Summary
Overview
Work History
Education
Skills
Timeline
Generic

Laya Frank

Lakewood,NJ

Summary

Dedicated Patient Advocate and Prior Authorization Specialist with a strong background in medical terminology and patient advocacy. Proven ability to solve complex reimbursement issues while collaborating with healthcare teams to enhance patient care and streamline processes.

Overview

7
7
years of professional experience

Work History

Pateint Advocate /Prior Authorization Specialist

Ocean Dermatology
Jackson NJ
08.2021 - Current
  • Managed and processed all prior authorization requests for a high-volume dermatology practice, ensuring timely and affordable access to medications, biologics,
  • · Reviewed patient charts, clinical notes, and diagnostic results to compile comprehensive medical necessity documentation for insurance submissions.
  • provided communication / clarification with Pharmacists on biologic dosing
  • · Educated patients regarding insurance coverage, out-of-pocket costs, and alternative specialty pharmacy options.
  • Buy and bill procurement of high-cost specialty medications and the complex medical reimbursement process that follows.
  • Fill in for front desk when needed

Technical Director Camp Neema

Camp Neema
Lakewood NJ
06.2019 - 08.2020

ran transportation systems

orders supplies

make schedule

Education

High School Diploma -

Bais Yaakov High School of Lakewood
Lakewood

Skills

  • Prior authorization process
  • Medical terminology
  • Communication
  • Team player
  • Out of the Box solutions

Timeline

Pateint Advocate /Prior Authorization Specialist

Ocean Dermatology
08.2021 - Current

Technical Director Camp Neema

Camp Neema
06.2019 - 08.2020

High School Diploma -

Bais Yaakov High School of Lakewood
Laya Frank