Brianne Campi
Ewing,NJ
Summary
Patient customer service Highly motivated and compassionate Individual. Working to benefit patients and give them professional and productive healthcare experience. Working to provide excellent customer service and efficient productivity and quality care. Driving sales and sales results through strategic planning, execution with focus on a patients access plan.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Reimbursement Specialist-Hybrid
Novartis
01.2023 - Current
- Conducted benefit investigations and assisted with reimbursement processes for specialized medications.
- Secured approval for medications under Medicare and commercial pharmacy plans.
- Obtaining Medicare coverage for part D drugs
- Assisting patients and physicians offices to obtain access and authorization to Novartis medications for the United States
- Making outbound payer calls
- Conducting benefit investigations to help communicate pharmacy benefit manager requirements to the healthcare providers
Senior Inventory Manager
Hibbert Group
06.2022 - 11.2022
- Providing communication with Senior Marketing Operation Managers and clients to ensure orders are provided efficiently and accurately
- Ensure excellent customer service by consistently managing correspondence with senior marketing management.
- Reported inventory shortages to senior marketing managers.
- Set up and track orders for clients and pharmaceutical shows
- Setting up Excel spreadsheets for stock inventory
- Performed data entry while ensuring accurate dispersement of tracking information.
Pharmacy Prior Authorization and Medical Records Administrator
14 Street Medical Arts
11.2021 - 06.2022
- Directed and handled incoming telephone inquiries.
- Managed and resolved refill concerns of patients across all 15 physicians.
- Processed medication authorizations for multiple types of treatments.
- For in and out of network NY insurance providers
- Buy and Bill and Specialty Pharmacy for Botox, Euflexxa, Synvisc, Humira, etc
- Processed various medical record requests from patients, disability insurance, physicians, Legal inquiries, and third-party copy services.
- Maintained accurate documentation of insurance authorizations in patients' electronic medical records.
- Streamlined process of obtaining Medicare pharmacy approvals for client prescriptions.
- Providing patient access to Medicare coverage for part D drugs
- Short term disability claim forms
- FMLA forms
- Long-term disability claim forms
- Organized and processed claims for disability benefits.
Medical Assistant/Prior Authorization Specialist
University Pain Medicine Center
12.2020 - 01.2021
- Variety of job positions in the medical field
- Ensured smooth execution of x-rays via professional engagement with patients.
- Posting x-rays
- Generated therapy scripts for physical and occupational treatment.
- Printing medication scripts for controlled substances
- Streamlined pharmacy interactions to ensure efficient ordering of medications.
- Enhanced medication approval workflows through CoverMyMeds platform.
- Obtaining Medicare pharmacy authorizations through part D and parts D benefits for medications
- Secured patient access to high-cost tier medications for Medicare recipients.
- Medicare coverage for part D drugs
- Buy and Bill and Specialty pharmacy for Botox
- Rooming patients and doing vitals
- Organized and maintained report files systematically.
- Coordinated approval process for MRIs, invasive office procedures, and medications.
- Scheduling Peer to Peers for physicians
- Insurance verification
- Streamlined management of documents in digital medical records.
- Processed referrals efficiently via Greenway and NextGen platforms.
- Patient intake and worked with chart logic, Prime suite/greenway, and Nextgen
- Assembled medical documentation for legal cases and patient inquiries.
OPM Neuroscience Speaker for Aimovig
Amgen
06.2019 - 01.2021
- Successfully certified and trained through Amgen's rigorous OPM Aimovig speaker program.
- Executed programs for New Jersey-based neurologists to improve accessibility to CGRP's, with a focus on Aimovig.
Medical Assistant/Receptionist/Precert Dept/Scheduler/Insurance/Technical Writer
Mid Jersey Orthopedics
07.2004 - 10.2020
- Maintained accurate patient information through diligent data entry.
- Facilitated physician operations by addressing patient needs.
- Worked a variety of job positions in the medical field
- Facilitated smooth operations by communicating with patients and obtaining necessary X-rays.
- Preparing record requests : litigation record requests, transfer of care record requests, and personal patient requests-preparing and faxing records
- Processed paperwork effectively for injury-related cases.
