Melissa Battle
Stone Mountain,Georgia
Summary
Dynamic Medication Access Specialist with proven expertise at Visante in navigating complex insurance landscapes to enhance patient access to specialty oncology medications. Skilled in insurance verification and effective communication, I excel in improving patient satisfaction and streamlining processes, ensuring timely treatment while minimizing financial burdens.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Medication Access Specialist
Visante
Saint Paul, MN
11.2019 - Current
- As a Medication Access Specialist, my primary responsibility is to navigate patients who are prescribed specialty oncology medications through the intricacies of their insurance benefits in order to maximize medication access and minimize financial burden.
- I act on behalf of the clinic team as the liaison between the patient, pharmacy, insurance providers, and other third parties to improve patient time to treatment on specialty medications, improve patient satisfaction, and increase profitability for Emory.
- I am responsible for obtaining medication insurance coverage and benefit information, authorizations of medications, monitoring patient insurance status, and communicating medication access issues to the treatment team for all specialty medications within their scope of practice.
- Obtain detailed insurance benefit information, including, but not limited to, appropriate billing information (medical vs. prescription benefits), copays, in-network pharmacies, plan formulary, prior authorization requirements, and other necessary information to successfully adjudicate a specialty medication claim.
- Interacts with patients, physicians, caregivers, team members (pharmacists, pharmacy staff, nurses, providers), and other internal/external stakeholders in a courteous and professional manner.
- Developed and maintained Access databases to store and organize data, ensuring the accuracy of information.
- Performs other duties as assigned or requested.
Senior Pharmacy Technician
Walgreens Pharmacy
Murfreesboro, TN
08.2003 - 10.2019
- Receive written prescription or refill requests and verify that information is complete and accurate
- Establish or maintain patient profiles, including lists of medications taken by individual patients
- Supply and monitor robotic machines that dispense medicine into containers and label the containers
- Maintain proper storage and security conditions for drugs
- Answer telephones, responding to questions or requests
- Prepare and process medical insurance claim forms and records
- Price and file prescriptions that have been filled
- Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information
- Receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages
- Order, label, and count stock of medications, chemicals, or supplies and enter inventory data into computer
- Operate cash registers to accept payment from customers
- Prepare schedule for pharmacy staff
Patient Care Coordinator
Nashville Pharmacy Services
Nashville, TN
05.2015 - 01.2019
- Schedule patients for necessary counseling and refill call
- Answer questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable
- Accurately obtain and enter patient information, including shipping, insurance and payment information
- Process third party with SDL cards
- Provide patients with price quotes, order status, insurance verifications and proof of deliveries
- Handle customer accommodations independently with good judgment and involving a Supervisor/Manager only when necessary
- Special projects as assigned
- Maintain drug ordering for pharmacy to decrease out of stock and partial fill prescriptions
Education
Tennessee College of Applied Technology -
Tennessee College of Applied Technology
Murfreesboro, TN01.2006
Skills
- Communication skills
- leadership
- Customer service
- Microsoft Word
- Microsoft Excel
- Script Pro
- epic
- Intercom Plus
- TherigySTM
- Medication access
- Insurance verification
- Prior authorization
- Database management
- Team collaboration
- Time management
- Effective communication
- Problem solving
- Multitasking
- Medical terminology
- Insurance authorizations
Certification
Pharmacy Technician Certification
Timeline
Medication Access Specialist
Visante
11.2019 - Current
Patient Care Coordinator
Nashville Pharmacy Services
05.2015 - 01.2019
Senior Pharmacy Technician
Walgreens Pharmacy
08.2003 - 10.2019
Tennessee College of Applied Technology -
Tennessee College of Applied Technology
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