Microsoft Office, Excel, Spreadsheets
Neida Sanchez
Kissimmee,FL
Summary
Motivated Patient Care Advocate with 10+ years of great custer service. I am Bilingual. Talent for overseeing multiple tasks while maintaining quality care. Well-developed program management and administration skills. Insurance Verification/Prior Authorization. Collections. Claims Processing.
Overview
10
10
years of professional experience
1
1
Language
Work History
Patient Care Advocate
AllianceRx Walgreens Prime Specialty Pharmacy
Orlando, Florida
01.2017 - Current
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Collected co-payments or full payments from customers.
- Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Reviewed and verified customer information and insurance provider information.
- Ensured specialty guidelines met REMS, DEA and SAMHSA guidelines
-
Patient Care Coordinator
Prime Therapeutics LLC
Orlando, FL
10.2012 - 01.2017
- Established rapport and relationships with patients and external partners to cross-train and support medical staff.
- Managed Outbound team. Ensuring contractable turn around times were met for Special Handling/Pharma Drugs
- Created and maintained spreadsheets for proper tracking of REMS medication to ensure Pharmacy/Manufactured contractable terms were met.
- Prepared daily assignments and monitored work performed via daily ran reports
- Trained new employees, handled escalated calls
- Provided subject matter expertise in case management and related procedures.
- Coordinated charitable, government and community resources for patients.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Resolved problems with areas such as communication and billing that could negatively impact services.
- Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
Education
Medical - Medical Secretary
Pennco Tech
Blackwood, NJ 05.2001 -
Skills
Care plan assessment
Insurance practices
Organizational skills
Program oversight
Medical terminology
Organizational standards
Decision making
Claims Processing
Multitasking ability
Software
Timeline
Patient Care Advocate
AllianceRx Walgreens Prime Specialty Pharmacy
01.2017 - Current
Patient Care Coordinator
Prime Therapeutics LLC
10.2012 - 01.2017
Medical - Medical Secretary
Pennco Tech
05.2001 -