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Lead Patient Financial Counselor Resume Example

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LEAD PATIENT FINANCIAL COUNSELOR
Profile

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team. Expertise in Patient Financial Counseling with extensive background in IV and Retail pharmacy.

Skills
  • Direct patient care and advocacy
  • Financial leadership expertise
  • Patient and caregiver education
  • Patient data confidentiality
  • Patient needs assessment
  • Team leadership, training and development
  • Cross-functional team leadership
  • Pharmacy operations
  • Time management
  • Planning and coordination
  • Problem resolution
  • Epic Super User and trainer
  • Insurance company knowledgeable
  • Knowledge of ICD10 Oncology coding
  • Insurance Verification,Champs, TriZetto, and WebDenis
Work Experience
08/2016 - Current
West Michigan Cancer Center － Kalamazoo, MILead Patient Financial Counselor
  • Handle all delegated tasks, including training staff, payroll, scheduling, and performance evaluations.
  • Improved operations by working with direct PFC Manager and other Department leads to develop action plans and improve processes
  • Continue education and staff development of individualized PFC roles to be able to support staff, staying knowledgeable in each area to provide team coverage and assist in all aspects of department
  • Obtaining prior authorizations of IV and Oral Oncolyctics and supportive medications, submitting appeals when necessary to secure coverage of all patient treatments
  • Navigating Healthcare.gov, MiBridges, MiWam, and SSDI portals as appointed representative to ensure financial security and insurance coverage for our patients and family
  • Assisting with work disability and FMLA to provide patients support through their cancer care without fear of employment instability
  • Assist Veterans with obtaining VA healthcare coverage through coordination of care with VA Oncology team
  • Providing empathy and support to patients and families to ease the burden of financial toxicity
  • Secure Grants, copay cards, and free drug
  • Collaborate with Multidisciplinary staff including ONL's, Pharmacy, Physicians, and Infusion nurses, along with building a network of outside contacts of drug reimbursement and field representatives to have the best support team available to provide excellent and seamless care to our patients
  • Insurance Verification and enrollment assistance
05/2013 - 02/2018
West Michigan Cancer Center － Kalamazoo, MILicensed Pharmacy Technician
  • Assist Retail Pharmacy Manager in developing new onsite closed door pharmacy
  • Work with insurance companies to process claims, resolve problems and obtain payments.
  • Establish and update patient profiles, including lists of medications and insurance details.
  • Execute opening and closing duties
  • Monitor supply inventory and promptly submitted replenishment orders to prevent shortages.
  • Enter patient and medication information into SRS to generate prescription labels.
  • Check medications for content, accuracy and completeness of all drug packaging and labeling to provide final verification of prescription.
  • Communicate effectively with doctors and insurance agencies to resolve prescription cost discrepancies.
  • Perform all duties and aspects of Infusion Pharmacy technician responsibilities
  • Sterile compounding of IV Oncolytic orders and supportive IV medications
  • Inventory management and supply for infusion pharmacy
  • Working with team members on process improvement and safer practices in regards to sterile compounding of medications
  • Training new pharmacy technicians and providing staff evaluations of new staff to director of pharmacy
11/2004 - 11/2014
Bronson Hospital － Kalamazoo, MICertified Pharmacy Technician
  • High quality performance in all areas of retail, inpatient, surgery, and ED pharmacy
  • Interviewing patients and obtaining medication history for all patients admitted through ER
  • Communicate effectively with nursing staff, hospitalists, ER staff, outside pharmacies, and medical offices to confirm accurate medication history
  • Externship coordinator for Everest Institute Pharmacy Externs, recruit, train, and evaluate for potential hire
  • IV Additive technician-inpatient, chemotherapy, and surgery pharmacy
  • Stocking and inventory of Pyxis machines
  • Unit dose, packaging and compounding in inpatient pharmacy
  • Able to work independently on night shift with minimal staff while providing support for midnight pharmacist
  • 3 years experience working in onsite retail pharmacy processing
  • Participated in Peer interviewing team 2006 to 2014
Education
Kalamazoo Valley Community CollegeKalamazoo, MIAssociate of Applied Science: Business Administration And Management
  • Honor Roll Winter 2019
  • 4.0 GPA
  • Completed coursework in Business 101, Organizational Behavior and Business Computer Applications
  • Pursuing Supervisory Leadership C.O.A.
Olympia Career InstituteKalamazoo, MISome College (No Degree): Pharmacy Technician Course
  • Valedictorian of graduating Class
  • 4.0 GPA
  • Completed coursework in Medical Terminology, Pharmacy Math and Calculations and Human Anatomy
Mackinaw Straits HospitalSaint Ignace, MISome College (No Degree): Certified Nurse Assistant
  • Completed coursework in direct patient care, HIPPA Compliance and ADLs and proper documentation
  • Direct training provided in classroom and on the geriatric/long term care floor by Director of Nursing
Certifications and Licensure
  • First Aid/CPR/ BLS/AED
  • Certified by the Pharmacy Technician Certification Board (PTCB) 2004-Current
  • Licensed Pharmacy Technician for State of Michigan 2015-Current
  • Certified MiBridges Navigator
  • Certified Nurse Assistance January 2002 to January 2006
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Resume Overview

Companies Worked For:

  • West Michigan Cancer Center
  • Bronson Hospital

School Attended

  • Kalamazoo Valley Community College
  • Olympia Career Institute
  • Mackinaw Straits Hospital

Job Titles Held:

  • Lead Patient Financial Counselor
  • Licensed Pharmacy Technician
  • Certified Pharmacy Technician

Degrees

  • Associate of Applied Science : Business Administration And Management
    Some College (No Degree) : Pharmacy Technician Course
    Some College (No Degree) : Certified Nurse Assistant

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