Financial Clearance Representative
August 2014 to CurrentCompany Name － City, State
Financial Clearance Team Member - Patient Access Center
- Sutter Shared Services
� Serves as the pre-service point of contact for
patients to obtain all necessary information to pre-register and financially
clear patients prior to day of service delivery. Also handles non-clinical
referrals and authorization coordination and unbilled account follow-up.
Enhances the patient experience throughout all patient interactions by serving
as the customer service point of contact by demonstrating knowledge of Sutter's
Health system and service offerings. Work with Pediatric, Bariatric, and Labor
& Delivery registration departments.
Customer service Insurance Specialist
September 2012 to August 2014Company Name － City, State
Contact
Insurance companies for patients that are going to be getting Home
infusion therapy. Verifying patient's deductibles, out of pocket coverage
and co pays for services. Making sure all Insurance Verification forms are
completed properly for audits. Making sure to have the proper HCPC codes
for what medications patients will be receiving. Work with HCN, and Legacy
program for patients' medical records, and payers. Work with several branches, and
authorization specialist. Work with
Outlook, Excel, word Documents, sales force, and PDF. Knowledge of several
states insurance plans.
Medical Assistant in Podiatrics
March 2009 to May 2012Company Name － City, State
Assist With three Podiatric
Specialists.
Room patients, did blood draws
when needed, and help with surgical procedures.
Return patient phone calls, set
up appointments, did authorizations for surgical procedures or other medical
necessities. Maintain and Organize Doctor's schedule at all times. Scheduled
meetings with other associates, and Pharmaceutical Representatives on a monthly
basis.
Maintain Patients charts, called in prescriptions when
needed. Did pre-op assessments with patients who are scheduled for
surgery
Managed surgery scheduling for the physicians.
Did post-operative care with patients
Draw up injections for the Podiatrist per request
Specialize in orthotic education and durable medical
equipment.
Did authorizations and referrals for some procedures and
medication.
Some casting experience
Left job position due to husband received a job transfer
Clinical Research Coordinator
September 2007 to November 2008Company Name － City, State
Assist
with investigational study selection, including site/sponsor
correspondence, regulatory document preparations for protocol, informed
consent and appropriate HIPAA inclusions for IRB submission-ongoing. Management of study review process according to site/sponsor/IRB
guidelines.Coordinate the daily activities for several research
studies, including electrophysiology and pharmaceutical research;
Responsibilities include new study preparation, subject screening, recruitment
and enrollment, informed consent process, preparation for study monitor visits. Handling test article (TA) as directed by the investigator, maintaining drug
accountability, completing and ensuring the quality of case report forms,
reconcile data query / clarification forms. Maintain source documents,
electronic medical records, and ensuring site quality.
Manage subject visits, including obtaining vital signs,
adverse events and administering TA.
Conduct staff in-services prior to implementation of new
research trials.
Working knowledge of regulations, including the Food and
Drug Administration (FDA), Good Clinical Practices (GCP's), International
Conference on Harmonization (ICH), and Health Insurance Portability and Accountability
Act (HIPAA), institutional policies and procedures. Maintain regulatory documentation for several research
studies, which include receiving approval prior to enrolling subjects,
corresponding with the IRB on safety reporting, study modifications, closure to
accrual reports and annual reviews; maintaining regulatory files/binders,
Maintain screening logs.
Marketing experience.
Event coordinator for special events to promote the
institute.
Perform
other duties as required by management. Was
laid off due to economy
Clinical Research Coordinator
July 2005 to August 2007Company Name － City, StateConducted psychology clinical research studies for patients
with Alzheimer's, insomnia, General Anxiety, Depression, and Attention Deficit
Disorder.
Managed studies from phases II-IV Trials in
all aspects of the study start-up such as advertising, patient
recruitment, screening, scheduling, creating source documents, maintaining
regulatory records, collecting patient medical history. Worked with electronic medical records,
gathered psychiatric history, concomitant medication information, handling
of test article, calculating patient compliance, SAE reporting, Query
resolution, IRB correspondence, and study close-out visits.Conducted patient follow-up visits, including
vitals, ECG, phlebotomy, specimen processing for ambient and dry ice
shipments, drug test, and injections.Liaison between site and sponsor regarding
study specific issues.Marketing experience Event coordinator for special events to
promote the institute.Other duties as required.Leftjob position because moved out of state.
Office Manager
January 2002 to August 2005Company Name － City, State
Established and managed a well organized,
smoothly operated, and efficient Internal Medicine-Nephrology Specialist
practice. Did all authorizations and referrals'
contacted insurance companies when needed.Left position had moved out of area.
Office Assistant
September 1999 to January 2002Company Name － City, State
Answered phones, maintained patients charts, scheduled appointments as well as maintained Physicians schedule and Calendar. Helped assist Medical Assistance when needed for back up. Insurance verification, Copay collections and outstanding payments.
Office Assistant/ Medical Assistant
May 1998 to July 1999Company Name － City, State
Front and Back office duties.Maintained medical records.Worked on various types of software systems.Lab assistant.ECG technician.Did insurance Referrals' and authorizations
when needed. Left job position tomove to California
for college.
Office assistant/ Medical Assistant
July 1995 to April 1998Company Name － City, State
Internal Medicine Physicians Medical
Assistant.Obtained patient vital, blood draws, and
ECG's.Handled chief complaints.Worked with pharmacies for Medication Prior
Authorization / Refill Requests.Maintained patient records. Worked with several types of computer and
software programs. Was lead insurance authorization and referral
specialist. Left job position moved out of state to take care of a family member.
Clinical Research Coordinator/ Office assistant
July 1993 to July 1995Company Name － City, State
Practiced protocol medicine with emphasis on
patient health history.Assisted in managing up to 12 Phase II-IV
trials including study start-up, study advertisement, patient recruitment,
phone screening potential patients, maintaining regulatory binders, study
drug documentation, CRF completion, Adverse Event reporting, medical
history, concomitant medication, SAE reporting, Query resolution, study
close-out, and IRB correspondence.Phlebotomy, processing laboratory specimens
such as gram stains, Hematology slides, urine specimens, ECG's, and
Pulmonary Function Tests.Doctor merged practice with Alameda Medical
Group did not leave position.
Associate of Science : Micro Computer operations and Business , 2001MTI Business and Technology － City, State, USA
Micro-computer operations skills
such as Microsoft word, Excel, outlook,
Business
skills, and managerial training
Certification A.S.P.T : Phlebotomy/ECG Technician , 1995Phlebotomy Plus － City, State, USA Phlebotomy Plus,
A.S.P.T. and ECG Certification
Certification of Transcription : Medical Trancription and General Courses Alameda College － City, State, USA
