BETSY VALDES-CABRERA
S. Plainfield,NJ
Summary
Dedicated healthcare professional with extensive experience in healthcare insurance processes. Actively seeking a challenging role to utilize expertise in streamlining processes and ensuring quality patient care. Commitment lies in leveraging strong analytical skills and in-depth knowledge of healthcare guidelines to achieve successful patient outcomes. Passionate about improving healthcare systems and driven to make a positive impact in the industry.
Overview
13
13
years of professional experience
Work History
Specialty Lead Intake Coordinator
KABAFUSION
Edison, NJ
03.2020 - Current
- As Specialty Lead Intake Coordinator with my comprehensive knowledge and commitment to excellence, I strive to contribute to the success of my organization by optimizing intake procedures and promoting seamless coordination between patients, providers, and insurance companies
- Enhanced Chronic patient intake process by streamlining communication channels and improving documentation procedures for obtaining prior authorization for IVIG therapies.
- As one of the few exclusive providers of Rystiggo I am lead coordinator for onboarding patients, obtaining authorizations and assisting with copay assistance enrollment. Also facilitated weekly meetings with drug manufacturer to discuss pipeline.
- Furthermore, I am dedicated to educating patients and healthcare providers on insurance options and requirements, empowering them to make informed decisions regarding their healthcare journey
- Developed comprehensive training materials, equipping new hires with essential knowledge and skills for success in their roles.
- Implemented quality control measures to maintain accuracy and consistency in data entry and record-keeping processes.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Coordinated a staff of 10 intake and reauthorization coordinators
Specialty Care Coordinator
PROMPTCARE HOME INFUSION
New Providence, NJ
09.2019 - 03.2020
- Coordinate the entire care of specialty patients from the date of referral through start of therapy
- Acted as liaison with Payers, Pharmaceutical Companies, Physicians, Patients and Prompt Care's internal and external teams
- Medical & Pharmacy benefit verifications
- Submit and track specialty Authorization requests, approvals and denials
Patient Service Representative
SUMMIT MEDICAL GROUP
Berkeley Heights, NJ
06.2017 - 09.2019
- Provide administrative support to multiple physicians
- Coordinate and implement training on new software
- Maintain all office supplies and resources, including tracking inventory and processing orders
- Coordinate with IT department as needed
- Communicate directly with patients, schedule appointments, obtain insurance authorizations and assist patients with billing inquiries
Intake Coordinator
RWJ BARNABAS HEALTH / QUALITAS PHARMACY
S Plainfield, NJ
12.2011 - 06.2017
- Responsible for patient registration, insurance verification, scheduling, billing and collections for Infusion Department
- Work closely with nursing and pharmacy staff on patient's start of care by obtaining insurance authorizations needed to begin treatment of all IV Home Infusion Chemotherapy, Inotropic Therapy, Antibiotic Therapy, TPN, and IVIG
- Responsible for re-authorizations of ongoing patient therapies
Education
Associate of Applied Science - International Business
BERKELEY COLLEGE
Woodland Park, NJSkills
- Medicare & Medicaid Guidelines
- CPR
- Athena
- Intake assessment
- HIPAA compliance
- Fluent in Spanish
Timeline
Specialty Lead Intake Coordinator
KABAFUSION
03.2020 - Current
Specialty Care Coordinator
PROMPTCARE HOME INFUSION
09.2019 - 03.2020
Patient Service Representative
SUMMIT MEDICAL GROUP
06.2017 - 09.2019
Intake Coordinator
RWJ BARNABAS HEALTH / QUALITAS PHARMACY
12.2011 - 06.2017
Associate of Applied Science - International Business
BERKELEY COLLEGE
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