Provide knowledge of reimbursement and access to key accounts.
Educate providers on prior authorization requirements, coverage status, payer appeals requirements, and alternative funding options.
Create and maintain productive relationships with HCPS, key stakeholders within HCP offices, and health care systems.
Partner with the Patient Support Team to ensure accurate coverage determinations and optimized processing enrollments for timely access to the product for patients.
Collaborate with cross-functional partners to identify and respond to local opportunities and customer needs.
Performed benefit investigations with insurance payors as required, and working with specialty pharmacies, charitable foundations, and insurance companies to obtain reimbursement.
Worked collaboratively with key internal partners to act as the reimbursement and payer policy subject matter expert, to support the healthcare provider segment.
Proactively provided education to patients, families, and physicians on reimbursement and onboarding for therapy.
Worked cross-functionally with field sales, HCPS, specialty pharmacies, Market Access, and third-party vendors.
Anticipated potential account-level patient access barriers, and address them quickly.
Demonstrated excellent account and territory planning, and prioritization skills in the geographical area of responsibility.
Communicated with the supervisor regarding issues related to case management, resourcing, service collaboration, and the development of new resources.
Managed patient transitions to different sites of care.
Responsible for maintaining case history for all assigned patients in the CRM system.
Helped to develop and adapt the Kyowa Kirin University learning platform for the patient services program.
Trained and mentored new case managers and reimbursement specialists, answered questions, offered opportunities to shadow and observe, and explained basic information about company procedures.
Senior Patient Engagement Manager
Ultragenyx
Remote
01.2019 - 08.2023
Developed and delivered a training program to new hires.
Mentored new hires, resulting in stronger staff development, and increased productivity.
Troubleshot and resolved ongoing reimbursement issues (step edits, insurance changes, prior authorizations, and TPAs).
Performed benefit investigations with insurance payors as required, and worked with specialty pharmacies, charitable foundations, and insurance companies to obtain reimbursement.
Worked collaboratively with key internal partners to act as the reimbursement and payer policy subject matter expert, to support the healthcare provider segment.
Proactively provided education to patients, families, and physicians on reimbursement and onboarding for therapy.
Worked cross-functionally with field sales, HCPS, specialty pharmacies, Market Access, and third-party vendors.
Traveled in the field to HCPs to provide education on reimbursement for patients' insurance.
Anticipate potential account-level patient access barriers and address them quickly.
Collaborated with the IT UAT testing team, working on CRM-related upgrades.
Demonstrated excellent account and territory planning, and prioritization skills in the geographical area of responsibility.
Managed patient transition to different sites of care.
Responsible for maintaining case history for all assigned patients in the CRM system.
Performed benefit investigations with insurance payors as required, and worked with specialty pharmacies, charitable foundations, and insurance companies to obtain reimbursement.
Worked collaboratively with key internal partners to act as the reimbursement and payer policy subject matter expert, to support the healthcare provider segment
Provided one-on-one mentoring to help individuals reach their full potential within the organization.
Proactively provided education to patients, families, and physicians on reimbursement and onboarding for therapy.
Worked cross-functionally with field sales, HCPS, specialty pharmacies, Market Access, and third-party vendors.
Anticipate potential account-level patient access barriers and address them quickly.
Demonstrated excellent account and territory planning, and prioritization skills in the geographical area of responsibility.
Managing patient transitions to different sites of care.
Responsible for maintaining case history for all assigned patients in the CRM system
Admission Coordinator
New Hampshire Psychiatric Hospital
Concord, NH
09.2014 - 07.2015
Prepared reports, referrals, and intakes upon patient arrival at the hospital.
Responsible for reviewing the patient rights with incoming patients and walking through the paperwork process.
Coordinated with professional staff to ensure treatment for patients.
Entered data for healthcare notifications and community queues.
Reviewed enrollment contracts prior to submission.
Administrative Assistant
Lyon-Waugh Auto Group
Bedford, NH
08.2011 - 09.2014
Designed electronic file systems and maintained electronic and paper files.
Organized files, developed spreadsheets, faxed reports, and scanned documents.
Managed daily office operations and maintenance of office equipment.
Scheduled and coordinated meetings, appointments, and travel arrangements.
Executed all general administrative duties, including filing, data entry, tracking, and organizing documents.
Assisted with customer inquiries and handled all customer service inquiries in a timely manner.
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.