Qiana Peebles
Eversana Pharmacy
St. Louis,MO
12
years of professional experience
Dedicated healthcare professional with extensive experience in case management and reimbursement processing. Known for strong leadership and problem-solving skills, driving efficient communication among patients, providers, and insurance companies to ensure optimal patient care.
Work History
SR. Patient Coordinator
3 Years 4 Months- Serve as Primary Point of contact for Patients, Managing Onboarding account set up,and ongoing treatment set up.
- Coordinated patient care , ensuring timely medication delivery and adherence to treatment plans.
- Streamlined communication between patients, healthcare providers, and insurance companies to resolve issues efficiently.
- Conduct insurance benefit investigations manage Prior Authorizations.
- Assist patient with Financial assistance programs to minimize delays in therapy.
Benefit Coordinator
4 Months- Coordinated benefits enrollment processes for new and current employees, ensuring compliance with company policies and regulations.
- Developed and maintained relationships with vendors to optimize benefit offerings for employees.
- Coordinated benefits enrollment processes ensuring compliance with company policies and regulations.
- Streamlined communication between departments regarding benefits administration, improving workflow efficiency.
Reimbursement Specialist/Case Manager
6 Years 3 Months- Manage a caseload to ensure timely processing of Benefit verification , Prior Authorization & Appeals.
- Act as single point of contact for Patients, providers,and reimbursement stakeholders.
- communicate patient benefits, coverage details, and financial responsibilities clearly and accurately.
- Implemented process improvements that reduced claim denial rates, increasing overall reimbursement efficiency.
- Report Drug Adverse Events that have been experienced by the patient in accordance to pharmaceutical requirements.
- Analyzed reimbursement claims to ensure compliance with regulatory guidelines and internal policies.
Education
Associate of Science - Medical Billing And Coding
- Honoree of Qiana Luckett
- Honor Roll 1st Semester 2004
Skills
Case management
Claims processing
Claims management
Insurance verification
EMR systems
Healthcare regulations
Microsoft Word
Problem solving
Strong leadership
Patient advocacy
Customer support
Timeline
SR. Patient Coordinator
Eversana Pharmacy
02.2023 - 06.2026Read More
Benefit Coordinator
Beacon Hill Staffing
09.2022 - 01.2023Read More
Reimbursement Specialist/Case Manager
United BioSource Corporation/ Express-Scripts
04.2014 - 07.2020Read More
Allied College
Associate of Science from Medical Billing And Coding
Read More