Kyana Brown

• Supervised nursing staff to ensure adherence to care protocols and quality standards.
• Coordinated patient admissions, discharges, and transfers to optimize facility operations.
• Conducted regular assessments of patient care plans and adjusted as necessary for improved outcomes.
• Evaluated staffing needs and schedules to ensure adequate coverage during peak operational hours.
• Collaborated with multidisciplinary teams to optimize patient treatment strategies.

• Verified insurance of patients to determine eligibility.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Filed and updated patient information and medical records.
• Verified accuracy of accounts payable payments, resulting in 95% reduction in payment errors and check reissues.

• Order entry of new and refill prescriptions off faxes and e-script system
• Work third party exceptions to process orders
• Processed 500 prescriptions per day
• Third party troubleshooting as needed
• Stocked, labeled, and inventoried medication to keep accurate records.

• Contacted pharmacies and medical professionals via phone
• Assisted with programs that typically consisted of pharmaceutical brand initiated payment assistance solutions such as: co-pay cards and/or vouchers
• Fielded request for card activation, program eligibility, explanation of program benefits and explanation and troubleshooting of submission rejections

• Placed a high volume of outbound and received inbound calls (80-100+ per day) from patients and healthcare providers

• Scheduled shipments for patients’ specialty medications

• Performed accurate data entry of patient information

• Handled escalated problems regarding prescriptions and shipments

• Provided exceptional telephonic customer service

• Placed a high volume of outbound and received inbound calls (80-100+ per day) from patients and healthcare providers

• Scheduled shipments for patients’ specialty medications

• Performed accurate data entry of patient information

• Handled escalated problems regarding prescriptions and shipments

• Provided exceptional telephonic customer service