PHERRIN LEIGH ROSE
McKinney
Summary
Professional Administrative Assistant with multiple year's history of success. Recognized for contributions and valued member of organization.
Overview
13
13
years of professional experience
Work History
Patient Access Specialist
Otolaryngologist Specialist of North Texas
- Current
- Scheduling patient appointments and entering required information into system.
- Verifying insurance eligibility and benefits, ensuring all authorizations are completed within the required time frame.
- Collect co-pays and past due balances
- Post all payments in the system, generating patient receipts.
- Process invoices, billing and coding
Insurance Verification Specialist
AllianceRX (Walgreens Specialty Pharmacy)
01.2022 - 12.2022
- Responsible for verifying patient eligibility
- Coordinating benefits and conducting claims test
- Establishing patient responsibility/coverage for services
- Request and load insurance policies
- Process limited PBM rejections, such as those based on plan limitations, coverage terms, or prior authorization
Auditor Supervisor
First Financial
01.2018 - 12.2021
- Responsible for overseeing audits and team members to ensure all audits are in compliance.
- Visit store locations to perform quality audits and assess risks
- Count all merchandise utilizing a handheld scanner in a store
- Conduct physical inventories to validate reported store inventory
- Audit Payday Loans
- Follow audit procedures to ensure the policies of First Cash are being followed
- Prepared detailed reports containing audit findings to be presented to Senior Management.
- Completed monthly journal entries.
- Assisted with improvements in Operations and reduction in costs
- Kept accurate records of receipts from daily food allowances, hotel allowances and gas allowances so that company credit card statements match up with all receipt records
- Collaborate with the team in reaching our daily goals by performing tasks effectively and efficiently.
Patient Access Coordinator Appeals
Kroger Specialty Pharmacy
01.2017 - 12.2018
- Investigate and verify benefits for pharmacy and medical third-party claims for assigned cases, communicate with financial team for drug manufacturers to apply for and secure financial assistance for patient.
- Communicate with patients to obtain information required to process prescriptions, refills access, benefits and apply charges against co-pay cards, and build trusted and enduring customer relationships that yield loyalty.
- Obtain prior authorizations; initiate requests, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers and other payers.
- Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service, to ensure patient access and to avoid delays that may interrupt therapy.
- Schedule delivery of pharmaceuticals to suit patient needs and payer requirements.
- Build and maintain effective business relationships with prescribers treating assigned set of disease states and provide ongoing communication of specific case-related information as appropriate.
IT Administrative Assistant to Chief Information Officer (CIO)
Peoples Health
03.2013 - 07.2015
- Assisting the Chief Information Officer (CIO), Information Technology Directors (IT), and Information Technology Managers (IT) with any projects/clerical needs.
- Order Office Supplies from vendors.
- Order IT/Computer Equipment from appropriate vendors
- Create and Update Standing Purchase Orders, Process Amendments for Purchase orders as needed
- Create, process, and review any expense reports/receipt documentation for CIO, IT Directors, IT Managers, and assist with other IT Employees with Templates and Training for the expense report process.
- Setup up New Vendors for IT through Administrative Services and Finance departments.
- Prepare any FedEx shipping for department including RMAs for IT equipment.
- Distributing all IT correspondence among employees, Invoices, Gold Sheets, ECT. And follow-up to assure completion/approval for given deadlines.
- Processing equipment for receiving items from the Mailroom (packing slips/signature verification, asset management verification).
- Coding invoices to ensure proper distribution and verification of the IT Budget.
- Scanning all IT related contracts, agreements, and standing Purchase Orders into the shared folder for IT management for quick and easy referencing.
- Updating the Tabulation spreadsheet with all information regarding the IT Standing Purchase Order and Contract budget allocation balances.
- Faxing documents, scanning documents, filing, researching vendors, for department.
- Renewing subscriptions for IT Management and staff.
- Coordinating departmental activities and functions
- Creating check requests for Pre-Paid IT expenses such as license renewals.
Education
Business Administration -
Pearl River Community College
Skills
- Insurance verification
- Appointment scheduling
- Claims processing
- Compliance auditing
- Customer relationship management
- Team collaboration
- Quality assurance
- Data entry accuracy
Timeline
Insurance Verification Specialist
AllianceRX (Walgreens Specialty Pharmacy)
01.2022 - 12.2022
Auditor Supervisor
First Financial
01.2018 - 12.2021
Patient Access Coordinator Appeals
Kroger Specialty Pharmacy
01.2017 - 12.2018
IT Administrative Assistant to Chief Information Officer (CIO)
Peoples Health
03.2013 - 07.2015
Patient Access Specialist
Otolaryngologist Specialist of North Texas
- Current
Business Administration -
Pearl River Community College