Frances Hisle

Highly-analytical and resourceful professional with hands-on experience in planning and leading multi-faceted procedures surrounding reimbursement, healthcare insurance, and copay assistance to facilitate quality service delivery. Articulate communicator; adept at engaging actively with senior management, cross-functional teams, patients, and stakeholders to determine core needs and execute strategies accordingly. Successful in delivering reports, gathering information, and analysing data in an accurate and precise manner to insure coverage. Detailed-oriented individual with demonstrated ability to work across challenging environment while exhibiting professional and calm demeanour.

• Sr. Reimbursement Specialist, Conduent, Somerset, NJ, 2020-01-01, Present, Offer subject matter expertise to eliminate barriers to reimbursement and access in patients with Primary Biliary Cholangitis (PBC)., Liaise with specialty pharmacies, resolve team escalations, and deliver routine-based reports to SPP contacts., Execute procedures in compliance with copay assistance and patient support program., Utilize Salesforce CRM Software to navigate patient healthcare insurance, perform administrative functions, and engage with key stakeholders to facilitate quality health care delivery., Identify and report Adverse Events to Pharmacovigilance team in a timely manner., Supervise workflow management, prepare precise documentation including follow-up on letters and other mandatory information sent to payers for pre-certification approvals., Manage heavy telephone and e-mail volume by assisting callers and patients in a timely, efficient, and courteous manner., Established rapport with patients, caregivers, HCPs and Sales Team to gather/disseminate information and coordinate participation in the Interconnect Support Services., Advocated on behalf of patients to resolve complex issues and acquire essential information.
• Senior Intake Care Coordinator, Regional Cancer Care Associates, East Brunswick, NJ, 2018-01-01, 2020-01-01, Gathered and compiled mandatory information to insure coverage., Communicated with MD/NPs on clarification of prescriptions via email and fax., Obtained copay assistance for patients in an efficient manner., Evaluated patient's demographics based on income and other data obtained to acquire medication assistance., Devised and maintained patient's charts., Learnt to operate new software for processing heavy amount of prescriptions in a timely manner., Interacted actively with senior management, patients, and stakeholders.
• Senior Intake Care Coordinator, Mandells Clinical Pharmacy, Somerset, NJ, 2016-01-01, Performed data entry of patient medical records, prescriptions, and insurance information., Coordinated pick-ups and delivery of prescription orders., Communicated with clients and referral sources through calls to guide and address issues., Successfully provided empathy and shaped excellent patients experience in regards to sensitive matters.
• Diagnostic Ultrasound Medical Technician, American Diagnostics Services, Pensauken, NJ, 2013-01-01, 2015-01-01, Examined patients charts along with patient assessment., Executed ultrasound procedures along with Vascular, General, and OB-GYN testing., Communicated and collaborated actively with doctors and nurses., Explained forthcoming procedures to patients and addresses any relevant questions or concerns., Conducted diagnosis for patients and provided doctors with 2D images to continue further steps.