Professional Patient Navigator with 5 years of experience working in market access for a variety of indications pertaining to Neurology, Rheumatology, and Dermatology. Committed to long-term patient support and comprehensive education. Successful at patient advocacy and breaking through barriers with clients. Strong knowledge in payer landscapes and reimbursement including Medicare and Medicaid.
Skills
Business planning
Client management
Customer service
Decision making
Leadership
Market Access
Reimbursement/Claims Handling
Medicare/Medicaid reimbursement knowledge
Sales
Negotiation
Networking
Project management
Six Sigma
Strategic planning
Grief support
Proficient in Microsoft Word, Excel, Powerpoint, Google Communications, Prezi, Zoom
Work History
02/2018 to CurrentPatient NavigatorAscension (System Office) | High Ridge, MO,
Assisting patients in understanding their treatment journey, addressing clinical and non-clinical questions, identifying and addressing barriers, providing resource referrals, and infusion logistic coordination on behalf of patient.
Assisting patients in understanding individual rights and responsibilities in regards to care, coverage and payment.
Helping patients file appeals to insurance denials and worked with insurance companies to resolve disputes.
Managing a large caseload of patients in the Access Solutions department.
Assisting in delivering a seamless model of access and care resources benefitting patients, physicians and site of treatment where applicable.
Serving as a liaison in coordination between patients and their care providers (physicians, infusion center, etc.).
Maintaining current subject matter expertise of MS marketplace dynamics and geographical/region trends- being seen as local patient market expert both externally and internally.
Utilizing local subject matter expertise to proactively perform trending and analysis to appropriately plan for patient needs and identify barriers and/or improvements to program including supporting strategic planning process.
Deliver quarterly insights of defined metrics and measures, business planning and proactively offer solutions for improvement.
Serving as single point of contact for patients throughout the care continuum of enrollment, pre-infusion, and post infusion, addressing any needs throughout.
Responsible for establishing and maintaining positive working relationships with patients and key customers (physicians, office staff, practice managers, nurses, and infusion center personnel).
Focusing on doing what is right for patients; strong patient orientation.
Independently use judgment and decision making in addressing patient needs across their care continuum.
Achievements include: implementing successful processes to increase efficiency and response time and receiving the team MVP award for 2018 contributions to the program.
11/2016 to 11/2018Patient Access ManagerChildren's National Medical Center | Washington, DC,
Provided case management and reimbursement support for pharmaceutical companies.
Proactively built trusting relationships with patients, providers, and other stakeholders ensuring their best interests are met.
Acted as a patient advocate to ensure existing barriers impeding a needed are therapy are identified and removed.
Developed highly effective communication, interpersonal and active listening skills, which were used for interacting with people of all different backgrounds and cultures.
Recognized and identified trends within regions and worked with client management to provide suggestions on how to address potential barriers.
Educated and trained team members on these issues as necessary.
Managed and responded to incoming calls to determine how to best meet customer needs.
Assisted with the training of new Patient Access Managers.
Achievements include: creating a Women's Leadership Network program to bridge gaps between departments and create a forum for women interested in leadership.
07/2014 to 09/2015Management Development ProgramGEICO | City, STATE,
Gained professional insurance licensing in 50 states.
Analyzed real business issues impacting GEICO through projects in multiple departments; project management experience.
Built cohesive teams and devised clear, actionable plans to meet program goals.
Led a team of 10 customer service representatives.
Collaborated with managers to increase the efficiency of processes and procedures.
Anticipated, identified and resolved program issues through solicitation of feedback and use of conflict resolution techniques.
Gained experience in multiple aspects of the business while being mentored by C level executives.
Participated in industry leading training and seminars.
Developed negotiation skills while completing claim settlements.
Participated in Lean Six Sigma certification classes.
Achievements include: successfully led a team of 10 customer service agents from bottom quartile to first quartile within 60 days, designed a comprehensive customer service experience process for all agents and facilitated employee engagement programs.
Education
Expected in 05/2018Master of Science | Global LeadershipUniversity Of San Diego, San Diego, CAGPA:
Graduated cum laude
Expected in 04/2014BBA | Marketing, SociologyUniversity Of Wisconsin - Milwaukee, Milwaukee, WIGPA:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
