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MONICA PFISTER
Fairfield,CA
Summary
Certified Prior Authorization Specialist & Biologic Coordinator, with extensive background in providing the highest level of personal care and customer service. Experienced in both private physicians office and large medical group settings. Self motivated in improving one's self and work place. Stays up to date with medical field changes and implements them. Detail oriented and punctual with the flexibility to complete multiple tasks. A team player with strong work ethics. Experienced in front office operations, strong administrative skills, recipient of Dean's list and Perfect attendance honors.
Qualified Biologic Coordinator with solid background in managing prior authorization processes. Proven ability to streamline workflows and improve approval times. Demonstrated expertise in communication and problem-solving, ensuring efficient and accurate authorization management.
Overview
13
13
years of professional experience
Work History
Biologic Coordinator
Lyceum Health Inc.
Remote, Ca
04.2025 - 05.2026
- Managed biologic therapy coordination for dermatology patients, collaborating with specialty pharmacies, clinics, and physicians to ensure timely medication access.
- Facilitated prior authorizations, appeals, and financial assistance, maintaining accurate patient records and supporting seamless medication management.
- Led and mentored a team of remote biologic coordinators (RBCs), providing performance feedback, professional development, and fostering a high-performance, collaborative environment.
- Coordinated patient access activities from enrollment to prior authorization paperwork, ensuring alignment with company goals and compliance with industry regulations.
- Developed and implemented resource allocation strategies to optimize team efficiency and productivity.
- Conducted quality oversight by reviewing applications, EMRs, and insurer paperwork to ensure accuracy and completeness.
- Liaised with industry partners to stay informed on therapy updates, patient access programs, and emerging services.
- Contributed to process improvement initiatives, training development, workflow optimization, and product feedback for internal technology tools.
- Supported ad hoc company initiatives and organized multiple tasks to meet established deadlines.
Referral Specialist II
Elevance Health
Remote, Ca
08.2022 - 04.2025
- Managed prior authorizations for medication, radiology & DME equipment
- Coordinated patient referrals to ensure timely access to necessary healthcare services.
- Verified insurance eligibility and benefits for seamless referral processing.
Front Desk MA
Valley Dermatology & Plastic Surgery
Napa, Ca
01.2020 - 08.2022
- In-putting referral’s
- Checking insurance eligibility
- Authorization eligibility
- Checking in and out patients
- Handling large amounts of cash
- Phones, messages and emails
- Schedules for multiple providers
- Input info. And updating patient EMRs
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
Rheumatology Lead Medical Assistant
Dr. Brittany L. Goss D.O. Inc.
Napa, Ca
10.2013 - 10.2019
- Input info. and update patient electronic records
- Authorizing prescription refills
- Order medications for infusions
- Administer injections and medications as directed by providers
- Room patients, get vitals, set up room and stock rooms
Education
Prior Authorization Certified Specialist -
ACMA/PAMS
05-2026
Professional Patient Access Certificate Program - undefined
BCoD
05-2026
Certified Patient Access Management - undefined
Dermsquared
05-2026
Medical Assistant - undefined
Trinity College
11-2002
General Education - undefined
Napa Valley Junior College
07-1999
Skills
- Training and mentoring
- Batch record review
- Quality control testing
- Cell culture techniques
- Insurance verification
- Effective communication skills
- Electronic health records proficiency
- Physician order verification
- Medical terminology knowledge
- Benefit coverage
- Professionalism and ethics
- Process improvement strategies
- Workflow management
- Insurance procedures
- Patient confidentiality compliance
- HIPAA compliance
Accomplishments
- Documented and resolved denials which led to approvals.
- Achieved approvals by completing prior authorizations with accuracy and efficiency.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Timeline
Biologic Coordinator
Lyceum Health Inc.
04.2025 - 05.2026
Referral Specialist II
Elevance Health
08.2022 - 04.2025
Front Desk MA
Valley Dermatology & Plastic Surgery
01.2020 - 08.2022
Rheumatology Lead Medical Assistant
Dr. Brittany L. Goss D.O. Inc.
10.2013 - 10.2019
General Education - undefined
Napa Valley Junior College
Medical Assistant - undefined
Trinity College
Certified Patient Access Management - undefined
Dermsquared
Professional Patient Access Certificate Program - undefined
BCoD
Prior Authorization Certified Specialist -
ACMA/PAMS