Justin Terrell

Justin Terrell

Claims Specialist

Followers of Justin Terrell36 followers
location of Justin TerrellAda, Oklahoma, United States

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  • Timeline

  • About me

    Financial Analyst, Delegated Credentialing (Parallon)

  • Education

    • Orange High School

      1998 - 2002
      High School Diploma
  • Experience

    • Blue Cross NC

      May 2005 - Oct 2010
      Claims Specialist

      Processing and adjudication of subscriber submitted, professional, and institutional healthcare claims

    • Triangle Endoscopy Center, LLC

      Feb 2011 - Sept 2014
      Front Office Specialist

      Greet, assist and welcome guests/patients to the center; administrative support to center director; patient scheduling, billing, chart compilation

    • UNC Health Rex

      Sept 2014 - Apr 2020
      Sr. Medical Office Assistant

      Supervision of front office staff, payroll, infusion scheduling, back-up administrative support, customer service, billing and coding

    • Church of God Cleveland Tenn

      Apr 2020 - Dec 2020
      Youth Pastor
    • HCA Healthcare

      Dec 2020 - May 2021
      Practice Specialist III (Mission Health)

      New patient referrals, customer service, scheduling of diagnostic imaging, research and clinic appointments

    • Insight Global

      May 2021 - Dec 2021
      Clinical 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 - now

      Ensuring 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 - now
      • Clinical Research Coordinator (HCA Research Institute - Adult Oncology)

        Jan 2022 - Jan 2024
  • Licenses & Certifications

    • Lean Six Sigma Yellow Belt (ICYB)

      UNC Health
      Mar 2019
    • Transportation of Dangerous Goods Training

      Mayo Clinic
    • Good Clinical Practice

      Mayo Clinic
      May 2021
  • Volunteer Experience

    • Worship Leader

      Issued by Church of God Cleveland Tenn on Jan 2023
      Church of God Cleveland TennAssociated with Justin Terrell
    • Youth Pastor

      Issued by Church of God Cleveland Tenn on Oct 2017
      Church of God Cleveland TennAssociated with Justin Terrell
    • Worship Leader

      Issued by Access Church on Mar 2022
      Access ChurchAssociated with Justin Terrell