Livecareer-Resume
JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Links
  • https://www.linkedin.com/in/Jessica-Claire-7911a914a/
Professional Summary

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 Current Patient Navigator Ascension (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 11/2018 Patient Access Manager Children'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 09/2015 Management Development Program GEICO | 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 05/2018 Master of Science | Global Leadership University Of San Diego, San Diego, CA GPA:
  • Graduated cum laude
Expected in 04/2014 BBA | Marketing, Sociology University Of Wisconsin - Milwaukee, Milwaukee, WI GPA:
  • Graduated cum laude

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Resume Overview

School Attended

  • University Of San Diego
  • University Of Wisconsin - Milwaukee

Job Titles Held:

  • Patient Navigator
  • Patient Access Manager
  • Management Development Program

Degrees

  • Master of Science
  • BBA

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