Reimbursement Specialist
Resume:
Theresa Brown
**** ****** **** ********, ** *****
************@**.**.***
Education
****-**** ***** **** **** School – Diploma
****-**** ****** ****** ****** – Certificate in Nursing Assistant 1986-1987 United Career Center – Certicate in Medical Assisting Objective
To manage daily activities that support appropriate patient access to the client’s products in various provider sites of service and work as a liaison to other patient assistance and patient services offered by the client.
Qualifications
• Over twenty years of professional health care experience, nursing, patient education and reimbursement expertise
• Recongnized by managers and peers to possess exceptional decision-making, problem solving and organizational skills
• Proven leader, team player and an assertive individual with demonstrated ability to learn quickly and adapt well to change
• Excellent written and verbal communication skills with healthcare personnel, managed markets and patients
Professional Experience
Field Reimbursement Specialist – Cencora – Innovative Field Services July 2021 – current
• Interact with key stake holders within the specialty practice or hospital outpatient locations for dermatology
• Evaluate patient insurance benefit options
• Confirming prior authorization reequirements
• Identifying alternate funding/financial assistance programs
• Reviewing appropriate billing and coding for products
• Support in resolving reimbursement issues
• Coordinating with the client’s patient support services programs representatives
• Educating provider’s office staff on the use of the client’s patient assistance
• Reimbursement support services including web based provider programs
• Providing information on relevant reimbursement topics related to the client’s products Biologic Coordinator, Mountain State Medical Specialties January 2006 – July 2021
• Coordinates the care of patients needing infusion or injectable medication to include patient education, copay assistance programs, and patient assistance.
• Assist in the education of the infusion care and billing team
• Works with patients to confirm they understand all costs, copays and assistance for their medication
• Coordinates with pharmeceutical representatives as one point of contact for the eight Dermatology providers and the biologic team
• Continual knowledge of biologic medications used to treat disorders of the immune system Additional Responsibilities Include:
• Interview patients, measure vital signs, records information in patient charts
• Provides venipunctures and specific injections wupervised by ther provider
• Assisting providers in surgeries, and scribing for the provider Speaker for Regeneron; Biologic Coordinator program for Access and Affordability Speaker for Janssen; Bilologic Coordinator program for Access and Affordability Speaker for Sun Pharma; Biologic Coordinator program for Access and Affordability Advisory Board for Ortho Dermatologics
Speaker for Amgen; Biologic Coordinator program for Access and Affordability References available upon request
Contact this candidate