Susan Garcia
Park Ridge,NJ
Summary
Highly organized, detail-oriented, and knowledgeable Biologic Coordinator that demonstrate a deep passion for patients with an emphasis on enhancing and optimizing the prescriber experience with support programs. Goal is to provide support to 8 physicians and ensure that patients are on appropriate therapy and medications to achieve a healthy and functional life.
Overview
15
15
years of professional experience
Work History
Biologic Coordinator
Rheumatology Associates
01.2016 - Current
- Quickly learn new skills and apply them to daily tasks, improving efficiency and productivity
- Obtain prior authorization for specialty medications, biologic, and procedures such as diagnostic Imaging
- Follow up on prior authorizations and appeals for timely completion
- Run benefit investigation for over 350 patients on weekly basis
- Understand difference between medical buy and bill and pharmacy bene
- Effectively enroll patients to cost saving programs
- Work & coordinate with the HUB to educate patients on appropriate available patient support programs
- Explain financial assistance and other funding options available to patients
- Understand billing and coding requirements to properly assist in charging out office visits and infusions
- Assist billing with appealing denied claims
- Work with specialty pharmacy and distributors
- Ensure that 2 infusion centers run properly
- Serve as primary point of contact for any issues or questions
- Identified issues, analyzed information and provided solutions to problems
Catering Manger
Rosaa Mexicano
03.2008 - 01.2015
- Completed administrative tasks such as flash reports, bank deposits, revenue posting
- Met with clients to outline desire goals and prepared quotes for overall catering costs
- Coordinated both internal and external events
- Scheduled all team members for catering functions
- Participated in hiring process: Entered employees to system, reviewed all documentations, filed and organized employee files, created POS number for proper clock in, and terminated employees in system
Education
John Jay College of Criminal Justice of The City University of New York
New York, NYSkills
- Bilingual - Spanish
- HIPAA Regulations
- Knowledge of Medicare and Commercial Payers
- Knowledge of Medical and Insurance Terminology, ICD-10 and CPT codes
- Benefits Interpretation
- Proficient in Microsoft Office Applications such as Word, Excel, Power Point, and Outlook
- Proficient in Pages, Adobe and, Photoshop
Timeline
Biologic Coordinator
Rheumatology Associates
01.2016 - Current
Catering Manger
Rosaa Mexicano
03.2008 - 01.2015
John Jay College of Criminal Justice of The City University of New York
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