Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Jessica Lee Plavi

Home,PA

Summary

Detail-oriented care coordinator with proven expertise in order management and patient communication. Committed to enhancing patient engagement and ensuring clinical compliance through effective collaboration with healthcare professionals.

Overview

28
28
years of professional experience

Work History

Care Coordinator (Tarpeyo)

Panther Rare Pharmacy
Pittsburgh, PA
08.2024 - Current
  • Communicates with patients via phone to establish rapport, introduce program offerings, customize welcome kit, ensure clinical compliance, authorize next shipment of medication, and coordinate any other patient engagement activities.
  • Conducts physician office welcome call to provide overview of the program and complete enrollment in physician office communication preference plan.
  • Serves as the primary contact for the patient and physician to resolve inquiries.
  • Ensures patients are enrolled and consented with the program and communicate with manufacturer representatives as needed.
  • Performs all required order management activities such as order/data entry, patient onboarding, profile creation, prescription retrieval, adverse event and product compliant submission and reconciliation, and assigned follow-ups.
  • Enrolls patients in financial assistance programs as appropriate including Bridge, T-Bridge, Copayment Assistance, T-PAP, PAP and Product Replacement if applicable, screen and exclude federal and state healthcare program beneficiaries, such as Medicare, Medicaid, the VA/DoD, TRICARE, or any other federal and state healthcare from participating in the manufacturer’s commercial co-payment program.
  • Communicates to patients that they are referring the patient to an independent organization independent from the manufacturer, upon a patient transfer to third-party PAPs for assistance.
  • Conducts all patients and physicians facing interactions related to reimbursement support, including but not limited to processing pharmacy claims, obtaining authorizations and overrides as needed and discussing financial responsibility with patients.
  • Accepts direction from pharmacist(s) and Leadership regarding various elements of specialty call compliance programs.
  • Communicates effectively with both the RPH Supervisor and Program Manager and performs other duties assigned.
  • Assist in training new hires and other coworkers that may need assistance.

Order Management Technician (Imcivree/Crysvita/Dojolvi/Bylvay)

Pantherx Rare Pharmacy
Pittsburgh, PA
04.2022 - 07.2024
  • Assists pharmacist(s) with order management.
  • Communicates with prescriber offices via phone, fax, and email to obtain prescriptions.
  • Communicates with patients via phone to coordinate prescription shipments.
  • Enter data for the patient, including medical and allergy information, into the prescription processing system.
  • Completes proper documentation on specified forms via the computer system for patient onboarding.
  • Additional projects and activities, as assigned.
  • Works closely with the nursing agency, making sure visits are scheduled, and any issues that may arise.

Specialty Data Processing

Ccn pharmacy
Pittsburgh, PA
07.2017 - 04.2022
  • Data entry for a fast-paced and growing pharmacy.
  • Receive and be able to translate doctors' written prescriptions, along with pharmacists' telephone orders, fax machines, fax servers, and electronic SureScripts through ISM software.
  • Decide if the prescription needs to be processed or placed on hold for customers.
  • Bill, proper insurance.
  • Works closely with pharmacists.

Roll Tender

Creps United Publications
Indiana, PA
03.2013 - 12.2017
  • Uploaded paper to presses.
  • Helped run presses.

Retail Pharmacy Technician

Diamond Drugs
Indiana, Pennsylvania
02.2001 - 12.2012
  • Maintained store inventory, provided customer service, entered prescription data, filled prescriptions, used POS daily, counted pills, organized and maintained daily deliveries, communicated with doctors, hospitals, and other pharmacies, ran POS, and worked closely with insurance companies, exclusively worked with local nursing homes – doing data entry, restocking med carts, billing, printing, receiving, and posting payments, and MAR printing.

Receptionist

Evergreen motors
Indiana, Pennsylvania
08.1997 - 02.2001
  • Customer service
  • Daily deposits
  • Answered phones.
  • Received and posted payments.

Education

Graduation -

Marion Center Area High School
Marion Center, Pennsylvania
01.1997

Skills

  • Running prescriptions using QS1
  • Ordering stock thru Cardinal and Value
  • Running register using QS1-POS
  • Operated mail order pharmacy
  • Receiving and posting payments
  • Data entry
  • Shipment set ups
  • Patient onboarding
  • Prescription management
  • Financial assistance enrollment
  • Team collaboration
  • Problem solving
  • Physician communication
  • Clinical compliance
  • Order management
  • Customer relationship management
  • Reimbursement support
  • Data entry accuracy
  • Medication coordination
  • Effective communication
  • Training facilitation

References

  • Eric Pash, Pharmacist, Diamond Drugs, 1252 Cheese Run, Indiana, PA, 15701, 724-422-6746
  • Lisa Fischanich, Pharmacist, Diamond Drugs, 724-840-1211
  • Fred Eaton, Pharmacist, Diamond Drugs, 724-762-7834
  • Heather Colfer, Senior Program Manager, Panther Rare Pharmacy

Timeline

Care Coordinator (Tarpeyo)

Panther Rare Pharmacy
08.2024 - Current

Order Management Technician (Imcivree/Crysvita/Dojolvi/Bylvay)

Pantherx Rare Pharmacy
04.2022 - 07.2024

Specialty Data Processing

Ccn pharmacy
07.2017 - 04.2022

Roll Tender

Creps United Publications
03.2013 - 12.2017

Retail Pharmacy Technician

Diamond Drugs
02.2001 - 12.2012

Receptionist

Evergreen motors
08.1997 - 02.2001

Graduation -

Marion Center Area High School

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