Field Reimbursement Territory Manger with 20+ years experience in healthcare industry. Skilled in providing health insurance sales, pharmacy and medical plan benefit knowledge, associate supervision, insurance billing, prior authorization criteria, resolving claims and billing issues with a track record of building positive relationships with clients, healthcare professionals, insurance providers and pharmaceutical representatives.
Field Reimbursement Territory Manager August 2014 to CurrentMcKesson Specialty Health - Scottsdale, AZ
Coordinate travel and scheduling with regional lead to ensure I provided the best support and staff education in key providers offices.
Managed East Coast territory to provide reimbursement/access education to key provider's offices and field sales representatives.
Provide power point presentation to provider's offices at dinner programs to update on access changes, insurance plan changes in each district as well as educate on our support services.
Oversee in-house prior authorization team to ensure patient, provider's offices and sales representatives issues are handled promptly.
Access Specialist /Case Manger February 2012 to August 2014McKesson Specialty Health - Scottsdale, AZ
Assist provider's offices with prior authorization and financial assistance for patients in need of medication.
Expedite any field issues that arise with medication coverage for patients.
Manage daily case load and assist team mates with work load to ensure cases are moved quickly.
Insurance Specialist December 2011 to February 2012McKesson Specialty Health - Scottsdale, AZ
Assist patients and providers offices to obtain current health plan benefits for prescription coverage.
Complete prior authorization forms.
Daily interaction with health plans and providers offices to expedite prior authorization status.
Individual Sales/Account Manager June 2008 to December 2010Tempe, AZ
Managed all existing individual clients as well as adding new clients claim issues.
Provided plan knowledge to existing and new clients to help them better choose a plan best suited for their needs.
Daily trouble shooting with several health insurance providers concerning application status and billing issues.
Prior Authorization Supervisor June 2003 to April 2005MedImpact Healthcare Systems - San Diego, CA
Supervised a team of 12 Prior Authorization Coordinators.
Ensured departmental goals and deadlines were met according to monthly set goals.
Resolved escalated issues with pharmacy claims and prior authorizations.
Improved morale of coworkers by rewarding good performance at monthly staff meetings, leading by example and having an open door policy.
benefits, billing, clients, financial, forms, insurance, meetings, access, power point, Assist patients, sales, scheduling, trouble shooting