Organized and dependable professional successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain a position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Ready to help team achieve goals of standardization and work efficiency .
Overview
25
25
years of professional experience
Work History
Authorization Specialist
Providence Medical Group South
02.2017 - Current
Provide prior authorization support in accordance with payer guidelines.
Daily Review of patient appointments for authorization and registration requirements
Evaluate clinical criteria for Botox approval or denial of services requiring pre-authorization.
Obtain prior authorization for testing and procedures.
Denials Work Que. Review denied claims and appeals for prior authorization and contact insurance companies to resolve these issues.
Developed productive working relationships with supporting clinics. Working on practice efficiency and training
Assist leadership with develop of standardization protocols
Assist leadership with insurance matrix for SOSA
Attended continuing education courses to stay current on referral processes, best practices and development of leaderships/communication skills
Surgery pre-certification and verified insurance coverage.
Caring Reliably Coach: Presentation of HRO Tool of the month during meetings
Assist Leadership with onboarding process and training of staff
Go to person for questions
Clinical Research Coordinator
Providence Medical Group-Medford Neurology
10.2011 - 06.2023
Worked with principal investigator and sponsors to facilitate site selection, budget preparation and contract negotiation activities and comply with research protocols.
Screened patient records, databases, and physician referrals to identify prospective candidates for research studies.
Responsible for all subject visits and case report completion
Maintained source documentation and drug accountability
Followed informed consent processes and maintained records.
Management of study review process and master file, including all sponsor/CRO correspondence as well as IRB communications, study renewal and IND safety reporting
Conducted Staff in-service/training prior to implementation of new studies.
Managed over 50 Clinical trials
Conducted ECG Tracings
Participated in initiation visits and investigator meetings, implementing trials in accordance with study timelines and budgets.
Oversee laboratory process and procedure
Clinical Research Coordinator
Medford Neurological And Spine Clinic
10.2003 - 10.2011
*See all duties as listed above, Plus
Responsible for all Budget Negotiations
Responsible for payment processing.
Front Office Supervisor/Patient Registration Specialist
Medford Neurological And Spine Clinic
11.1999 - 10.2003
Provided exceptional customer service to patients, answering questions and addressing concerns.
Verified insurance eligibility and coverage for patients.
Filed and maintained patient records in accordance with HIPAA regulations.
Managed patient registration process,
Took copayments
Answered incoming calls, scheduled appointments and filed medical records.
Trained new staff
Scheduled and assigned daily work and activities for team members.
Oversaw front desk operations
Handled tasks and responsibilities for front office employees during periods of understaffing.
Call Center Patient Scheduler
Medford Clinic, PC
02.1998 - 10.1999
Managed provider templates and time off requests
Answered phone calls and messages for multiple-physician medical facility, scheduling appointments, and handling patient inquiries.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Directed urgent medical needs to triage nurse
Education
Bachelor of Science - Health And Human Performance
Oregon State University
Corvallis, OR
06.1993
High School Diploma -
Crater High School
Central Point OR
06.1989
Skills
Confidential Records Management
Data Entry
Complex Problem-Solving
Critical Thinking
Referral Tracking
Specialist Procedures
Medical Terminology Knowledge
HIPAA Regulations
Operational Efficiency
Surgical Procedures
Authorizations Knowledge
Timeline
Authorization Specialist
Providence Medical Group South
02.2017 - Current
Clinical Research Coordinator
Providence Medical Group-Medford Neurology
10.2011 - 06.2023
Clinical Research Coordinator
Medford Neurological And Spine Clinic
10.2003 - 10.2011
Front Office Supervisor/Patient Registration Specialist
Medford Neurological And Spine Clinic
11.1999 - 10.2003
Call Center Patient Scheduler
Medford Clinic, PC
02.1998 - 10.1999
Bachelor of Science - Health And Human Performance
Oregon State University
High School Diploma -
Crater High School
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