I have been with Cencora/Lash Group for 17 years where I have worked on several teams, helped two teams launch new projects and Twice I worked on AR in a leadership role and training. I worked with patients, clients, sales reps, and RBM’s. I have worked several special projects when needed to assist company business needs.
Overview
21
21
years of professional experience
Work History
Patient Access Consultant/ Case Manager
Sanofi/ Lemtrada
03.2019 - 03.2026
I work on this Team that manages the REMS Drug for the site. I was responsible for managing doctor office to keep up with the FDA REMS requirements. Sites, Patients and Pharmacies must be REMS enrolled prior to patient receiving the MS treatment. I was responsible to make sure all patients and site had required documentations processes on file prior to treatment. Patient enrollment form, service form, BV completed, copay processed, baseline labs on file, order product, update Theracall and Pplus with dates for infusions, welcome calls to patient, track order for delivery, product confirmation, auth to dose and infusion checklist. Other than REMS requirement I aid in copay issues, PAP processing, claims issues, PA approval, PA denied, Claims assistance, patient calls and phone coverage.
AR Support Specialist
Sanofi/ Aubagio
10.2022 - 03.2023
I moved to a sister drug and helped out management during AR season. Once AR season was complete, I went back to my permanent position as a Sr. case manager with MS121 Lemtrada team.
Developed training materials for new hires, improving onboarding efficiency and knowledge retention.
Provided technical support for Aubagio, ensuring efficient troubleshooting and issue resolution.
Led initiatives to optimize support workflows, reducing response times and increasing customer satisfaction.
Conducted regular system audits to ensure compliance with industry standards and improve operational accuracy.
Improved team morale and cohesion by initiating regular team-building activities and feedback sessions.
Created user accounts and assigned permissions.
Generated reports to track performance and analyze trends.
AR Support Specialist
Regeneron/ Eylea
01.2018 - 03.2019
I am responsible for overall project delivery to drive project to meet goals and key milestones. I lead a team of 32 associates. I assisted with their training to have them ready for the reverification project launched for 2019. I kept up with attendance, productivity, quality and provided mentoring to drive accountability to meet project goals. I am responsible for providing daily direction and assigning work throughout the day. I provided management evaluations on associates for the time spent on this project.
Mentored junior staff on best practices in customer service and technical issue resolution strategies.
Acted as a liaison between clients and development teams, ensuring timely communication during critical incidents.
Trained new team members on support protocols and tools, enhancing team efficiency and service quality.
Conducted regular follow-ups with customers to ensure their issues were fully resolved and to gather feedback for service improvement.
Janssen CarePath/ Remicade-Simponi Aria-Simponi-Stelara and Tremfya
03.2015 - 01.2018
I assisted sites with billing and coding questions and helped completed claims and prior authorization denials by researching the issue and providing sites with next steps to resolve the issue. I would provide follow up from the payer to the provider offices and/or sales rep/ RBM until the issue was resolved.
I was part of the Reimbursement Specialist team and completed payer research and trending for NPT updates, weekly copay updates for teams and the client, and benefit quality audits on associates. I also was available as needed to assist team with benefit investigations and fax review to help meet team goals.
Collected, arranged, and input information into database system.
Evaluated staff performance and provided coaching to address inefficiencies.
Analyzed claim denials to identify trends and implemented corrective actions to minimize future occurrences.
Led training sessions for new staff on reimbursement protocols and software applications used in claims processing.
Delivered timely information to insurance representatives to resolve common and complex issues.
I also assisted with training temporary workers for annual review and fax review for quality prior to faxing to sites.
Assisted patients with understanding their benefits coverage, providing clear explanations regarding out-of-pocket expenses and reimbursements.
Created documents in accordance with payer guidelines and submitted to appropriate parties.
Site Coordinator
Centocor/ AccessOne Remicade and Simponi Aria
03.2014 - 03.2015
My daily duties included taking inbound call to assist sites as needed with patient benefits and copay assistance when needed. I completed benefit verifications and fax review. I would assist management in helping with training and mentoring the new associates for AR yearly project.
Worked on special project for Doxil due to drug shortage. I worked in Sales force data base for J&J to help with drug distribution. Helped sites and patients get enrolled for waiting list to receive treatment. I followed up on any missing information to help patients get their applications approved. I assisted in training new associates on the program and completed daily QA on their work to insure it was completed as requested by client.
I also assisted with training temporary workers for annual review and fax review for quality prior to faxing to sites.
I Completed Benefit Verifications and reviewed and fax as needed to sites.
Reimbursement Specialist
Regeneron/ Eylea
03.2012 - 03.2014
I completed benefit verifications, fax review, and claim issues sites may have. I would also complete research to help get patient approved for commercial copay assistance card and responsible for setting up drug shipments for the patients my sites had. I started on this program when it was in launching stage and stayed until it completed its first annual reverification project.
Coordinated communication between patients, providers, and insurance companies to resolve issues.
Analyzed reimbursement trends to identify areas for process improvement and efficiency.
Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
Site Coordinator
Centocor/ AccessOne Remicade and Simponi Aria
10.2009 - 03.2012
My daily duties included taking inbound call to assist sites as needed with patient benefits and copay assistance when needed. I completed benefit verifications and fax review. I would assist management in helping with training and mentoring the new associates for AR yearly project.
Worked on special project for Doxil due to drug shortage. I worked in Sales force data base for J&J to help with drug distribution. Helped sites and patients get enrolled for waiting list to receive treatment. I followed up on any missing information to help patients get their applications approved. I assisted in training new associates on the program and completed daily QA on their work to insure it was completed as requested by client.
I Completed Benefit Verifications and reviewed and fax as needed to sites.
Patient Coordinator and Site Coordinator
Remicade
10.2008 - 10.2009
I answered calls from patients to help them get set up on foundation assistance or commercial copay program as needed. I took care of daily Adverse Events and faxed to the client daily along with providing management with reports. I made outbound calls to the patients that signed up with the program to see if they received their infusion treatment and to get their next infusion dates, so I could provide reminder calls before their next infusion date scheduled. I was also a phone schedule facilitator, completed weekly QA reports, and assisted with special projects when needed and benefit investigations and site calls as needed.
Managed patient scheduling and appointment coordination to optimize clinic workflow.
Facilitated effective communication between patients and healthcare providers to enhance care delivery.
Coordinated insurance verification processes, ensuring timely authorizations for treatments.
Provided excellent customer service to all patients, addressing concerns and answering questions promptly and professionally.
Residential and Commercial Sales
Keller Williams Realty
03.2005 - 10.2008
I was a NC/SC Real Estate broker. I was responsible for showing properties and providing clients with all required legal documents. I would complete all documents needed for buyer and selling agents and would write up offers to present to selling agents. I would go with buyers and sellers to closings. I would provide our company broker all documents required for sale to file as required by law.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Education
Some College (No Degree) - Real Estate Sales
Piedmont Regional Associates
Rock Hill SC
Industrial Engineering/Management
York Technical College
Skills
Computer/ Microsoft Office and Excel
Great Communication skills both verbally and written and telephone etiquette
Patient Access Representative III/ Hospital Patient Access/Team Lead/Cashier at Memorial Hermann Health SystemPatient Access Representative III/ Hospital Patient Access/Team Lead/Cashier at Memorial Hermann Health System