Tyler Payne

Serve as a market access expert specializing in commercial and government payers, delivering strategic education and support to healthcare provider offices.

• Empower stakeholders to navigate complex reimbursement landscapes and optimize patient access to essential therapies.
• Provide strategic support and education to healthcare provider offices in navigating reimbursement issues with commercial and government payers.
• Educate providers on product fulfillment pathways, primarily retail pharmacy.
• Specialized reimbursement knowledge in Neurology reimbursement.
• Collaborate with sales teams, KAM, MHAS, and patient assistance programs to ensure patient fulfillment.
• Support sales initiatives through reimbursement training and support.
• Manages territory logistics, routing, and account business planning to support sales goals.
• Facilitate prior authorization, appeal support, and patient assistance enrollment with proper education.
• Leader of the working team on the Hospital expansion team, supporting strategy and execution, collaborating with leadership to scale access programs.
• Team mentor and Buddy for several FRM peers.

Acted as a trusted reimbursement manager to provider offices, delivering tailored education on navigating commercial and government payer landscapes.

• Enabled healthcare entities to overcome access barriers and streamline reimbursement processes to enhance patient access to therapy.
• Educated providers on product fulfillment pathways, including physician buy-and-bill, retail pharmacy, and specialty pharmacy options.
• Dermatology/Rheumatology disease state knowledge.
• Acted as a major resource for offices in overcoming reimbursement challenges to maximize patient access.
• Collaborated daily with matrix partners and patient assistance programs to ensure patient fulfillment.
• Utilized sales strategies to build and maintain strong, trust-based relationships with Immunology accounts.
• Managed territory logistics, routing, and account business planning to support sales goals.
• Provided prior authorization, appeal support, and patient assistance enrollment.
• Achieves the highest fulfillment rate in the district, contributing to overall sales performance.
• Served as acting team leader during manager’s absence, ensuring continuity of operations, supporting team needs, and maintaining alignment with strategic goals.

Led biologic coordination efforts, managing patient support initiatives and overseeing insurance processes including prior authorizations, claims, and appeals.

• Supervised and trained medical assistants on biologic therapy workflows, and educated providers on treatment protocols, access pathways, and patient management strategies to ensure timely and effective therapy initiation.
• Collaborated closely with healthcare providers to streamline the prescription process, ensuring accurate and efficient biologic therapy initiation.
• Coordinated with patient assistance programs to provide financial support options.
• Conducted training sessions for healthcare staff on biologic therapies, including administration techniques and monitoring for side effects.
• Maintained detailed records of patient interactions, therapy outcomes, and insurance communications to ensure compliance and track progress.
• Developed and implemented strategies to improve patient adherence to biologic therapies, including follow-up appointments and educational materials.
• Managed a caseload of patients, providing personalized support and follow-up to ensure continuity of care and optimal treatment outcomes.
• Acted as a point of contact for resolving issues related to biologic therapy access, including medication delivery and insurance coverage.
• Consistently achieved high patient satisfaction scores through dedicated support and effective resolution of access issues.
• Served as a Dermatology FRAS Advisory board member, providing feedback on programs.

Supervised and mentored a team of medical assistants, ensuring high standards of clinical practice and patient care.

• Assisted physicians and healthcare providers with clinical procedures, patient examinations, and diagnostic testing.
• Managed daily operations of the medical office, including scheduling, patient flow, and inventory management.
• Conducted training sessions for new medical assistants, ensuring they were proficient in clinical and administrative tasks.
• Coordinated patient care activities including appointment scheduling, follow-up calls, and patient education.
• Implemented and monitored adherence to healthcare protocols and regulations to maintain a high quality of patient care.
• Used EHR systems to document patient information, manage medical records, and ensure data accuracy.
• Liaison between patients, healthcare providers, and administrative staff to facilitate effective communication and care coordination.
• Oversaw medical supply inventory, ensuring the availability of necessary equipment and materials for patient care.
• Addressed and resolved patient concerns and issues promptly, ensuring a positive patient experience.
• Evaluated the performance of medical assistants, provided feedback and implementing improvement plans as needed.
• Improved clinic efficiency and patient satisfaction by streamlining patient care processes and enhancing team collaboration.