Krissy Wright
Rockland,MA
Summary
Compassionate talented Case Manager experienced in Rare Disease Patient Services. Hardworking and dedicated to achieving desired case outcomes, adept at handling high caseloads without sacrificing quality of care. Offers excellent problem-solving, conflict resolution and communication abilities. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
14
14
years of professional experience
Work History
Case Manger Support
Ultragenyx
07.2018 - Current
- Managed Mid-West territory, being point of contact for active and new patients and caregivers
- Worked closely with specialty pharmacies to ensure patients obtained and continued on therapy
- Provided back up support to Case Management Team
- Maintained case history and connected with patients monthly to assist with any roadblocks they had encountered.
Intake Team Manager
Ultragenyx
01.2022 - 04.2023
- Managed professional development and training of staff, including internal program and staff evaluations, to drive productivity and effectiveness
- Worked closely with Patient Services leadership team, strategizing to see where we can support Patient Services group best
- Monitor and identify areas of improvement and propose corrective actions
- Supervised daily operations to be certain goals were being met and delegated assignments as necessary.
Senior Patient Engagement Manager
Ultragenyx
07.2018 - 04.2023
- Point of contact for patients and their caregivers offering guidance and assistance with all steps required to gain access to therapy
- Specialty pharmacy liaison for the team leading weekly calls with specialty pharmacy partners and providing updates to the team and partners as necessary
- Works with specialty pharmacies and insurance companies on obtaining reimbursement guidelines
- Counsels patient and caregivers on different reimbursement options and acts as liaison with medical offices
- Answer patient and medical office inquiries and resolving customer issues and concerns
- Provides back-up coverage for Patient Engagement Operation Managers
- Works closely and coaches new-hires and continues as their mentor when working their regions
- Maintain case history and adherence with all patients with monthly calls confirming therapy compliance and offering assistance with obstacles
- Partners with field team managing all on therapy and naïve patients, providing weekly updates
- Program liaison for Adverse Events and Product complaints.
Senior Patient Support Manager
Shire Pharmaceuticals
06.2017 - 06.2018
- Consistently demonstrate and role model leadership behaviors
- Accurately monitor, identify, and problem solve around escalated and one-off patient access and or reimbursement issues of colleagues
- Champion operational excellence across team by reinforcing the need for accurate, complete and timely case documentation, data integrity and process improvement opportunities
- Demonstrate the ability to effectively coach PSM's surrounding identified issues and problem-solving using available coaching tools and communicate best practices related case-management process and/or documentation with PSM's
- Exhibit ability to coach and mentor new-hires
- Offers appropriate PSM empathy and support, consistent with high-need patient's, common stressors and high patient caseloads
- Serve as back-up to support leaders for any workflow processes and assisted appropriately when leaders are offsite or unavailable
- Awarded President's Club 2015 and Vice President Club in 2016.
Patient Support Manager
Shire Pharmaceuticals
02.2015 - 05.2017
- Supporting patients with Hereditary Angioedema and assist them with gaining access to Firazyr, Kalbitor and/or Cinryze
- Works closely with patients, payers and providers through coverage barriers to ensure access to ongoing therapy
- Maintain relationships by providing professional case management services to patients, health care professional as well as internal and external customers
- Oversee and manage patients being treated and or evaluated at several allergy centers in Tennessee and Georgia
- Assist office medical staff by sharing prior authorization procedures
- Assisting patients with copay assistance and coordinate injection and/or infusion training
- Explain and educate HAE patients and medical professional on OnePath services while trouble shooting and resolving reimbursement issues
- Works closely with pharmacy HUB to ensure process of patient referral are completed in a timely manner
- Attended and participated at AAAAI conference providing overview of OnePath services.
Patient Account Representative
SMG Compass Medical
09.2012 - 01.2015
- Review and prepare claims for manual and or electronic billing
- Correct and identify billing errors and appeal denials with insurances
- Accurately and timely process manual and electronic remittance payments
- Interpret payer remittances determining appropriate action on denied claims
- Contacts payer for status' on unpaid claims
- Maintains knowledge of third-party regulations with Medicare
- Corrects and update patient demographics, reviews all invoices and make necessary financial transfers
- Responds to billing inquiries, researching and effectively resolving issues.
Senior Patient Account Representative
Partners Healthcare at Home
03.2010 - 08.2012
- Acting as liaison between staff and director, assisting director with developing, implementing and auditing of new procedures and presenting and training staff
- Responsible for accurate and timely billing for Medicare homecare claims and assisting staff as needed with other government and commercial insurers ensuring timely billing
- Editing and transmitting claims via gateway, reviewing, adjusting and reprocessing claims through Medicare FISS system
- Reconciling denials and implementing department changes preventing future common errors
- Review of daily remittances to determine necessary adjustments or possible appeals, working with colleagues to determine coordination of benefits and proper handoff of secondary billing
- Running daily, weekly and monthly reports to review accuracy of claims
- Assisted director with individual projects
- Knowledge of Meditech and Cerner.
Education
Massasoit Community College
Brockton, MA04.1990
Skills
- Patient Support
- Case Documentation
- Annual Case Reviews
- Organization and Multitasking
- Program Development
- Patient Management
- Conflict Resolution
- Staff Management
- Positive Attitude
- Decision-Making
- Team Building
- Time Management
Timeline
Intake Team Manager
Ultragenyx
01.2022 - 04.2023
Case Manger Support
Ultragenyx
07.2018 - Current
Senior Patient Engagement Manager
Ultragenyx
07.2018 - 04.2023
Senior Patient Support Manager
Shire Pharmaceuticals
06.2017 - 06.2018
Patient Support Manager
Shire Pharmaceuticals
02.2015 - 05.2017
Patient Account Representative
SMG Compass Medical
09.2012 - 01.2015
Senior Patient Account Representative
Partners Healthcare at Home
03.2010 - 08.2012
Massasoit Community College
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