Chelsea Sheppard
Chesapeake,Virginia
Summary
Accomplished Field Reimbursement Manager with 10+ years in the pharmaceutical and dermatology fields, specializing in reimbursement strategy for complex therapies. Proven ability to cultivate relationships with healthcare providers and payers, enhancing product accessibility and patient financial assistance programs. Expertise in payer policy interpretation, claims management, and delivering strategic support to cross-functional teams.
Overview
11
11
years of professional experience
Work History
Field Reimbursement Manager
CoverMyMeds
02.2025 - Current
- Developed strong relationships with insurance companies and healthcare providers, fostering collaboration and ensuring smooth communication for reimbursement matters.
- Facilitated cross-functional meetings to discuss the impact of policy changes on the reimbursement process, ensuring clear understanding among all stakeholders.
- Increased efficiency in the reimbursement process by implementing streamlined procedures and guidelines.
- Maintained strong knowledge of medical terminology and procedures.
- Reduced errors in reimbursement claims through rigorous attention to detail and thorough documentation.
- Observed strict data confidentiality procedures to protect patients' information.
- Monitored industry trends and regulatory changes to stay current on best practices for reimbursement management.
- Worked closely with finance department to address discrepancies or concerns related to payment collection from insurance companies or patients directly.
- Streamlined communication between departments involved in the reimbursement process, fostering collaboration and accuracy.
LEAD BIOLOGICS COORDINATOR
Integrated Dermatology of Tidewater
09.2022 - 01.2025
- Inbound and Outbound clinical calls Conducted all of the general Dermatology and Biologic drug prior authorizations
- Supervised the Biologic Department of 3
- Attended dinner meetings for the biologic drugs
- Tracked the deliveries for the biologic and botox patients
- Excelled and trained people in the EHR
- Advanced my education in the scheduling systems
- Kept detailed logs of the status of all of the biologic patients.
Business Development Manager
Integrated Dermatology
11.2023 - 07.2024
- Trained other nurses on patient care and daily tasks, supporting growth and professional development.
- Utilized electronic health records (EHR) systems to document patient care and outcomes accurately.
- Traveled to local PCP offices to refer patients to us and build relationships with the providers.
- Brought snacks and meals to educate the providers on what we treat and how far out we are booking.
COSMETIC COORDINATOR/ CALL CENTER MANAGER
Pariser Dermatology
09.2014 - 09.2022
- Managed the call center for all 7 practice locations
- Handled the clinical triage lines for all 7 locations.
- Worked in Cover My Meds and cross trained with the prior authorization department when they were out of the office.
- Handled the templates and closures/opening of the providers schedules
- Took all incoming calls for the practice and triaged the call to where it needed to go
- Consulted majority of the cosmetic patients at one location on procedures and products
- Highly organized individual who regularly coordinated promotional events for new cosmetic launches
- Effectively communicated with suppliers about orders, returns and other business matters relating to cosmetics
- Expertly handled all customer inquiries regarding cosmetics, providing accurate information promptly
- Familiar with using software programs such as Microsoft Word and Excel to track data
- Knowledgeable in creating displays that maximize visibility of featured cosmetic items
- Competent at using social media platforms to promote new cosmetics lines or special offers.
Education
BBA - Business Management
Strayer University
Washington, DC09-2024
Skills
- Equipment Calibration
- SOP Development
- Process Development
- Training and mentoring
- Data Entry
- Lab equipment processes
- Research and documentation
Accomplishments
- Top Sales 4 months in a row
Education and Training
other
Timeline
Field Reimbursement Manager
CoverMyMeds
02.2025 - Current
Business Development Manager
Integrated Dermatology
11.2023 - 07.2024
LEAD BIOLOGICS COORDINATOR
Integrated Dermatology of Tidewater
09.2022 - 01.2025
COSMETIC COORDINATOR/ CALL CENTER MANAGER
Pariser Dermatology
09.2014 - 09.2022
BBA - Business Management
Strayer University