Maike Fox
Vancouver
Summary
Dynamic healthcare professional with extensive experience at St. Luke’s Regional Medical Center, excelling in patient advocacy and prior authorization processes. Proven ability to enhance pharmacy operations and ensure regulatory compliance, while delivering exceptional customer service. Skilled in data analysis, effectively supporting patients in navigating financial challenges and treatment pathways.
Overview
16
16
years of professional experience
Work History
Biologic Coordinator
Vancouver Clinic
Vancouver
10.2023 - Current
- Support dermatology patients in completing prior authorizations for topicals and biologic medications.
- Triage incoming calls and voicemail.
- Follow referrals and confirm that patients have proper authorization in place.
Field Reimbursement Access Specialist
AmericoursourceBergen: Xcenda
02.2022 - 10.2023
- Educate provider office staff and practice managers on logistics needed to support client product, including infrastructure needed to support in-office administration including buy and bill and monitoring of product, and important coverage and payer policy changes.
- Provider office staff with understanding the payers’ coverage management strategies for the product, including coding, billing, formulary, prior authorization, and appeal processes.
- Credentialed in Dermatology, Rheumatology, and Gastroenterology therapies.
Patient Financial Advocate II
St Luke’s Regional Medical Center
Boise
10.2020 - 02.2022
- Support patients financially by providing copay assistance, foundation grants, and other resources.
- Obtain authorization for procedures, in conjunction with confirming on FDA guidelines.
- Assist patient and family members with FMLA or short-term disability paperwork.
Pharmacy Technician / Outpatient / Oral Chemo
St Luke’s Regional Medical Center
Boise
07.2019 - 10.2020
- Review and confirm the completion of the patient's medication order, and organize delivery.
- Support patients during treatment, along with financial concerns.
- Working in conjunction with pharmacists to plan and complete their treatment.
- Support Meds2Beds, COVID curbside delivery, and day-to-day operations of the pharmacy.
- Grow specialty pharmacy patient population.
- Follow patient reminders/refills daily to ensure no gap in treatment.
Billing and Recovery Specialist
St Luke’s Regional Medical Center
Boise
06.2018 - 07.2019
- Researched denied insurance claims, assisted with patient customer service, assisted with the coding denial specialist team, and managed patient account data.
- Audited the Willow pharmacy accounts and customer service concerns.
PAS Resource Specialist – Home Infusion Pharmacy
Oregon Health and Science University
Portland
12.2013 - 06.2018
- Process authorizations and communicate possible patient due charges, such as deductibles and out-of-pocket costs.
- Provide assistance with financial concerns and resources to start/continue treatment.
- Communicate between the pharmacy and the nurse team to help organize systematic care for the patient.
- Discuss and review the correct scheduling and care for the patient.
Prior Authorization Specialist / Lead Pharmacy Technician
Oregon Health and Science University
Portland
12.2013 - 04.2018
- Coordinated the daily workflow, confirmed that all stations were staffed, and oversaw any training stations.
- Assisted in any Willow ambulatory training of new employees, in conjunction with register training, policy and procedures, and current medical and pharmacy laws.
- Facilitated all discharging patient medications authorizations, in addition to complying with insurance auditing.
Senior Pharmacy Technician
Walgreens Pharmacy
St. Helens
04.2009 - 04.2014
- Ordered medications from wholesalers as needed to maintain adequate stock levels.
- Managed customer service inquiries from patients regarding their medications or billing issues.
- Verified that all incoming prescriptions were accurate and complete prior to dispensing them.
Education
Bachelor of Science -
Western Governors University
Salt Lake City, UT06-2026
Pharmacy Technician Graduate - Pharmacy
Anthem College
Beaverton, OR04.2009
High School Graduate -
Saint Helens High School
Saint Helens, OR05.2008
Skills
- Pharmacy operations
- Prior authorization
- Patient advocacy
- Regulatory compliance
- Customer service
- Data analysis
Timeline
Biologic Coordinator
Vancouver Clinic
10.2023 - Current
Field Reimbursement Access Specialist
AmericoursourceBergen: Xcenda
02.2022 - 10.2023
Patient Financial Advocate II
St Luke’s Regional Medical Center
10.2020 - 02.2022
Pharmacy Technician / Outpatient / Oral Chemo
St Luke’s Regional Medical Center
07.2019 - 10.2020
Billing and Recovery Specialist
St Luke’s Regional Medical Center
06.2018 - 07.2019
Prior Authorization Specialist / Lead Pharmacy Technician
Oregon Health and Science University
12.2013 - 04.2018
PAS Resource Specialist – Home Infusion Pharmacy
Oregon Health and Science University
12.2013 - 06.2018
Senior Pharmacy Technician
Walgreens Pharmacy
04.2009 - 04.2014
Bachelor of Science -
Western Governors University
Pharmacy Technician Graduate - Pharmacy
Anthem College
High School Graduate -
Saint Helens High School
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