Timothy Jordan Hughes
IBM at IBM- Claim this Profile
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Topline Score
Bio
Credentials
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IBM Data Analyst Certification
IBMJun, 2022- Nov, 2024 -
Python Assessment Test
HackerRankApr, 2022- Nov, 2024 -
Google Data Analytics Certificate
CourseraMar, 2022- Nov, 2024 -
Microsoft Excel
UdemyMar, 2022- Nov, 2024 -
MySQL Bootcamp
UdemyFeb, 2022- Nov, 2024 -
Complete SQL bootcamp 2022
UdemyJan, 2022- Nov, 2024
Experience
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IBM
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China
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Software Development
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700 & Above Employee
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IBM
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Jun 2022 - Present
o Investigate coverage of specialty medications through Accredo Pharmacy.o Data Entry and accurate filling under appropriate chart location for patient health demographics and insurance informationo Met daily quota for processing 16 patients a dayo Work received ticket for patient medications and work claim to find benefits for medication, initiate prior authorization, and contact patient or provider for updates on coverage.o Troubleshoot denied claims and find errors and either send to correct department or fix error and resubmit.
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ObjectiveHealth
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United States
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Research
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1 - 100 Employee
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Clinical Research Coordinator
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Oct 2021 - Jun 2022
o Coordinate clinical research protocols for multiple studies while maintaining 97% accuracy of patient retention and continued compliance on all studieso Ensure proper documentation of clients and paperwork necessary for completed studyo Assisted with screening and recruiting of more than 25 patient’s a week.o Prepare patient with all necessary details and supplies prior to study initiation o Coordinate clinical research protocols for multiple studies while maintaining 97% accuracy of patient retention and continued compliance on all studieso Ensure proper documentation of clients and paperwork necessary for completed studyo Assisted with screening and recruiting of more than 25 patient’s a week.o Prepare patient with all necessary details and supplies prior to study initiation
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NEW HOPE SPECIALTY CLINIC
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United States
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Medical Practices
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1 - 100 Employee
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Claim Analyst/Billing Manager
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Jan 2019 - Sep 2020
o Cleaned, organized, and presented raw claim data from ERA 835’s to better display billing process and payments as well as show potential areas to improve.o Utilized Microsoft excel and EHR practice mate system to maintain day-to-day billing of clinico Instituted process changes and additional services offered at clinic that increased revenue by 47% with projected increases of up to 72% with full adherence to new protocol layouts.o Organized monthly report on clinic revenue as well as average patient appointment count and appointment lengths.
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Patient Care Coordinator
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Oct 2019 - Jul 2020
Coordinated two medications offered at the clinic. One was Spravato which was a new to the market nasal spray specifically for Treatment resistant depression that involved influencing the glutamate receptors instead of the traditional serotonin receptors. The other was Zulresso which was the first FDA approved medication for post partum depression. I was in charge of scheduling, ordering medications, patient education on the medications, researching billing options for these new to market medications, and billing follow up.
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Office Coordinator/Billing Associate
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Mar 2017 - Oct 2019
Trained on all clerical work related to prior authorizations, insurance inquiries, and medical records. Responsible for the triage of the patient and have background in blood drawing as well as administrating injections to the patients. Gained adequate knowledge of the common mental health medications and functions and can give doctor approved instruction to patients and on said medications. Experienced clerical work in mental health field and navigating insurance requests in the mental health field.
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Education
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2018 - 2020
Liberty University
Bachelors in Psychology, Addiction Prevention and Treatment -
2014 - 2016
Central Piedmont Community College
Associates Degree, Psychology
Community
