Summary
Overview
Work History
Education
Skills
Timeline
Generic

Aaron Haldeman

Brunswick

Summary

Professional with background in healthcare reimbursement, adept at navigating complex billing processes and regulatory compliance. Skilled in optimizing reimbursement strategies, fostering team collaboration, and driving results in dynamic environments. Known for adaptability, effective communication, and strong analytical abilities. Reliable in managing changing needs and ensuring accuracy in all tasks.

Overview

15
15
years of professional experience

Work History

Field Reimbursement Manager

CoverMyMeds
08.2023 - Current
  • Analyze access and reimbursement issues for a 3-state region (OH, MI & PA) focused on Neurology and Psychiatry supporting specialty medications.
  • Work directly with HCP’s, office staff, pharmacies, third party vendors (including HUB’s) to support patient access and PA pull through.
  • Analyze reimbursement issues and act as the local reimbursement source for internal partners.
  • Provide education and support to HCP offices on benefit investigation, prior authorization process, payor coverage, and support center services.
  • Analyze remittance for denied claims guiding providers through the appeal process.
  • Educate HCP offices on policies related to product acquisition, billing and coding for specialty products both oral and LAI.
  • Collaborate with cross functional partners including corporate accounts, patient services and field sales.
  • Strong knowledge of the payor landscape and policy activity for commercial payers, Medicare, Medicaid and DOD staying abreast of market access industry trends.
  • Handle PHI appropriately maintaining compliant relationships with relevant stakeholders.

Case Manager

CoverMyMeds
08.2019 - 07.2023
  • Helped patients get on a specialized medication for Multiple Sclerosis.
  • Worked with Field Reimbursement Managers and Patient Service Coordinator to support a smooth process for healthcare providers and patients.
  • Assisted healthcare providers with enrollment form issues.
  • Took inbound calls from patients and analyzed the issues they were having within their journey.
  • Provided demo to health care providers to enhance their abilities to submit electronic enrollment forms.
  • Collaborated with Product Team and Developers to address issues within the specialty program.
  • Assisted with special reporting based on client needs.
  • Handled PHI appropriately and within HIPAA guidelines.
  • Mentored new hires and assisted with getting new Case Managers adjusted to complex workflow.

Account Coordinator

CoverMyMeds
11.2017 - 07.2019
  • Worked in a specialized computer application to provide white glove service regarding electronic prior authorizations.
  • Pushed electronic prior authorizations along a specific workflow to maximize value.
  • Made outbound calls to pharmacies, doctors, and insurance plans to find out information regarding the prior authorization.
  • Received inbound calls regarding certain PAs within Hubble.
  • Selected to be on an insights project in order to see what processes needed to be changed for a certain medication.
  • Helped patients get the medication they need in order to live healthy lives.

Quality Control Coordinator

Safeguard Properties
04.2010 - 11.2017
  • Operated specialized computer programs when reviewing property history, placing orders, following up on claims, and notating client systems.
  • Reviewed client guidelines to see if they were met before processing orders.
  • Handled restricted and confidential information according to Safeguard’s policies.
  • Answered phone calls from clients to discuss certain issues with their properties and led a weekly phone call with a client to discuss the Aged portfolio.
  • Checked the work of 200 employees to make sure orders are being placed timely and work is being completed correctly to minimize the cost of penalties that Safeguard takes on.
  • Selected by COO to review 500 Aged loans and to determine what work was needed to address the remaining issues along with who was at fault for the damages.

Suite Supervisor

Cleveland Browns
05.2014 - 01.2016
  • Welcomed fans to the stadium and confirmed appropriate tickets for the suite and club levels.
  • Supervised team of 16 members and placed team in position before gates opened to ensure a smooth operation during game days.
  • Utilized my customer service expertise to work with fans and resolve any issues or concerns.
  • Held training sessions for 25 team members to teach them stadium operations.

Education

Bachelor of Science - Hospitality Management

The Ohio State University
Columbus, OH
09.2005

Skills

  • Denial resolution
  • HCPCS coding
  • HIPAA compliance
  • Written and verbal communication
  • Issue resolution
  • Utilization review
  • Medicaid expertise
  • Analytics skills
  • Reimbursement management
  • Medicare
  • ICD-10 coding
  • Teamwork and collaboration
  • Problem-solving
  • Time management
  • Attention to detail
  • Excellent communication

Timeline

Field Reimbursement Manager

CoverMyMeds
08.2023 - Current

Case Manager

CoverMyMeds
08.2019 - 07.2023

Account Coordinator

CoverMyMeds
11.2017 - 07.2019

Suite Supervisor

Cleveland Browns
05.2014 - 01.2016

Quality Control Coordinator

Safeguard Properties
04.2010 - 11.2017

Bachelor of Science - Hospitality Management

The Ohio State University

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