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
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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 -
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