Paloma Chambers

Serve as a subject matter expert on access and affordability programs for patients living with severe persistent asthma and Lupus.

• Collaborate with cross-functional teams to identify and implement process improvements to enhance efficiency and customer satisfaction

• Maintain accurate and up-to-date documentation of all interactions and activities in the Case Management system

• Stay current on industry trends, regulations, and best practices related to patient and healthcare provider support

• Collaborate with internal stakeholders to develop and implement strategies to improve patient access and support

• Participate in meetings and conference calls with healthcare providers and external partners to address questions, concerns, and provide updates on case status

• Monitor and analyze data to identify trends and opportunities for improvement in service delivery

• Collaborate with internal teams to develop and implement training programs for new hires and ongoing education for existing team members

• Provide regular reports and updates to management on key performance metrics and areas of improvement

• Maintain a high level of professionalism and confidentiality in all interactions with patients, healthcare providers, and external partners.

• Develop and maintain relationships with healthcare providers to ensure timely and accurate resolution of support requests

• Collaborate with internal teams to develop and implement strategies to improve the efficiency and effectiveness of the case management process

• Monitor and analyze data on case management activities to identify trends and opportunities for improvement

• Provide regular reports and updates to management on key performance metrics and areas of improvement

• Stay current on industry trends, regulations, and best practices related to patient access and support

• Collaborate with cross-functional teams to identify and implement process improvements to enhance efficiency and customer satisfaction

• Maintain accurate and up-to-date documentation of all interactions and activities in the Case Management system

• Participate in meetings and conference calls with healthcare providers and external partners to address questions, concerns, and provide updates on case status

• Collaborate with internal stakeholders to develop and implement strategies to improve patient access and support

• Provide training and support to personnel on the proper usage of the program and referral process.

• Collaborated with cross-functional teams to develop and implement strategies to improve the efficiency and effectiveness of case management and reimbursement support programs

• Monitored and analyzed data on case management activities to identify trends and opportunities for improvement

• Provided regular reports and updates to management on key performance metrics and areas of improvement

• Stayed current on industry trends, regulations, and best practices related to case management and reimbursement support

• Collaborated with internal stakeholders to develop and implement strategies to improve patient and provider access to needed therapies

• Provided training and support to personnel on the proper usage of case management and reimbursement support programs

• Oversaw the transfer of prescriptions to specialty pharmacies based on healthcare urgency, ensuring timely and accurate delivery of therapies

• Resolved newly developed issues from inception to grave, ensuring that patients and providers were able to access needed therapies without barriers

• Provided marketing support, reimbursement hotlines, and patient assistance programs to support complex programs and ensure patient and provider satisfaction.

• Assisted approximately 40 patients on a daily basis with benefit enrollment, insurance coverage, and drug prescriptions

• Provided guidance and direction to uninsured patients or those with high insurance co-pays in obtaining financial assistance through patient assistance programs

• Maintained communication with patients' primary care offices, specialty offices, pharmacies, and insurance companies through oral and written correspondence

• Resolved discrepancies related to prescriptions and benefit program enrollment

• Completed HIPAA training and adhered to HIPAA regulations while performing daily tasks

• Utilized healthcare case management platforms as the primary tool for handling and tracking cases.