Brian Smiley
Reimbursement Case Manager at Mercalis- Claim this Profile
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Bio
Experience
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Mercalis
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United States
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Pharmaceutical Manufacturing
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100 - 200 Employee
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Reimbursement Case Manager
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Jan 2022 - Present
Handled the reimbursement services of coordinating the financial aspects of healthcare services to ensure patients had access to life-saving treatments needed and served as a vital resource to patients and healthcare providers for all facets of their treatment access.
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Intake Coordinator
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Jul 2021 - Dec 2021
Provided oversight and support for all incoming cases. Received incoming faxes, created cases, and distributed cases to the team to align with regional support. Followed up with healthcare providers to collect and capture missing/incomplete information. Created new patient profiles and accurately associated referrals to existing patient profile.
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TrialCard
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United States
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Pharmaceutical Manufacturing
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500 - 600 Employee
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Patient Experience Specialist
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Feb 2019 - Jun 2021
Cary, North Carolina, United States Verified patient specific benefits and precisely documented specifics fir various payer plan including patient coverage, cost share, and access/provider options according to specific SOPs. Reviewed and collected all patient information needed to complete eligibilty verification for copay card enrollment. Identified any restrictions and gathered details on how to expedite patient access to various medications.
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Badcock and More
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United States
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Furniture and Home Furnishings Manufacturing
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100 - 200 Employee
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Store Manager
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Jan 2018 - Mar 2019
Raleigh-Durham, North Carolina Area Responsible for overall supervision of all store functions and operations. Managed the sales and performance of luxury grade custom upholstery, lighting and case goods. Developed a team of sales associates to continually meet and exceed sales and customer service objectives. Examined merchandise to ensure that it was correctly priced and displayed. Reviewed inventory and sales records daily.
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Conduent
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United States
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IT Services and IT Consulting
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700 & Above Employee
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Workforce Analyst
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Dec 2015 - Oct 2017
Raleigh-Durham, North Carolina Area Actively leading initiatives to monitor workforce and human capital resources to ensure proper rebalancing as deemed necessary to support company and department needs, inclusive of onsite monitoring and review and analysis of reports.
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Assistant Store Manager
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Mar 2014 - Feb 2016
Selma, NC Acted as Assistant Store Manager at a store with various products, goods, merchandise and miscellaneous items with customer consulting, payment processing, cash drawer reconciliation, general cleanliness of work area and service resolution.
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Administrative Specialist
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Jun 2008 - Jun 2012
Cherry Point, NC Performed general office duties and administrative functions with purchase ordering materials and supplies, records management and retention, document generation and retrieval, policy enforcement, quality assurance and process improvement.
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Education
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Johnston Community College
Associate of Arts - AA, Liberal Arts and Sciences/Liberal Studies