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, NJ01.2027
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
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