Barretta Kinnel
Saint Louis,Missouri
Summary
Knowledgeable Case Manager with solid history of managing complex caseloads and providing comprehensive support to diverse client populations. Proven ability to assess client needs and develop tailored action plans that drive positive outcomes. Demonstrated strong communication and problem-solving skills in high-pressure environments.
Overview
15
15
years of professional experience
Work History
Case Manager
Ferring Pharmaceuticals
07.2023 - Current
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed partnerships with local agencies to provide broader range of services for clients, broadening their support network.
- Conducted thorough assessments to identify client needs, laying groundwork for effective case management.
- Coordinated with healthcare providers to ensure clients had access to necessary medical services, enhancing their overall well-being.
Field Liaison Rrepresentative
Mannkind Corporation
St. Louis, MO
05.2022 - 07.2023
- Formulates, interprets, and implements reimbursement policies to resolve complex dispensing or referral issues and ensure a positive patient and physician experience.
- I make sure the prior authorizations, reauthorizations and appeals are processed accordingly.
- Serves as SME on intricate cases to assigned physician offices, manufacturer representatives, health plans, and patients to ensure adequate measures are in place to avoid disruption in drug therapy and identify cost options for patients.
- I can identify and resolve claims issues.
- Provides Program Specific Plan (PSP) support on special projects to enhance reimbursement, revenue, and on-going support utilization opportunities.
- Gathers, analyzes, and prepares data, including Adverse Event trending, for Quarterly Business Reviews (QBRs), FDA requirements, and other special projects and reports.
- I make outbound calls to insurance plans, to verify prescription insurance information.
- I work daily with a team of case managers, field reimbursement representatives and healthcare providers, along with patients, to solve any issues or address any questions pertaining to the patient’s account.
Case Manager
MannKind Corporation
St. Luis Mo
06.2020 - 05.2022
- My primary purpose in this position is to provide day-to-day case management oversight and coordination of assigned caseload to ensure parties responsible for tasks are completing them timely, as well as act as a primary resource for patients, healthcare providers and field reimbursement
- The Case Manager is responsible for ensuring prior authorizations, reauthorizations and appeals are obtained timely, as well as ensuring accurate documentation of payer information and patient status
- In addition, the Case Manager is responsible for completing a pre-screen to determine eligibility for additional services such as injection services, co-pay mitigation, and patient assistance programs (PAP), if applicable.
Senior Reimbursement Specialist
AbbVie
04.2018 - 06.2020
- Conduct benefit investigations, verify insurance benefits for patient and physicians' office, and submit and obtain prior authorization as required by payer.
- Accurately enter and maintain data as required in client database and patient files and utilized client database to monitor outstanding items on each client case file.
- Ensure files are completed so team can determine current status.
- Participate in conference calls with patient and or Healthcare Provider, regarding status of cases, drug orders and status of alternative funding.
- Provide coordination of order for product, shipment of product
- Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies.
- May serve as single point of contact for an assigned group of prescribers.
- Identify and report events as required by REMS requirements for specific medications.
- Recognize adverse event, product quality complaint and potential risk events and forward information to appropriate team member.
Reimbursement Specialist
Pfizer
St Louis, MO
04.2015 - 04.2018
- The primary goal of this position was to provide high quality customer service while offering and supporting the Reimbursement Specialists Team as a whole
- I also handled some escalation issues and provided guidance on how to handle future escalations. I sometimes worked closely with the Supervisor on special projects, escalated case review EDUCATION and other duties as assigned by management
- Specific job duties: Ensure that program tasks issued to me were completed in a timely manner
- Assist as a team player to ensure the best practices are circulated throughout the entire job function
- Take calls from healthcare professionals, patients, advocates and other groups related to the program
- Provides assistance with reimbursement escalations and handles escalated research cases
- Operated for the team with the Alternate Funding Program at the busiest time of the year
- Payed strong attention to detail, strong team building skills
- Ability to train other team members.
Eligibility Specialist
Novartis
04.2010 - 04.2015
- I conducted administrative duties as well as the other basic business services in
- Eligibility
- I Implemented and maintained the patient's eligibility and their benefits.
- Interacted with internal representatives and along with patients and their representatives.
- Generated reports to identify and resolved discrepancies.
- Identified with the process of improvement opportunities for my own cases
- May resolve eligibility issues with clients.
- Ensures customer data is accurate.
- May work with client's to resolve errors
- General knowledge of eligibility
- Familiar with reporting tools
- Good knowledge and understanding of Eligibility and procedures.
Education
Arts
Central Visual and Performing
01.2013
Skills
- Patient Assessments
- Conflict Resolution
- Direct Patient Care
- Eligibility Assessments
- Microsoft Excel
- Financial Support
- Team Meetings
- Multitasking and Organization
- Patient Management
- Case Notes
- Documentation
- Staff Training
- Case Management Tracking
- Microsoft Office
- Relationship building
- Decision-making
- Conflict resolution
- Positive attitude
- Critical thinking
- Documentation proficiency
- MS office
- Verbal and written communication
- Eligibility assessment
- Empathy and compassion
- Organizational skills
- Team building
- Client meetings
Timeline
Case Manager
Ferring Pharmaceuticals
07.2023 - Current
Field Liaison Rrepresentative
Mannkind Corporation
05.2022 - 07.2023
Case Manager
MannKind Corporation
06.2020 - 05.2022
Senior Reimbursement Specialist
AbbVie
04.2018 - 06.2020
Reimbursement Specialist
Pfizer
04.2015 - 04.2018
Eligibility Specialist
Novartis
04.2010 - 04.2015
Arts
Central Visual and Performing
Skills
- Microsoft Outlook
- Fact Collection
- Customer Service
- Telephone Etiquette
- Critical Thinking
- Microsoft Office
- Excel