Therapy Access Manager

• Oct 2021 - Present

Immunology Sales Specialist

• May 2017 - Oct 2021

Field Reimbursement Manager

• Feb 2015 - May 2017

• Interacting with key stake holders within the physician practice or hospital outpatient location• Assisting with resolving reimbursement issues• Coordinating with our client’s patient support services programs representatives.• Educating physician office staff on the use of our client’s patient assistance and reimbursement support line services including web based provider programs• Providing information on relevant reimbursement topics related to our client’s products. • Experience in Gastroenterology, Dermatology, and Rheumatology• Experience in Buy and Bill Show less

Specialty Pharmacy Liaison

• Apr 2013 - Feb 2015

• Lead and facilitate daily conference calls with specialty pharmacy contacts (and client, If applicable) to monitor patient progress, reconcile data discrepancies, research missing data, handle inquires and provide updates as requested. • Coordinate and process copay requests including but not limited to patient status requests, copay assistance, prior authorization and billing inquires and obstacles, eligibility inquires, and claims processing challenges.• Create and maintain action log, agendas and minutes for each specialty pharmacy meeting. • Reference and implement Business Requirements Document (BRD) as it pertains to operating procedures, validation of incoming data from the Specialty Pharmacy, and identifying and escalating data feed issues internally and externally. Show less

Senior Program Representative

• Nov 2011 - Apr 2013

• Coordinate and process all requests received from the manufacturer, patients, physicians, other health care professionals, payer, etc.• Assist the Program Supervisor regarding the daily operations of the program.• Assist the Program Supervisor with staff training and education and provide feedback regarding team performance standards.• Provides training and support to inter-departmental associates.

Pharmacy Technician

• May 2008 - Jan 2014

• Provide medication and other health care product • Enters information about prescriptions into computer system, • Receives payment from customers according to their medical plan • Prepares medications for approval by pharmacist • Help customers find items in the store • Follows HIPPA regulations • Follows up on prior authorization processes • Works with insurance companies on denied claims for resubmission. • Orders & stocks drugs & supplies • Answers routine inquiries from customers regarding health plan drug coverage, prices, & related issues. Show less

Program Representative II

• May 2011 - Oct 2011

• Contract FDA regulations for Pharmaceutical Manufactures o Knowledgeable in Risk Evaluation and Mitigation Strategy (REMS) • Research insurance coverage and obtain prior authorizations • Work with patient assistance programs that provide financial assistance and help with patient’s co-pays • Contract FDA regulations for Pharmaceutical Manufactures o Knowledgeable in Risk Evaluation and Mitigation Strategy (REMS) • Research insurance coverage and obtain prior authorizations • Work with patient assistance programs that provide financial assistance and help with patient’s co-pays

Pharmacy Technician

• Oct 2009 - May 2011

• Ability to assume staffing responsibilities in the role of the Technician II • Assumes responsibility for maintenance and appearance of general pharmacy environment • Manages drug preparation and distribution functions to assure positive patient outcomes. • Performs IV compounding • Performs data entry of physicians orders • Ability to assume staffing responsibilities in the role of the Technician II • Assumes responsibility for maintenance and appearance of general pharmacy environment • Manages drug preparation and distribution functions to assure positive patient outcomes. • Performs IV compounding • Performs data entry of physicians orders

Pharmacy Technician

• Jun 2005 - Aug 2009

• Provided medication and other health care products • Prepared and filled prescribed medications for patients • Followed HIPPA regulations • Replenished, delivered, and trouble-shooted MedSelect machines • Restocked EMS med boxes and code carts • Provided medication and other health care products • Prepared and filled prescribed medications for patients • Followed HIPPA regulations • Replenished, delivered, and trouble-shooted MedSelect machines • Restocked EMS med boxes and code carts