Sonia Camarena
San Diego,CA
Summary
Dedicated healthcare access professional with over 20 years of experience in patient support services, reimbursement, prior authorizations, and financial assistance navigation. Recognized for exceeding performance quotas, providing expert education to office staff, and serving as a trusted resource for access and payor criteria. Skilled at building strong relationships with providers, patients, and payors to ensure smooth access to therapies. Proficient in Spanish.
Overview
23
23
years of professional experience
Work History
Patient Access Coordinator
Inizio
San Dieog, CA
10.2023 - Current
- Educated patients on healthcare services and access options available.
- Educate office staff on prior authorization processes, denial management, and next steps to ensure smooth patient access to therapy.
- Provide guidance on financial support options and coordinate patient connections to support services.
- Serve as an access and payor criteria resources for assigned territory, resolving complex coverage and reimbursement issues.
- Maintain exceptional quality, compliance, and customer services standards while meeting program deliverables.
Reimbursement Quality Review Specialist
Tandem Diabetes
San Dieog, CA
12.2021 - 09.2023
- Communicated effectively with customers regarding product inquiries and support needs.
- Reviewed patient documentation for accuracy prior to claim submission, ensuring compliance with payer guidelines.
- Managed inbound patient calls related to insurance claims, providing clear resolution and guidance.
- Submitted healthcare claims to insurance companies, staying current on product specifications and billing requirements.
Patient Access Advocate
Covance Market Access
San Diego, CA
03.2019 - 12.2021
- Managed casework to remove barriers to therapy access for patients and providers.
- Built ongoing relationships with providers, patients, and pharmaceutical representatives to ensure continued therapy adherence.
- Served as a primary contact for stakeholders monitoring insurance coverage trends and payer policy changes.
Program Specialist
Covance Market Access
San Diego, CA
05.2008 - 03.2019
- Supported multiple patient assistance, foundation, and compliance programs, guiding patients and providers through program qualification processes.
- Ensured program integrity by maintaining accurate documentation and timely follow up.
- Provided guidance to new staff members about their roles and responsibilities within the organization's programming framework.
- Provided technical support to staff members regarding the use of software programs related to the project.
Program Assistant
Covance Market Access
San Diego, CA
09.2002 - 02.2005
- Supported the preparation of program reports and presentations for leadership reviews.
- Maintained accurate records using project management software and databases.
- Collaborated with cross-functional teams to enhance workflow efficiency.
- Researched best practices to improve program effectiveness and service delivery.
- Maintained detailed records of all program activities, data collection, and evaluation results.
- Participated in weekly team meetings to provide updates on individual projects and assist colleagues with any issues they may have encountered during their work.
- Managed incoming mail distribution and maintained filing systems for major drug product programs.
Education
Bachelor of Arts - Healthcare Administration
Ashford University
San Diego, CA05-2020
Skills
- Prior authorization
- Coverage resolution
- Patient education
- Financial Assistance Program Guidance
- Provider & Office Staff Education
- Insurance verification and benefits investigation
- Bilingual communication (English/Spanish)
Timeline
Patient Access Coordinator
Inizio
10.2023 - Current
Reimbursement Quality Review Specialist
Tandem Diabetes
12.2021 - 09.2023
Patient Access Advocate
Covance Market Access
03.2019 - 12.2021
Program Specialist
Covance Market Access
05.2008 - 03.2019
Program Assistant
Covance Market Access
09.2002 - 02.2005
Bachelor of Arts - Healthcare Administration
Ashford University
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