- Handled pre-certification processes for workers' comp and MVAs, utilizing APTP forms.
- Coordinated treatment authorizations for workers' compensation patients.
- Ensured efficient scanning of departmental reports, prescriptions, and records.
- Mailing out of records and EOBs for payment
- Buy and Bill and Specialty Pharmacy for Botox, Euflexxa, Synvisc, etc
- Precerting for MRIs, in office procedures such as injections, Transforaminal injections, Botox and GON blocks, medications, and EMGs)
- Scheduling Peer to Peers for physicians
- Facilitated efficient coordination of patient authorizations and appointments.
- Short term disability claim forms
- FMLA forms
- Long-term disability claim forms
- State disability records and claims
- Submitting appeals for denied claims with the insurance company on rare occasions
- Facilitated accurate insurance verification.
- Patient intake and worked with chart logic, Primesuite/Greenway, and Next Gen
Education
Bachelor's - Technical Communications and writing and American Sign Language
Rochester Institute of Technology
Rochester, NY05.2010
Skills
- Proficient in Computer Applications
- Chronic Pain Management
- Organizational Time Strategies
- Quality Patient Care
- Audio Transcription
- Experience with Genesys Software
- Medical Appointment Administration
- New Hire Orientation
- Workplace Operations Experience
- Sales Expertiseforce Proficiency
- Patient Account Management
- Effective Triage Management
- Botox Treatment Expertise
- Accurate Data Entry
- Next Generation Technology
- Sales
- Bilingual Language Skills
- Anatomical Science Proficiency
- EClinicalWorks Proficiency
- Customer-Focused Phone Interaction
- Durable Medical Equipment Expertise
- EHR Software Proficiency
- Clinical Coding Expertise
- Patient Care Expertise
- Accurate ICD Classification
- Medical Imaging Proficiency
- Skilled in Administering Injections
- Athenahealth Proficiency
- In-Depth Knowledge of Physiology
- Keyboard Proficiency
- Insurance Eligibility Verification
- Network Troubleshooting
- ICD-9 Coding
- Health Information Documentation
- Clinical Patient Monitoring
- Healthcare Terminology Knowledge
- Efficient Record Keeping
- Concise Instructional Writing
- Acquisition and Payment Processing
- Legal Document Drafting
- Patient Care Coordination
- Effective Organizational Skills
- Effective Client Support
- Detail-Oriented Commitment
- Focused Achiever
- Approachable Demeanor
- Fast Analytical Thinker
- HIPAA Standards Understanding
- Customer Service in Retail
- Analytical Problem-Solving
- Assessment of Documentation
- Fluent in English
- Document Scanning
- Advanced Microsoft Office Skills
- Electronic Medical Records Expertise
- Excel Proficiency
- Medical Office Administrator
- Data Intake Management
- Effective Communication
- ICD-10 Proficiency
- Strategic Negotiation Skills
- Customer Engagement
- Document Processing Skills
- Telecommunications Proficiency
- Medical CPT Coding
- Typing Speed: 60 WPM
- Front Office Operations
- Collaboration With Students
- Clinical Vital Signs Monitoring
- Oversight and Coordination Experience
- Medicare Knowledge
Certification
- GED, Present
- Bachelors of Science, 05/10
- CPR, 2022
Assessments
Work motivation, Proficient, 01/21
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Timeline
Reimbursement Specialist-Hybrid
Novartis
01.2023 - Current
Senior Inventory Manager
Hibbert Group
06.2022 - 11.2022
Pharmacy Prior Authorization and Medical Records Administrator
14 Street Medical Arts
11.2021 - 06.2022
Medical Assistant/Prior Authorization Specialist
University Pain Medicine Center
12.2020 - 01.2021
OPM Neuroscience Speaker for Aimovig
Amgen
06.2019 - 01.2021
Medical Assistant/Receptionist/Precert Dept/Scheduler/Insurance/Technical Writer
Mid Jersey Orthopedics
07.2004 - 10.2020
Bachelor's - Technical Communications and writing and American Sign Language
Rochester Institute of Technology
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