Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Kelly Bell

Olyphant,PA

Summary

Accomplished Sr. Reimbursement Specialist with a proven track record at United Biosource Corporation, excelling in HIPAA Compliance and Denial Resolution. Demonstrated expertise in healthcare reimbursement and insurance verification, enhancing operational efficiency and patient care. Skilled in fostering professional relationships and adept at navigating complex insurance landscapes.

Overview

2
2
years of professional experience

Work History

Sr. Reimbursement Specialist

United Biosource Corporation
Lake Mary, FL
06.2023 - Current

Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient.

Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies. May serve as single point of contact for an assigned group of prescribers.

Identify and report events as required by the REMS requirements for specified medication. Recognize adverse event, product quality complaint, potential risk events, and forward information to the appropriate team member for reporting to the manufacturer.

Educate patients, prescribers, and others regarding program requirements, and facilitate referrals. Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures.

Coordinating Center Associate

United Biosource Corporation
Morgantown, WV
05.2023 - 08.2023

pharmacy representative. CCA also handle Data entry.

Pharmacy representative- CCA will take inbound calls and guide the pharmacy representative to

online portal to help them with a PDA for the patient. We can help them to log into Their account

"pharmacy portal" by sending a link and guide them with the steps that is needed. We will also

taking an adverse event over the phone if needed. We can also help them with PDA over the

phone and complete testing and counseling for them as well.

Prescriber- CCA will help prescriber and staff for enrollment, online portal access, adverse

events for the patients, enrollment for prescriber, staff and patients. We will help them with refill

dispense exception.

Patient- CCA will help patient with monthly patient testing and counseling. We will help them

with treatment interruptions, adverse events, updating their information such as addressing

phone number etc.

Data Entry- CCA handle Data entry for patient, prescriber and pharmacy representative. CCA

responsibility for data entry was enrollment for patient, prescriber and pharmacy. Completing

adverse events and patient monthly testing and counseling.

CCA also handle treatment interruption and yearly updates for reproductive potential.

Eligibility Specialist

United Biosource Corporation
Morgantown, WV
08.2022 - 05.2023

• Review incoming referrals for completeness of and confirm FDA requirements are met as

applicable. These are typically received via facsimile, Web portal or client partner

download.

• Answer all Incoming calls quickly and efficiently, evaluate their need and respond or

disseminate call to appropriate member of team.

• Provide assistance with reimbursement inquiry requests, including insurance benefit

verification, prior authorization, denials and appeals, and other reimbursement issues

from patients, MDOs, payers and Sales Representative

• May provide billing and coding information related to specific product(s)

• Conduct general payer research

• Investigation of benefits and eligibility by phone and/or internet to determine coverage

choices patient has in starting therapy.

Fidelity Deposit and Discount Bank

Customer Care Center- Training
Scranton, PA
03.2022 - 03.2022
  • Consistently met deadlines for daily chores and special projects, contributing to the smooth operation of the barn.Handled a high volume of phone calls and emails per client service level agreements pertaining

Client Central- I used that system for filing disputes, opening and closing accounts, changing

clients personal information such as name, address and phone number. We also searched the

clients account for transactions, to transfer money from a savings or checking a account.

We can open multiple accounts for IRA'S, Trust and CD's.

For PBM we use that for filing disputes and also sending out debit cards as well.

Utilized Pay my loan to make payments on car or house loans.

Responsible for maintaining a high level of professionalism with all interactions while working to

establish a positive rapport with every caller.

  • Enhanced animal well-being through attentive care, proper feeding, and regular health checks.
  • Increased overall barn efficiency by implementing effective cleaning and maintenance routines.
  • Ensured proper care for injured or sick animals by administering prescribed medications and treatments under veterinarian guidance.

Education

Lakeland High School
Scott Township, PA
06.2011

Skills

  • Denial Resolution
  • HIPAA Compliance
  • Healthcare Reimbursement
  • Insurance Verification

Additional Information

Reference

Crystal Vonhatten- 217-419-1649

LaTonya Smith- 901-355-5989

Tiaes White- 337-303-5479

Mary Adkins- 304-751-5107

Timeline

Sr. Reimbursement Specialist

United Biosource Corporation
06.2023 - Current

Coordinating Center Associate

United Biosource Corporation
05.2023 - 08.2023

Eligibility Specialist

United Biosource Corporation
08.2022 - 05.2023

Fidelity Deposit and Discount Bank

Customer Care Center- Training
03.2022 - 03.2022

Lakeland High School
Kelly Bell