NICOLE CUNEO
Austin,TX
Summary
Successful professional with 13 years experience in home infusion therapy. Take-charge delivering executive support and team leadership to business operations. Dependable and detail-oriented to manage multiple tasks and priorities. Broad experience includes office management, accounting, invoicing, sales and contract management. Recognized for exemplary customer service and team collaboration.
Overview
12
12
years of professional experience
Work History
Intake Coordinator
Amerita
Austin, TX
08.2020 - Current
- Compounding Infusion Pharmacy Reviews and verifies documents for accuracy and completeness
- Receive and process new admission orders from hospitals, physician offices, home health agencies, and long-term care facilities
- Develop and maintain relationships with physicians and healthcare providers to promote our organization’s services and increase referrals
- Review medication orders and clinicals for accuracy
- Assist sales team with requesting clinicals and orders needed to process new referral and change in therapy
- Assist pharmacists and technicians regarding questions on orders, and clinicals
- Complete ride alongs with sales team to meet and answer questions from referral sources regarding benefits and authorization process
- Met regularly with clients to review progress towards established goals and objectives.
- Contacts provider/pharmacy to obtain additional information to make determination
- Answers provider office/pharmacy calls regarding benefits/authorizations
- Documents notes/criteria met into CPR electronic data record system
- Run test claims for medications for payable and profitability
- Resolves adjudication issues, coordinate with Billing, Monitors daily reports and performs follow-up measures Reviews and screens claims entered into the CPR database per protocol
- Run and monitor pharmacy claims s data for specific disease states and focusing on quality & utilization analysis; make outreach calls to members as part of quality assurance and refill reminder calls.
Lead Intake-Sales Coordinator
Bioscrip Infusion Services
Austin, TX
07.2012 - 07.2020
- Maintained accurate and up-to-date records of client intake forms, medical history information, insurance details, and other pertinent documents.
- Provided support to clinical staff in scheduling appointments and verifying insurance coverage.
- Conducted initial patient assessments by phone or in person to collect demographic data and medical histories.
- Verified insurance eligibility for services prior to the scheduled appointment date.
- Resolved client inquiries regarding billing issues, referrals, authorizations, lab results.
- Contributed to the development of policies and procedures related to clinical intake processes.
- Created a welcoming environment for incoming patients by providing them with necessary information about the facility's services and protocols.
- Collaborated with multidisciplinary teams on complex cases involving multiple providers or special needs populations.
- Developed relationships with community resources such as hospitals, schools, non-profits organizations that provide additional support services for clients.
- Assists with sales escalations and communicates routinely with field sales representative partner about details impacting prescriber or patient experience
- Obtains and manages prescriber communication preferences
- Nurtures and manages prescriber relationships to improve loyalty, and retention
Education
Bachelor of Science - Health Administration
Dillard University
New Orleans, LA05-1995
Skills
- Customer service
- Time management
- Team building
- Leadership
- Medical terminology
- Insurance
- Benefits
- Authorizations
- Conflict resolution
- Communication and interpersonal skills
- Sales
- Charting and clinical documentation
- Follow-up skills
- Performance Management
Timeline
Intake Coordinator
Amerita
08.2020 - Current
Lead Intake-Sales Coordinator
Bioscrip Infusion Services
07.2012 - 07.2020
Bachelor of Science - Health Administration
Dillard University
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