summaries upon completion of a patient's stay in the facility.