Carmen Clemons

Coordinate time-sensitive peer review scheduling activities while maintaining accurate case records, documentation, deadlines, and tracking systems. Review and audit medical records for completeness, accuracy, and compliance with established requirements.

Maintained accurate attendance, behavioral, and classroom documentation across diverse educational environments. Adapted quickly to changing schedules, assignments, priorities, and operational requirements.

Managed credentialing, enrollment, and privileging activities for a concurrent caseload of 25+ providers while maintaining a documentation accuracy rate. Conducted primary source verification of professional licenses, certifications, employment history, and malpractice coverage.

Processed 30+ prior authorizations per week while maintaining accurate documentation and meeting time-sensitive requirements. Verified insurance eligibility, benefits, and coverage requirements to support timely clinical services.

Administered onboarding, compliance tracking, personnel documentation, and administrative processes. Coordinated services and accommodations for families receiving medical care in the Jacksonville healthcare community.

Provided direct administrative support to physicians and clinical teams in a high-volume healthcare environment. Managed physician schedules, coordinated patient appointments, and maintained medical records and documentation.

Coordinated surgical scheduling, insurance verification, patient preparation, and related administrative activities. Communicated pre- and post-procedure instructions to patients and families.

Medical and Billing Certificate program in progress.

Medical Staff Credentialing and Privileging program in progress.

Bachelor of Science in Health Management from the University of Minnesota – Crookston.

Associate Professional in Human Resources (aPHR) certification from HRCI.

Contact Tracing Certificate from Johns Hopkins University.