JENNY REDIKER
Summary
Access and reimbursement manager with extensive experience at Stratis Group, focused on improving patient access and removing reimbursement obstacles. Expertise in Medicare and Medicaid, utilizing strong interpersonal skills to educate stakeholders and implement strategic reimbursement initiatives. Achievements include significant enhancements in coverage access and improved patient outcomes.
Overview
14
14
years of professional experience
Work History
Access and Reimbursement Manager
Stratis Group
02.2025 - Current
- Identified opportunities to enhance coverage access and reduce reimbursement barriers, improving patient access to necessary services.
- Educated physicians, staff, patients, and stakeholders on documentation for procedures and coding requirements, ensuring compliance and minimizing claim denials.
- Promptly addressed customer needs through efficient assessment and response.
- Engaged customers in conversations using effective interpersonal skills to build rapport.
- Analyzed reimbursement data to identify trends and recommend improvements, contributing to more effective reimbursement strategies.
Field Reimbursement Manager
Xcenda
12.2017 - 12.2024
- Increased access for patients and reduced reimbursement barriers for providers in the dermatology therapeutic area.
- Partnered with sales teams to resolve reimbursement issues, develop ethical reimbursement strategies, and communicate payer criteria effectively.
- Monitored payer communication sources and clarified coverage and reimbursement issues for products.
- Collaborated with support hub and key stakeholders to achieve successful case outcomes for patients.
- Deliver presentations and educate providers and their staff on manufacturers' support programs and available access services.
- Oversaw training programs for staff on reimbursement policies and procedures.
- Develop strategic geographic routing to support 2 District Managers and 6 Sales Representatives.
Accounts Receivable
Nashville Oncology Associates
11.2011 - 11.2017
- Posted cash, check, and credit card payments for customer accounts, ensuring timely updates.
- Oversaw write-offs, payment reversals, and adjustments to maintain accurate financial records.
- Monitored customer accounts for non-payment, delayed payments, and irregularities to mitigate financial risks.
- Knowledgeable in Oncology pharmaceutical provider portals, drug replacement and patient assistance programs.
- Facilitated the appeal process by interpreting medical policies and guidelines.
Education
Capella University
01-2022
High School Diploma -
White House High School
01-1998
Skills
- Prior authorization and appeals expertise
- Medicare, Medicaid, and commercial insurance knowledge
- Coding compliance
- Sales collaboration
- Cross-specialty experience in dermatology, gastroenterology, oncology, rheumatology, allergy, ENT, and pulmonary
- HIPAA compliance
Timeline
Access and Reimbursement Manager
Stratis Group
02.2025 - Current
Field Reimbursement Manager
Xcenda
12.2017 - 12.2024
Accounts Receivable
Nashville Oncology Associates
11.2011 - 11.2017
Capella University
High School Diploma -
White House High School