Summary
Overview
Work History
Education
Skills
Timeline
Generic

Bridgett Leaphart

Charlotte,NC

Summary

Dynamic Case Manager with extensive experience at Cencora, adept at patient assessment and critical thinking. Proven track record in securing insurance approvals and enhancing patient satisfaction through effective communication and problem-solving. Skilled in navigating complex healthcare systems, ensuring seamless treatment continuity while maintaining compliance and quality assurance controls.

Overview

16
16
years of professional experience

Work History

Case Manager

Cencora
Charlotte, NC
11.2019 - Current
  • Engage patients/families to create a trusting relationship, uncover patient needs, understand challenges, and provide education and support. Manage complex issues and utilize approved resources to reduce/remove barriers as needed
  • Assess patients' needs to provide for the initiation and continuation of treatment while coordinating the exchange of patient-related information to the appropriate internal and external stakeholders.
  • Conduct benefit investigations and secure insurance approval for therapy, proactively plans for maintenance of coverage by working with the patients/families, healthcare providers, insurance companies and specialty pharmacies.
  • Maintains comprehensive understanding of the reimbursement process, navigation of health care systems, insurance plans, payer trends, and internal and external patient assistance programs and related resources.
  • Exhibits a leadership role within the cross-functional regional team. Able to consistently identify complex patient specific issues and develop a plan to address accordingly. Establish and maintains professional and effective relationships with all internal and external stakeholders including but not limited to case management colleagues, medical, sales, market access, insurance companies, specialty pharmacies, infusion site staff and office coordinators.

Intake and Insurance Specialist

Kindred at Home
Charlotte, NC
03.2015 - 09.2019
  • Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
  • Process Home Health Plan of Care to be sent out to the doctor offices
  • Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
  • Trained new hires on company policies and procedures, ensuring a seamless transition into the Insurance Specialist role.
  • Resolved discrepancies in insurance payments by collaborating with carriers.

Patient Financial Services Representative

Palmetto HomeCare and Hospice
Columbia, SC
02.2010 - 01.2015
  • Maintained compliance with industry regulations, ensuring proper handling of sensitive patient data during the billing process.
  • Improved patient satisfaction by providing timely and accurate financial information.
  • Negotiated payment arrangements with self-pay patients, offering flexible solutions that aligned with their financial capabilities.
  • Process Home Health/Hospice Plan of Care to be sent out to the doctor offices.
  • Coordinated closely with clinical teams to verify services rendered, ensuring accurate billing and reimbursement for all provided care.

Education

Associate of Science - Health Information Technology

Ultimate Medical Academy
Clearwater, FL
11-2013

Skills

  • Time management
  • Quality assurance controls
  • Case documentation
  • Critical thinking
  • Patient assessment
  • Customer service
  • Strong empathy

Timeline

Case Manager

Cencora
11.2019 - Current

Intake and Insurance Specialist

Kindred at Home
03.2015 - 09.2019

Patient Financial Services Representative

Palmetto HomeCare and Hospice
02.2010 - 01.2015

Associate of Science - Health Information Technology

Ultimate Medical Academy

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