Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Madeleim Camacho

Newark,NJ

Summary

Compassionate and diligent patient navigator with extensive knowledge of medical terminology. Accomplished and results-driven administrative professional with 20+ years of office management experience in fast-paced settings including medical and pharmaceutical industries. Adept at managing multiple providers' office sessions with accuracy and professionalism while maintaining the integrity of all data. Self-motivated and proactive with exceptional time management, organizational, interpersonal, verbal, and written communication skills. Extensive leadership skills. Liaison for physicians, mid-level providers and patients.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Patient Navigator

UNIVERSITY HOSPITAL
05.2020 - Current
  • Assist patients in overcoming barriers to care, such as transportation, language, and financial challenges.
  • Communicate with insurance companies to resolve issues and obtain necessary authorizations or approvals.
  • Support patients in managing their mental and emotional well-being through active listening, empathy, and appropriate referrals to specialized care providers.
  • Ensure appropriate appointments are given in a timely manner
  • Adhere to policies regarding safety, confidentiality and HIPPA guidelines
  • Meet with Care Team (including attending provider, Nurse practitioners, registered nurse, other patient navigators, and medical office assistants) to discuss patient care issues and needs and facilitate patient health care
  • Communicate with Care Team members (Care Coordinators, primary care physicians and other health care providers) to facilitate patient care
  • Assist with access issues, develop relationships with referring health care providers and ensure complete and efficient management of all referrals, including acquisition of necessary patient-care materials and medical records
  • Perform administrative duties relevant to surgical operations, including surgery scheduling, pre-operative testing, obtaining insurance authorizations, appointment reminders, and scheduling surgical equipment
  • Recognize and respond appropriately to urgent/emergent situations.
  • Improve patient satisfaction by providing personalized guidance and resources throughout their healthcare journey.
  • Improve patient understanding of treatment plans with clear, compassionate communication.

Surgical Coordinator/Patient Navigator

UNIVERSITY PHYSICIAN ASSOCIATES/RUTGERS NJ MEDICAL SCHOOL
06.2014 - 05.2020
  • Responsible for strategically planning, coordinating, and scheduling surgical procedures, radiology, and diagnostic testing along with initial, follow-up and post-operative office visits for 5 vascular surgeons
  • Obtain insurance authorizations for surgery, radiology, diagnostic imaging, and office visits
  • Ensure all documentation/maintenance of patient charts are completed
  • Protect patient rights by complying in all department, hospital, state, and federal policies such as HIPAA rules and regulations
  • Register patients for surgical procedures, radiology imaging and office visits
  • Responsible for Medical coding, bookkeeping, making payment transactions, maintaining patient accounts
  • Patient Advocate-guide patients through healthcare system
  • Work closely with patient care team and assist in coordination of patient care by removing barriers that would prevent patients from receiving health care services
  • Ensure complete and efficient management of all referrals, including acquisitions of all patient-care materials and medical records
  • Provide monthly statistics and referring patterns
  • Perform clerical duties such as organizing paperwork, filing, faxing, answering, and routing calls etc.

Clinical Data Manager

HOFFMANN LA-ROCHE
09.2009 - 05.2011
  • Performed discrepancy management for automated and manual queries
  • Interacted and collaborated with investigator site and monitors to ensure their understanding of data specifications and resolve data quality issues
  • Performed User Acceptance Testing for clinical databases
  • Conducted data management activities in preparation for snapshots, interim analysis, and database closures
  • Reconciled data where appropriate
  • Effectively communicated status of work
  • Covered for Study Data Manager at meetings when needed
  • Identified issues and data trends and took corrective action to resolve them.

Clinical Data Liaison Manager

HOFFMANN LA-ROCHE
02.2007 - 09.2009
  • Principal point of contact between internal teams and external business partners
  • Ran defined set of quality metrics across studies, analyzed and communicated findings to Global Head of Data Liaison Group
  • Managed overall contribution of data liaison group and study teams to ensure effective execution and delivery of site studies and projects
  • Provided detailed requirements for deliverables to assist external partners with resource requirements
  • Ensured Task Specific Addendum initiated and maintained throughout study duration
  • Trained CRO staff in Roche specific data entry conventions
  • Trained relevant personnel internal/external partners on Data Processing tasks including PIMWeb
  • Responsible for maintenance of Global data Entry Conventions
  • Responsible for monitoring and ensuring that PIMWEb Exception Care was cleared, hours were logged and resources were allocated as appropriate
  • Responsible for maintenance of PAC (Partnership Access Center) Administration Global Mailbox

Education

Associate of Science - Business Administration

Essex County College
Newark, NJ
01.2027

Skills

  • EPIC
  • Insurance Company Knowledge
  • Insurance Verification
  • Data Integrity
  • Microsoft Office
  • Medical Terminology, Billing and Coding
  • Reporting and documentation
  • AS400/Infinity, Oracle Clinical, Macro, Brio Query, Shareweb
  • Bilingual (Spanish)
  • Data Entry, Processing and Management
  • Clerical support
  • Employee training
  • Organization and Time Management
  • Billing Issue Resolution and Support
  • Coordinate Referrals

Certification

American Heart Association

Heartsaver CPR AED Certification (03/2025 - 03/2027)


02/2014 - Academy of Allied Health Sciences

Certification in Medical Billing and Coding with EMR

Timeline

Patient Navigator

UNIVERSITY HOSPITAL
05.2020 - Current

Surgical Coordinator/Patient Navigator

UNIVERSITY PHYSICIAN ASSOCIATES/RUTGERS NJ MEDICAL SCHOOL
06.2014 - 05.2020

Clinical Data Manager

HOFFMANN LA-ROCHE
09.2009 - 05.2011

Clinical Data Liaison Manager

HOFFMANN LA-ROCHE
02.2007 - 09.2009

American Heart Association

Heartsaver CPR AED Certification (03/2025 - 03/2027)


02/2014 - Academy of Allied Health Sciences

Certification in Medical Billing and Coding with EMR

Associate of Science - Business Administration

Essex County College
Madeleim Camacho