Efficient Reimbursement Specialist with solid background proactively managing claims and preventing insurance issues. Competent in keeping records accurate and current and proactively managing account problems. Excellent customer relations skills combined with analytical approach to handling routine and complex delays.
Managed all reimbursement details necessary for all patients receiving professionally administered medications
Enroll patients with Genentech Access Solutions and Regenron for Eylea benefit investigation with current insurance.
Developed a strong understanding of insurance criteria regarding professionally administered medication.
Requested and maintained active authorizations as needed
Enrolled patients in copay assistance programs as needed.
Developed understanding of criteria involved with all copay foundations
Identified & enrolled patients that qualified for Free Drug Programs available within the Pharmetucial companies.
Maintained accurate treatment details for Physicians and clinical staff that was practiced on a daily basis
Educated clinical staff on treatment guidelines regarding covered diagnosis and specific insurance guidelines
Demonstrate strong leadership skills to Medical Professionals, administration and all other employees