Debra Collins

Created & completed accurate enrollment form for allergy medication Tezepelumab

• Scrutinized forms (QA) & supporting documentation thoroughly for missing information or new information needed to complete enrollment process.
• Dispensed over 200 prescription doses & refills to the pharmacy daily
• Daily follow ups with the Physicians & patients for prior authorizations & prescription information.
• Navigated complex insurance policies on behalf of patients, guiding them through coverage details and options for financial assistance when needed.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.

• Reviewed over 300 patient cases per week to verify insurance coverage information for colonoscopy visits
• Assured timely verification of benefits and deductibles amounts
• Accurately input the collected insurance information into the G-gastro software system using ICD 9 &10 codes
• Responsible for obtain referrals and prior authorizations prior to procedure, as required prior to patient scheduled appointment.

• Assisted 15 to 20 patients daily with a variety of illnesses or injuries in applying for insurance and determining treatment needs
• Reviewed insurance claims and assisted patients to compile the right document & communicating with health care professionals
• Determined the right place within the community for patients to receive care and contacted the insurance companies to discuss alternative options after claim & prior authorization denials.
• Educated patients on available resources and community programs, increasing their access to needed services.
• Entered details into computer systems and managed database of information.
• Monitored patient progress and provided emotional support.