Summary
Overview
Work History
Education
Skills
Timeline
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Susan Garcia

Park Ridge,NJ

Summary

Detail-oriented and compassionate healthcare professional with extensive Experienced and results-driven healthcare professional with a strong background in specialty pharmacy coordination, patient access, and reimbursement services. Successfully supported 8 physicians by facilitating timely access to critical therapies through efficient onboarding, benefit investigation, and prior authorization management. Recognized for building collaborative relationships with physicians, pharmacies, and payers to streamline workflows and enhance patient outcomes. Skilled in navigating complex insurance processes while ensuring strict adherence to HIPAA and regulatory standards. Committed to delivering high-quality, patient-centered support in fast-paced, compliance-driven environments.

Overview

16
16
years of professional experience

Work History

Assistant Manager

SkinSpirit
04.2024 - Current
  • Supervised day-to-day operations to meet performance, quality and service expectations.
  • Help plan, organize, and execute promotional events that increase client engagement and generate additional revenue.
  • Maintained a clean, safe, and organized store environment to enhance the customer experience.
  • Developed strong working relationships with staff, fostering a positive work environment.
  • Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
  • Collaborate with marketing team to develop social media campaigns and seasonal promotions.
  • Oversee inventory control and vendor relations to maintain adequate supplies and high- quality product standards
  • Resolve clients concerns promptly to ensure satisfaction and repeat business.

Biologic Coordinator / Medical Receptionist

Rheumatology Associates
01.2016 - Current
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity
  • Direct patient access support for specialty medications by coordinating with physicians, pharmacies, support programs, and payers.
  • Own and manage the onboarding process for new patients, ensuring timely benefit investigations and authorizations for oral medication, Self-Injectable drugs, Biologic Medication, and Procedures such as Diagnostic Imaging
  • Serve as a liaison between pharmacy, payers, and support organizations to streamline patient access and minimize delays.
  • Lead quality-control efforts on prescription processing and payer communications to ensure accurate coverage outcomes.
  • Maintain compliance with privacy and data protection standards.
  • Monitor and report on patient status changes
  • Followed up on denials and appeal Education
  • Enrolled patients to cost saving programs, such as Co-pay Card Assistance program or Foundations to help patients with cost
  • Educate patients on insurance coverage and reimbursement options
  • Billed out Super Bills, known as Charge Slips
  • Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability. Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity
  • Obtained Prior Authorization for Oral medication, Self-Injectable drugs, Biologic Medication, and Procedures such as Diagnostic Imaging
  • Followed up on denials and appeal
  • Enrolled patients to cost saving programs, such as Co-pay Card Assistance program or Foundations to help patients with cost
  • Billed out Super Bills, known as Charge Slips
  • Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
  • Checked patient insurance, demographic and health history to keep information current.
  • Responded to correspondence from insurance companies to verify patient's coverage.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Managed multi-line phone system and pleasantly greeted patients.

Catering Manager

Rosa Mexicano
01.2010 - 01.2014
  • Completed administrative tasks: Such as flash report review, bank deposits, revenue posting, checked labor, staffed payroll and accounts receivable reports, processed invoices.
  • Met with clients to outline desired goals and prepared quotes for overall catering costs.
  • Coordinated both internal and external events.
  • Scheduled all Team Members for catering function
  • Part of hiring process: Entered all new employees to system, reviewed all documentation, filed and organized employees files, created POS number for proper clock in, terminated employees in systems

Education

John Jay College of Criminal Justice of The City University of New York
New York, NY

Skills

  • Patient Access & Support
  • Reimbursement & Insurance Navigation
  • HIPAA Compliance & Regulatory Adherence
  • Training & Development
  • Proficient in Microsoft Office Suite
  • Fluent in English and Spanish
  • Project Management
  • Social Media Platforms

Timeline

Assistant Manager

SkinSpirit
04.2024 - Current

Biologic Coordinator / Medical Receptionist

Rheumatology Associates
01.2016 - Current

Catering Manager

Rosa Mexicano
01.2010 - 01.2014

John Jay College of Criminal Justice of The City University of New York

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