Sheri Scott
Access Consultant
Hartsville,SC
Summary
Proactive and results driven reimbursement manager bringing over 20 years of experience by removing barriers between patients and the life-saving healthcare solution needs. Dedicated to bringing dynamic skills in client oversight, issue resolution, and presentation. Successful juggling multiple tasks and projects simultaneously. Excellent business knowledge within the healthcare and pharmaceutical industry.
Overview
20
20
years of professional experience
1
1
Certification
Work History
PATIENT ACCESS CONSULTANT
AMERISOURCEBERGEN - LASH GROUP
Fort Mill, SC
03.2014 - 12.2023
- Conducted insurance verifications, pull through prior authorization, and troubleshoot insurance challenges as needed, for a patient to obtain therapy.
- Responsible for the management of defined accounts in a specified geographic region.
- Attended Plan of Action (POA) meetings to discuss my interactions with sites, my sales reps, and how we succeed in our region.
- Demonstrate good judgment in selecting appropriate patient resources to obtain the best solution for all patients. Network with internal and external personnel in own area of expertise.
- Provided one on one support to both physicians and patients with reimbursement and care coordination.
- Facilitated clients presentation and managed booths at the different patient/provider events within the Multiple Sclerosis/MS community.
- Collaborated with the representatives to educate providers on service offerings from manufacturer sponsored reimbursement hotlines.
- Researched alternate coverage options, including referrals to copay assistance foundations and patient assistance programs.
- Collaborated with clients to develop action plans to address specific challenges and objectives.
- Participated in training and managing new hires to bring new team members up to speed.
- Created comprehensive reports on patients progress and results for clients.
- Responsible for managing the inbound phone lines, which consist of answering any questions and providing updates to area business managers and provider sites, relating to patient needs.
- Completed day-to-day duties accurately and efficiently.
- Assisted with customer requests and answered questions to improve satisfaction with website portal.
SENIOR REIMBURSEMENT COUNSELOR
AMERISOURCEBERGEN - LASH GROUP
Fort Mill, SC
10.2013 - 10.2014
- Established, developed, and maintained a strong working relationship with client and client customers
- Conducted pull through for prior authorization, and troubleshoot insurance challenges as needed, for a patient to obtain on stay on therapy
- Responded to client requests for site visits; work with client field staff to understand account needs
- Delivered presentations to clients and patients and participated in client meetings as appropriate
- Attended Plan of Action (POA) meetings to discuss my interactions with sites, my sales reps, and how we succeed in our region
- Serves as the single point of contact for several sites and field service representatives
- Provided one on one support to physicians with reimbursement and care coordination
- Provided outstanding customer service and support to sales reps, nurses, office staff and provider
- Trained new and current team members on program standard operating procedures
- Collaborated with the pharmaceutical representatives to educate providers on service offerings from manufacturer sponsored reimbursement hotlines
- Researched alternate coverage options, including referrals to copay assistance foundations and patient assistance programs
- Attended Patient Programs to speak about services the program offered.
- Assisted with customer requests and answered questions to improve satisfaction with website portal.
REIMBURSEMENT COUNSELOR
AMERISOURCEBERGEN LASH GROUP
10.2006 - 10.2013
- Established, developed, and maintained a strong working relationship with client and client customers
- Conducted insurance verifications, pull through prior authorization, and troubleshoot insurance challenges as needed, for a patient to obtain on stay on therapy
- Serves as the single point of contact for several sites and field service representatives
- Provided one on one support to physicians with reimbursement and care coordination
- Provided outstanding customer service and support to sales reps, nurses, office staff and provider
- Trained new and current team members on program standard operating procedures
- Researched alternate coverage options, including referrals to copay assistance foundations and patient assistance programs.
PATIENT CASE COORDINATOR
AmerisourceBergen/ LASH GROUP
01.2006 - 10.2006
- Established, developed, and maintained a strong working relationship with patient
- Conducted calls to go over the patient's benefits
- Provided appointment reminder calls.
- Facilitated communication between physicians, nurses, social workers, pharmacists, families and caregivers.
- Educated patients on available services, health insurance coverage, financial assistance options.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
National Accounts Provider Service Rep II
Cigna
Charlotte, NC
01.2004 - 01.2006
- Responded promptly to emails and phone calls from customers seeking assistance.
- Greeted customers and provided prompt, courteous service.
- Collaborated with colleagues from other departments to resolve escalated customer issues.
- Conducted follow-up calls to ensure satisfactory resolution of customer issues.
- Researched relevant policy information to answer customer questions.
- Assisted with resolving complex claims or billing disputes in a timely manner.
- Assisted with customer inquiries, complaints, and requests for information regarding insurance policies.
- Verified accuracy of customer data entered into the system.
- Understood and followed oral and written directions.
- Identified needs of customers promptly and efficiently.
- Resolved complex issues related to payment denials, appeals, underpayments, and overpayments.
Education
Studied Healthcare Administration -
Middlesex County College
Skills
- Account Management
- Performance Tracking
- Problem-Solving
- Strategic Thinking
- Customer Relationship Management
- Research and Development
- Issue Resolution
- Outcome Accountability
- Time Management
- Data Entry
- Remote Office Availability
- Organization
- Attention to Detail
- Insurance Terminology
- Coverage and Authorizations
- Insurance Coverage Verification
- Patient Communication
- Patient Scheduling
- Report preparation
- Creative problem solving
- Telephone skills
- Customer and client relations
- Customer/Client relations
- Verbal and written communication
- Strategic planning
- Collaborative relationships
- Prior authorization processing
- Understanding of medical terms
- Analytical and Critical Thinking
- Multitasking Abilities
Area Of Expertise
- Verbal and nonverbal communication
- Conflict Resolution
- Ability to work in a virtual environment competently without constant instructions.
- Excellent communication and interpersonal skills
- Ability to maintain accuracy even in a stressful or emergency.
- High motivations
- Strategic Planning
Accomplishments
- 2017 Sanofi Genzyme MS Collaboration Award Winner
Certification
- Project Management: Healthcare Projects 08/16/2023
- Toastmaster Competent Communicator
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
PATIENT ACCESS CONSULTANT
AMERISOURCEBERGEN - LASH GROUP
03.2014 - 12.2023
SENIOR REIMBURSEMENT COUNSELOR
AMERISOURCEBERGEN - LASH GROUP
10.2013 - 10.2014
REIMBURSEMENT COUNSELOR
AMERISOURCEBERGEN LASH GROUP
10.2006 - 10.2013
PATIENT CASE COORDINATOR
AmerisourceBergen/ LASH GROUP
01.2006 - 10.2006
National Accounts Provider Service Rep II
Cigna
01.2004 - 01.2006
Studied Healthcare Administration -
Middlesex County College
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