Sheria Foster
Spring,TX
Summary
Top-performing, experienced field reimbursement manager, with a proven record of achievement and success in driving multimillion-dollar growth in bio-pharmaceutical sector. Specialized in working with commercial and government payer reimbursement, health reimbursement, claim denial management, and patient access to bio-pharmaceuticals on the market. Excel in the development and maintenance of complex, client-driven reimbursement programs in highly competitive markets.
Overview
9
9
years of professional experience
Work History
Field Reimbursement Manager
LabCorp/Fortrea
07.2022 - 07.2023
- Advised and assist healthcare entities in overcoming payer access and reimbursement issues in order to maximize patient access to FDA-approved Pharmaceuticals.
- Respond to client requests for site visits, work with client field staff to understand account needs and site visit objectives, and work with clients and other contacts to schedule meetings as needed.
- Establish, develop, and maintain strong working relationships with clients and client customers.
- Develop presentations for site visits, trainings, client presentations, and other meetings as appropriate.
- Develop content in keeping with client requests and needs. Conduct research using hotline data, team resources, and other sources, including primary or secondary sources, as needed, to develop content for presentations and prepare for presentations.
- Deliver presentations to clients and client customers on site visits, via audio conferences, and by other means. Prepare for presentations, present materials, answer questions, identify issues for further follow-up, and conduct follow up as needed with accounts or clients.
- Participate in client meetings as appropriate. Participate in regularly scheduled team meetings and calls. Develop and conduct product specific trainings for staff including new hires, refresher trainings, ongoing project and technical trainings. Identify program trends and opportunities for intervention with payers, and provide recommendations to client management.
- Prepare and/or review client reports. Conduct research for, and provide technical assistance pertaining to consulting engagements and ITC programs. Manage travel schedule and travel arrangements. Prepare and submit appropriate expense reports in a timely fashion.
Case Manager Hub Services
CareMetx LLC
09.2020 - 01.2022
- Developed and incorporated community-based programs to meet various needs and monitor each program's effectiveness.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Juggled multiple projects and tasks to ensure high quality and timely
- delivery.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Completed accurate and efficient data entry and database updates to support business operations.
- Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.
- Identified and corrected data entry errors to prevent duplication across systems.
- Reviewed and updated account information in company computer system.
- Documented data entry completions in corresponding logbooks.
- Created reports and audited charts to maintain concise records.
- Compiled, sorted and verified electronic data against hard copies to
- support quality control efforts.
Navigator Access for Reimbursement
Dupage Medical Group
09.2017 - 09.2020
- Worked collaboratively with physicians, staff and other health care Professionals to develop, implement and evaluate integrated and Comprehensive plans of care for patients.
- Identified opportunities for coverage access to address reimbursement barriers.
- Collected coinsurance and deductibles from patients for rendered services.
- Reviewed uninsured accounts, verifying medical assistance application process, charity care application and drug replacement program availability.
- Brought in $4.9 million in revenue in one year by billing and collecting for Co-pay Assistance Program claims on clients' behalf.
- Processed invoice payments and recorded information in account database. Managed all payments processing, invoicing and collections tasks. Monitored past due accounts and pursued collections on outstanding invoices.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Performed insurance verification, pre-certification and pre-authorization.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Integrated third party forms, data, back-end services and specialized Content to personalize WordPress theme layout and arrangement.
- Designed visual and graphic images to use on multiple platforms.
- Input client information into spreadsheets and company database
- Provided Leaders with quick access to essential client data.
Medical Assistant
Georgia Cancer Specialist/Northside Hospital
07.2014 - 09.2017
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Called and faxed pharmacies to submit prescriptions and refills.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Educated patients about medications, procedures and physician's instructions.
- Performed preliminary physical tests to accurately record results in patient history summary.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
Education
Bachelor of Arts -
Southern New Hampshire University
Hooksett, NH2026
Medical Assistant - Healthcare
Everest Institute - Eagan
Saint Paul, MN05.2007
High School Diploma -
Evanston Township High School
Evanston, United States1997
Skills
- Motivated self-starter
- HIPAA regulations and compliance
- Insurance billing
- Strong presentation skills
- Patient-focused reimbursement support
- ICD-9/ICD-10 (International Classification of Disease Systems)
- HCPCS and CPT coding guidelines
- Familiar with commercial and managed care insurance carriers
Affiliations
American Association of Professional Coders, member
Timeline
Field Reimbursement Manager
LabCorp/Fortrea
07.2022 - 07.2023
Case Manager Hub Services
CareMetx LLC
09.2020 - 01.2022
Navigator Access for Reimbursement
Dupage Medical Group
09.2017 - 09.2020
Medical Assistant
Georgia Cancer Specialist/Northside Hospital
07.2014 - 09.2017
Bachelor of Arts -
Southern New Hampshire University
Medical Assistant - Healthcare
Everest Institute - Eagan
High School Diploma -
Evanston Township High School
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