Summary
Overview
Work History
Education
Skills
Languages
References
Timeline
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John-Peter Gero

Clifton

Summary

Dynamic Field Reimbursement Manager with a proven track record at Pfizer, excelling in prior authorization and benefit verification. Achieved significant process improvements, enhancing efficiency and compliance. Adept at training and coaching teams, fostering collaboration, and driving results in complex healthcare environments. Committed to delivering exceptional support for biologic medications.

Overview

12
12
years of professional experience

Work History

Field Reimbursement Manager

Pfizer
New York
01.2022 - Current
  • Administer support for 8 Pfizer biologic medications including Xeljanz, Inflectra, Ruxience, Abrilada, Velsipity, Cibinqo, Litfulo, and Eucrisa.
  • Achieved reduction in time to fill through diligent tracking of HUB program cases.
    Engaged in live and virtual meetings with physician offices to clarify missing details.
    Strengthened communication with HUB case managers to facilitate smoother workflows.
    Offered educational resources to ensure comprehensive fulfillment of case demands.
  • Coordinate Cibinqo and Litfulo program launch, coaching first-time Field Reimbursement Managers on new HUB protocols.
  • Championed process improvement efforts by refining enrollment forms to increase efficiency and decrease error rates.

Field Reimbursement Manager

Amerisource Bergen - Xcenda
Chicago
08.2016 - 01.2022
  • Partnered with pivotal office personnel across targeted accounts to achieve coverage for client products.
  • Guided offices in understanding prior authorization requirements, peer-to-peer review and appeals, and effective billing and coding procedures.
  • Optimize communication pathways among client sales personnel, management, and product benefit verification hub to achieve synchronized outreach to target accounts.
  • Educated peers on effective management of multiple electronics for reporting and account management along with routing for territory management.

Insurance Analyst

AbbVie
Abbott Park
10.2013 - 08.2016
  • Spearheaded project to develop new benefit summary template enhancing legibility and readability for patients and doctors.
  • Refined insurance payer information processes across department leveraging Microsoft Excel on an annual basis.
  • Led quarterly updates of prior authorization library to ensure compliance across all pharmacy areas.

Benefits Investigation Specialist

Caremark LLC
Buffalo Grove
04.2013 - 10.2013
  • Streamlined organization and preparation of medical documents and reports for physicians and insurance companies to initiate prior authorizations for specialty medications.
  • Attained 100% monitoring scores for cases and calls while handling around 40 cases each day.
  • Guided providers through product fulfillment pathways, integrating physician buy and bill, retail pharmacy, and specialty pharmacy solutions.

Education

Bachelor of Science - Kinesiology

University of Illinois At Chicago
Chicago, IL
01-2011

Skills

  • Prior authorization
  • Benefit verification
  • Regulatory compliance
  • Data analysis
  • Case management
  • Billing procedures
  • HIPAA compliance
  • Copayment support
  • Training and coaching

Languages

Greek
Native/ Bilingual

References

References available upon request.

Timeline

Field Reimbursement Manager

Pfizer
01.2022 - Current

Field Reimbursement Manager

Amerisource Bergen - Xcenda
08.2016 - 01.2022

Insurance Analyst

AbbVie
10.2013 - 08.2016

Benefits Investigation Specialist

Caremark LLC
04.2013 - 10.2013

Bachelor of Science - Kinesiology

University of Illinois At Chicago