Stephanie Melton
Lewis Center,OH
Summary
Experienced NP and Prior Authorization Certified Specialist (PACS) with extensive expertise in rare disease support, specialty medication coordination, provider relationship development, insurance navigation, specialty pharmacy workflow, benefits investigations, free-drug access pathways, and buy-and-bill challenges. Strength in managing complex patient cases and resolving reimbursement barriers to ensure continuity of care.
Professional healthcare provider ready to excel in administering infusion therapies and patient care. Proven track record of delivering high-quality medical services with strong attention to safety protocols and patient comfort. Collaborative team player known for flexibility and reliability, adept at adapting to changing clinical needs. Skilled in IV insertions, patient assessments, and medication administration, with focus on achieving optimal patient outcomes and supporting healthcare team goals.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Infusion Nurse Practitioner | Rare Disease & Specialty Medication Coordination
Horizon Infusions
01.2022 - Current
- Manage patients receiving specialty and rare-disease infusions, including biologics, and high-cost therapies.
- Support organizational expansion from 5 to nearly 30 sites, nationally.
- Work directly with specialty pharmacies to coordinate medication delivery, and troubleshoot delays.
- Identifies and resolves insurance issues including PA/Step Edit requirements, coding denials, eligibility gaps, and benefits investigations.
- Coordinates free-drug programs, bridge programs, and manufacturer support services.
- Addresses buy-and-bill challenges, such as acquisition costs, billing complexities, and reimbursement delays.
- Develops strong provider relationships and serves as a liaison between prescribers, pharmacies, and patients.
- Educates staff and patients on medication access, insurance navigation, and therapy expectations.
- Administered intravenous therapies and medications, ensuring patient comfort and safety.
- Monitored patient responses to treatments, adjusting care plans as necessary for optimal outcomes.
- Collaborated with healthcare teams to develop comprehensive care strategies tailored to individual patient needs.
Inpatient Nurse Practitioner
Ohio Gastroenterology Group
01.2020 - 01.2022
- Managed complex GI inpatients and collaborated with interdisciplinary teams.
- Optimized transitions of care and medication documentation.
- Administered medications and monitored patient responses to ensure safety and effectiveness.
- Collaborated with multidisciplinary teams to develop and implement patient care plans.
- Educated patients and families on treatment options, procedures, and post-operative care.
Education
Master of Science - MSN
University of Cincinnati
Cincinnati, OH01-2019
Bachelor of Science - BSN
Ohio University
Athens, Ohio, OH01-2012
Associate of Science - ADN
Central Ohio Technical College
Newark01-2005
Skills
- Insurance Navigation & PA/Appeals
- Benefits Investigation & Coverage Review
- Specialty Pharmacy Coordination
- Free Drug & Bridge Programs
- Provider Relationship Building
- Rare Disease Patient Support
- EMR: Epic, WeInfuse, ECW, InFuseFlow
- Tableau & Power BI
- Microsoft Office Suite
Certification
- Family Nurse Practitioner (FNP-BC), Ohio
- Registered Nurse (RN), Ohio
- Prior Authorization Certified Specialist (PACS)- Expertise in navigating insurance, reimbursement, and access barriers for complex therapies
- BLS, ACLS, PALS
Timeline
Infusion Nurse Practitioner | Rare Disease & Specialty Medication Coordination
Horizon Infusions
01.2022 - Current
Inpatient Nurse Practitioner
Ohio Gastroenterology Group
01.2020 - 01.2022
Master of Science - MSN
University of Cincinnati
Bachelor of Science - BSN
Ohio University
Associate of Science - ADN
Central Ohio Technical College