Summary
Overview
Work History
Education
Skills
Timeline
Generic

Teresa Curry

Paterson,NJ

Summary

I bring over 18 years of healthcare knowledge and experience. Supported several offices and infusion clinics that specialized in different disease states (Rheumatology, Neurology, Oncology and Multiple Sclerosis). Assisted with the implementation of Patient Advocacy program's for reimbursement within these clinics. Vast amount of knowledge in buy and bill, copay support, patient assistance programs, financial navigation and advocacy lead with empathy. I have held increasing responsibilities throughout my tenure including benefit investigations/prior authorizations and appeals. I also bring an in depth understanding of private insurances, Medicare, Medicare and specialty pharmacy benefits.

Overview

18
18
years of professional experience

Work History

Field Access Reimbursement Manager

Cencora
12.2021 - Current
  • Provide face-to-face, personalized issue resolution
  • Educate providers offices on local and regional payer issues, coding changes, and appropriate claims submission processes
  • Liaison with reimbursement hotlines regarding alternative funding/financial assistance programs
  • Assist with determining coverage and access options available for a specific medication or procedure
  • Extensive knowledge of medication access channels (e.g. pharmacy and medical benefit including buy and bill and /or AOB
  • Work with key member of therapeutic area offices (e.g. providers, administrators, billing and coding staff, claims department) in order to appropriately support patient access to products
  • Support pull through on local coverage decisions to enable patient access
  • Interact with with patient support center (hub) on important matters related to patients case management (tracking cases, issue resolution, reimbursement support and appropriate office staff education
  • Collaborate with field support team members (sales representatives, key account managers) and serve as reimbursement expert for local team
  • Manage territory logistics, routing, and account business plan
  • Build strong, trust-based relationships with customers in all accounts

Administrative Practice Manager

Rheumatology Associates Of North Jersey
09.2005 - 12.2022
  • Maintain a positive staff moral by organizing employee functions
  • Credentialing for 6 physicians and 2 Nurse Practitioners
  • Enrolled physicians in Medicare CMS and Pecos
  • Facilitate organized coding and billing for physical therapy, hospital inpatient, office procedures, infusion therapy services and pathology
  • Check daily office visits to ensure correct insurance information and precertification
  • Month end analysis of procedures performed and new patients tracking payment spreadsheet
  • Run month end reports and correct denied/rejected claims from Emdeon
  • Submit annual and quarterly data to Medicare CMS to avoid penalties (PQRS/MIPS
  • Routinely collaborate with insurance companies to correct coding problems
  • Oversee private and Medicare billing, payment posting and AR to verify proper procedures usage
  • Entered daily charges for infusion therapies, subcutaneous injections, viscosupplementation injections and office visits
  • Liaison between patients and SPP
  • Managed and enrolled patients with Manufacturer hubs, various cost saving programs, bridge programs and foundations to ensure patients received therapy requested by provider

Biologic Coordinator Speakers Bureau

Amgen
09.2019 - 10.2020

Education

Bachelor of Science - Health Administration

Capella University
Minneapolis, MN
2026

Certification - Diagnostic Medical Sonography

Eastwick College
Ramsey, NJ
06.2005

High School Diploma -

John F. Kennedy High School
Paterson
06.1997

Skills

  • Formulary
  • Market Access/ Reimbursement
  • Strategic Thinking
  • Problem Solving
  • Buy & Bill
  • Medicare/Medicaid
  • Teamwork and Collaboration
  • Relationship Building
  • Customer Service

Timeline

Field Access Reimbursement Manager

Cencora
12.2021 - Current

Biologic Coordinator Speakers Bureau

Amgen
09.2019 - 10.2020

Administrative Practice Manager

Rheumatology Associates Of North Jersey
09.2005 - 12.2022

Bachelor of Science - Health Administration

Capella University

Certification - Diagnostic Medical Sonography

Eastwick College

High School Diploma -

John F. Kennedy High School
Teresa Curry