
Justin Terrell
Claims Specialist

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About me
Financial Analyst, Delegated Credentialing (Parallon)
Education

Orange High School
1998 - 2002High School Diploma
Experience

Blue Cross NC
May 2005 - Oct 2010Claims SpecialistProcessing and adjudication of subscriber submitted, professional, and institutional healthcare claims

Triangle Endoscopy Center, LLC
Feb 2011 - Sept 2014Front Office SpecialistGreet, assist and welcome guests/patients to the center; administrative support to center director; patient scheduling, billing, chart compilation

UNC Health Rex
Sept 2014 - Apr 2020Sr. Medical Office AssistantSupervision of front office staff, payroll, infusion scheduling, back-up administrative support, customer service, billing and coding

Church of God Cleveland Tenn
Apr 2020 - Dec 2020Youth Pastor
HCA Healthcare
Dec 2020 - May 2021Practice Specialist III (Mission Health)New patient referrals, customer service, scheduling of diagnostic imaging, research and clinic appointments

Insight Global
May 2021 - Dec 2021Clinical Data Coordinator (HCA Research Institute - Adult Oncology/Cardiology)Clinical research support at HCA Healthcare through data entry and abstraction, CRF completion, query resolution, provider credentialing, billing support, protocol implementation and administrative support to clinical research RNs and CRCs

HCA Healthcare
Jan 2022 - nowEnsuring that NCQA, state, and payor timeframes are met through roster submissions, and monthly, quarterly, and annual reporting Validate accuracy of data and notify appropriate areas of any issues identified Coordinate site visit completion for all required locations with Physician Service Group Quality team, and query quality data needed to satisfy contract requirements Confirm disclosure of ownership and collaborative agreement completion as needed based on contract requirements and work with other areas to ensure completion Schedule and participate in delegated payor and regulatory auditsWork closely with operations departments to assess and report performance Coordinates scheduled and ad hoc data and analysis requests across SC operational units Develop, test and deliver scheduled and ad-hoc reportsAssist in the development of financial data collection and measurement tools within the Shared Services CenterProactively review and provide data analysis and financial impact assessments to support Shared Services Center operations Prepare and analyze monthly operational reports Prepare uncompensated care projections and variance analysis for accounts receivable and net revenue performanceMonitor defined reports and work with applicable departments to ensure AR is properly stated at month end Create and support exception-based report generation for all departments Show less Recruiting, screening, enrollment, and follow-up of subjects according to protocol – including working with investigators to pursue study enrollmentEnsuring protection of study subjects and integrity of data submitted to study sponsorsCreation of study specific tools, tracking of source documents, and maintaining compliance with protocol requirements for documentation and data collectionMaintenance of records for research studies/subjectsWorking with study monitors to ensure Good Clinical Practice is being adhered toMonitoring of safety information, and submission of relevant information, to the IRB – including tracking of adverse events, serious adverse events, and protocol deviations Show less
Delegated Credentialing Analyst (Parallon)
Jan 2024 - nowClinical Research Coordinator (HCA Research Institute - Adult Oncology)
Jan 2022 - Jan 2024
Licenses & Certifications

Lean Six Sigma Yellow Belt (ICYB)
UNC HealthMar 2019
Transportation of Dangerous Goods Training
Mayo Clinic
Good Clinical Practice
Mayo ClinicMay 2021
Volunteer Experience
Worship Leader
Issued by Church of God Cleveland Tenn on Jan 2023
Associated with Justin TerrellYouth Pastor
Issued by Church of God Cleveland Tenn on Oct 2017
Associated with Justin TerrellWorship Leader
Issued by Access Church on Mar 2022
Associated with Justin Terrell
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