Andrea DuBray
Auburn,NY
Summary
Well-rounded professional possessing excellent clerical and team support abilities. Skilled in scheduling meetings and appointments and organizing office operations. Punctual professional committed to satisfying customer needs and meeting office demands.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Pulmonary Coordinator
Auburn Community Hospital Pulmonary and Sleep Medicine
Auburn, NY
04.2023 - Current
- Tracked and submitted CPAP, BIPAP, Trilogy Vent, Vest Therapy, and Sleep Study orders while completing prior authorizations.
- Managed specialty medications paperwork, including benefit investigations and prior authorizations for Xolair, Dupixent, and others.
- Triage responsibilities included answering phones and faxing documents efficiently.
- Prepared essential paperwork for infusion center schedulers to facilitate patient care.
- Created appeal letters for denied medications and coordinated peer-to-peer reviews for denials.
- Assisted patients with copay programs to enhance access to necessary medications.
- Utilized various EMR systems such as Medent, Blue, Paragon, and Care Orchestrator for comprehensive patient management.
- Conducted inventory management to ensure availability of medical supplies.
Remote Insurance Verification Specialist
Respiratory Services of Western NY
Auburn, NY
02.2023 - 04.2023
- Verify patient insurance and determine copay, deductible and out of pocket cost.
- Contact patient insurance company as needed to determine if prior authorization is required.
- Chart review to determine if provided information is sufficient to submit to insurance for payment.
- Verify if patient has a same and similar on file with insurance for ordered item.
LPN Nursing Supervisor
Auburn Community Hospital Pulmonary and Sleep Medicine
Auburn, NY
08.2020 - 12.2022
- Trained other nurses on patient care and daily tasks, supporting growth, and professional development.
- Measured and recorded patient height, weight and other vital signs.
- Administered medications and therapies in accordance with physicians orders.
- Collaborated with physicians to evaluate patient progress and determine necessary changes in care or medication regimens.
- Answer phones, schedule appointments, and assist front desk staff with scheduling and faxing.
- Meet with representatives and home care companies when present in the office.
- Prior authorizations for medications and sleep studies
- Complete proper documentation for MD to look over and sign regarding medication refills
- Oxygen recertification, CPAP, BI-PAP, and Trilogy Ventilation orders
- Complete paperwork for all specialty medications and submit it to pharmaceutical company.
- Inventory management.
- Performed assessments of patients' physical condition and reviewed medical histories to develop appropriate treatment plans.
Licensed Practical Nurse
Auburn Memorial Medical Svc; Pulmonary and Sleep Medicine
Auburn, NY
08.2017 - 07.2020
- Triage, room patients; vitals, medication reconciliation, and review new patient history.
- Assist the MD with triage messages, and call patients per the MD's request regarding follow-ups for medications and treatment.
- Chart preparation and coordinate referrals.
- Answer phones, schedule appointments, and assist front desk staff with scheduling and faxing.
- Meet with representatives and home care companies when present in the office.
- Complete proper documentation for MD to look over and sign regarding medication refills.
- Oxygen recertification, CPAP, Bi-PAP, and Trilogy ventilation orders.
- Complete the paperwork for all specialty medications, and submit it to the pharmaceutical company.
- Managed inventory levels of medical supplies within the unit ensuring adequate stock is always available.
- Instructed patients and their families about disease prevention, proper nutrition, medication management and other health related topics.
- Obtain prior authorizations for medications and sleep studies.
- Assist in the enrollment of patient assistance programs for high-cost medications.
- Coordinate setup for infusion medications.
Education
Practical Nursing Program - Nursing
Cayuga Onondaga Boces
Auburn, NY07.2017
Skills
- Medical documentation
- Insurance verification
- EMR systems
- Prior authorization
- Specialty medication management
- Patient coordination
- Staff training
- Administrative support
References
References upon request
Certification
- Licensed Practical Nurse New York
- Basic Life Support (BLS) - American Heart Association
- CPR Certified
Websites
Timeline
Pulmonary Coordinator
Auburn Community Hospital Pulmonary and Sleep Medicine
04.2023 - Current
Remote Insurance Verification Specialist
Respiratory Services of Western NY
02.2023 - 04.2023
LPN Nursing Supervisor
Auburn Community Hospital Pulmonary and Sleep Medicine
08.2020 - 12.2022
Licensed Practical Nurse
Auburn Memorial Medical Svc; Pulmonary and Sleep Medicine
08.2017 - 07.2020
Practical Nursing Program - Nursing
Cayuga Onondaga Boces
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