Experienced medical professional. Excellent reputation for problem solving, identifying discrepancies, improving productivity, collaboration, efficiency, and time management.
Overview
16
16
years of professional experience
Work History
Sr. Data Coordinator
Texas Oncology Research- Central Data
Dallas
11.2021 - Current
Trained staff on organization, time management and chart reading
Responsible for 25+ studies
Lead Coordinator
Developed and implemented reports, validation procedures and entry processes for data management needs.
Exceed SOP of 5 days, data and queries. Turnaround time of 48 hours
Diligent management of all studies to ensure deadline and data cut ready at all times
Excellent rapport and collaboration with CRA's, sponsors, clinical staff and teammates
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Maintained energy and enthusiasm in fast-paced environment.
Data Coordinator II-Phase I/Breast
Texas Oncology-Sammons Cancer Center
Dallas
01.2020 - 11.2021
Responsible for collection, coordination, processing and integrity of clinical trial data
Extrapolate data from source records into case report forms for all patient visits and maintain timely data submission
Responsible for 21+ studies with average patient load of 18-30 active, weekly treatments
Exceed SOP of 5 days, data and queries. Turn around time of 48 hours
Excellent rapport with CRA's, Sponsors and Clinical staff
Manage all sponsor monitoring and auditing visits
Developed and implemented efficient processes for collection of data and research files while working from home
Diligent management of all studies to ensure deadline and data cut ready at all times
Managed workflow scheduling, data entry and accuracy verification for large data projects.
Verified accuracy of data before transcribing.
Clinical Reviewer
Texas Oncology-Bone Marrow Transplant
Dallas
11.2018 - 01.2020
Reviewed and audited for medical necessity and appropriate documentation for chemotherapy treatment approval
Communicated with nursing and medical staff regarding varying insurance plan requirements
Used medical and clinical review guidelines and parameters to maintain consistency in MD review process, appropriate utilization levels and compliance with facility policies and procedures.
Obtained insurance authorizations and pre-certification specifically for chemotherapy services and imaging (PET, CT, MRI)
Drafted appeals in case of denial from insurance payor
Maintained all authorizations and pre-certifications to prevent any delays in patient treatment
Researched additional/alternative resources for non-covered chemotherapy
Well versed in State and Federal regulatory guidelines
Collected preoperative, operative and postoperative data components through hospital EMR.
Research and Resolution Specialist/Special Projects Lead
Aveanna Healthcare
Dallas
02.2016 - 11.2018
Review executed contracts. Ensure state and federal regulation compliance, including OIG compliance guidance.
Account auditing. Identify patterns of discrepancy.
Initiate and maintain provider projects. Research insurance denials and appeal as appropriate.
Initiated and executed effective processes for workflow and time management for revenue department in coordination with Revenue Cycle and Billing Directors.
Research all relevant educational reference material on state and individual payer guidelines, condense and disperse for reimbursement, billing, and clinical staff.
Exceeded daily quota of 125 project claims to be reviewed a day- 300.
Effective communication and good rapport with satellite offices, clinics and our interoffice departments.
Led transition team for newly acquired companies-review new contracts, supervised cleanup of aged revenue, help newly acquired employees at satellite locations implement our policies and procedures to establish state and regulatory guidelines for various states for billing compliance.
Medical Assistant/Study Coordinator
Collin County ENT, Dr. Keith E. Matheny
Frisco
11.2008 - 02.2016
Detailed chart keeping. Account and chart auditing.
Directed patients to exam rooms, fielded questions and prepared for physician examinations.
Sanitized, restocked and organized exam rooms and medical equipment.
Effective time management in keeping clinic schedule for MD and PA.
Managed surgery schedule for MD.
Obtained benefits, pre-certification and authorization for in-office CT's and in-office surgery for MD.
Coordinated with Practice Manager creating and implementing policy and procedure for clinical staff, initiated HIPAA privacy and security competency training for all staff.
Assisted MD with diagnostic procedures and in-office surgery.
Assisted in 4 clinical studies-screened patients from daily clinic and confirm eligibility of potential for study.
Scheduled study visits and necessary testing.
Coordinated, organized and maintained all study documentation, regulatory binders and patient binders.
Cooperated with other health related agencies for clinical studies.
Assistant Professor at Department of Radiation Oncology, Homi Bhabha Cancer Hospital and Research CentreAssistant Professor at Department of Radiation Oncology, Homi Bhabha Cancer Hospital and Research Centre