Jessica Olive
Woodbury,GA
Summary
Detail-oriented Prior Authorization Certified Specialist with experience as a Field Reimbursement Manager and Patient Assistance Coordinator including nearly a decade of dedicated service in the healthcare industry. Adept in navigating complex reimbursement landscapes with familiarity of Medicare, Medicaid, and Commercial payer policies. Motivated and capable of obtaining financial assistance for over 500 patients with an overall accumulation of $26.5 million in a single year. Proven leadership skills in hiring and managing a team of patient account representatives with the responsibility of overseeing the entire financial counselor process effectively. Certified patient account representative that is committed to optimizing patient access to healthcare services while ensuring compliance and financial viability.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Field Reimbursement Manager
Cencora
11.2022 - Current
- Demonstrates understanding of managed healthcare principles, local healthcare market dynamics, and customer-based interactions.
- Utilizes knowledge of reimbursement to maintain provider relations, operations, medical marketing, and customer service programs through healthcare consulting.
- Effectively networks to develop strong, trusted, sustainable relationships with stakeholders.
- Efficiently manages two territories containing over 50 medical offices each with close to 200 providers.
- Identifies treatment access barriers quickly and develops recommendations for resolution in a timely, compliant manner.
- Helps minimize escalations by reaching out to clients in advance of expected problems.
- Maintains Up-to-date recognition of pharmaceutical manufacturer program rules and regulations.
- Monitors industry trends and regulatory changes to stay current on best practices for access and reimbursement.
- Analyzes data to identify patterns and opportunities for improvement within reimbursement process.
- Completes in-service presentations with multiple staff members in offices to ensure proper training of prior authorization process and medication procurement.
- Assists offices with improving patient satisfaction by ensuring timely and efficient medication fulfillment.
- Leads weekly staff meetings with sales partners, care coordinators, and specialty pharmacy representatives to ensure effective communication across the board.
Patient Assistance Coordinator/Patient Account Representative Team Lead
Central Georgia Cancer Care
07.2019 - 10.2022
- Sought and obtained assistance for patients in need as identified by patient account representatives or billing team members.
- Informed appropriate billing and pharmacy staff of assistance obtained so that it can be added to Centricity and billed accordingly.
- Contacted outside specialty pharmacy as necessary to provide aid information.
- Tracked patients needing assistance that was unavailable via waitlist.
- Tracked assistance obtained via AssistPoint.
- Printed reports of assistance secured as requested by CEO.
- Identified missed assistance opportunities via report acquired through AssistPoint and attempted to obtain if applicable.
- Identified claims waiting to be filed to assistance via report acquired through AssistPoint and informed patient assistance billing team member.
- Identified assistance billing errors recognized by AssistPoint via report.
- Tracked manufacturer provided medications and ordered medications prior to treatment or replacement medications after treatment as required by program.
- Reported manufacturer provided medications to pharmacy staff and coding team members.
- Imported all shipping labels of provided medications to file in patient assistance folder for reference.
- Completed all renewal applications as necessary and sought alternative assistance if renewal was unavailable.
- Assisted physicians prescribing off-label medications with free medication options.
- Contacted and met with patients inquiring about assistance.
- Answered incoming calls regarding assistance inquiries.
- Maintained relationships with drug representatives and field reimbursement staff in case assistance was needed.
- Attended monthly conference calls with AssistPoint staff members regarding important updates and progress.
- Maintained up to date knowledge of available programs and changing eligibility qualifications.
- Hired new patient account representative team members.
- Tracked time/attendance/PTO requests for all patient account representatives.
- Maintained up to date training of all patient account representatives by identifying individual and group training needs and then addressing them accordingly.
- Contacted patients with issues unresolved by patient account representatives.
- Resolved any account representative related issues as identified by other staff members.
Eligibility & Billing Specialist
McIntosh Trail Community Service Board
05.2016 - 06.2019
- Collected insurance information from office associates and verified insurance eligibility and benefits for new and existing patients
- Managed three outpatient mental health facilities by checking daily appointments in advance for authorization and correct billing procedure.
- Assisted and provided information to patients, clerical staff and insurance companies, as well as identified and resolved patient/clinical staff billing complaints.
- Reviewed and maintained medical billing and claim records, settlements and medical insurance statements for multiple facilities.
- Created and submitted claims to various insurance companies, ensuring their accuracy by reviewing records in the EHR.
- Responsible for the collection, posting, and management of account payments.
Patient Assistance Coordinator/Clerk
McIntosh Trail Community Service Board
07.2015 - 01.2016
- Responsible for organizing reception area, opening the building at the designated time and having all front offices services fully operational at the start of business hours.
- First point of contact at front desk of outpatient facility with multiple providers.
- Directed patient flow during practice hours, minimizing patient wait time.
- Scheduled appointments for all providers via EHR.
- Answered incoming calls for all providers.
- Contacted patients to confirm appointments.
- Coordinated transfer of patient medical records with hospitals and doctors' offices while strictly following all federal and state guidelines for release of patient information.
- Collected patient payments and balanced at end of day.
- Assisted patients with low income assistance programs for medications.
- Consistently contacted assistance programs and organized the incoming flow of patient medications.
- Trained new employees on office procedures, policies and protocols.
Preschool Lead Teacher
BrightStar Learning Center
11.2014 - 07.2015
- Greeted customers and visitors in-person and via telephone calls.
- Planned, implemented, monitored and assessed classroom instructional program.
- Maintained safety and security of classroom and children.
- Created new lesson plans based on course objectives.
- Established guidelines for teacher performance, lesson planning and compliance with established procedures.
- Motivated teaching staff to continually improve strategies and maximize student learning.
- Collaborated with teachers and administrators to discuss the academic needs of students.
Licensed Insurance Agent
Geico
03.2013 - 06.2014
- Provided coverage option information to assist clients in protecting assets.
- Promoted various insurance products and services using upselling and other sales strategies.
- Calculated quotes and educated potential clients on insurance options.
- Modeled exceptional customer service skills when resolving client complaints.
- Followed up with customers on unresolved issues.
- Reported policy changes and company conditions affecting customer satisfaction.
- Contributed ideas and offered constructive feedback at weekly sales and training meetings.
Education
Bachelor of Science - Health And Human Services
Western Governors University
Salt Lake City, UT05.2025
High School Diploma -
Lamar County High School
Barnesville, GA05.2011
Skills
- Exceptional communication skills
- Excellent documentation and paperwork organization
- Proficient with Microsoft Office, EHRs, Centricity, Concur, Availity, GAMMIS, CoverMyMeds, and AssistPoint
- Extensive knowledge of insurance terminology and policies
- Comprehensive familiarity with Medicare and Medicaid eligibility
- Recognition of HIPAA/Patient confidentiality practices
- Education of claims and payment processing procedures
- Experience with relationship building and client retention
- Exemplary appeal handling and denial resolution skills
- Broad understanding of patient assistance options including foundation assistance, copay assistance, and manufacturer drug programs
- Established territory management skills
Certification
Certified Patient Account Representative, Georgia Healthcare Financial Management Association - December 2019
Prior Authorization Certified Specialist, American Case Management Association - January 2024
Timeline
Field Reimbursement Manager
Cencora
11.2022 - Current
Patient Assistance Coordinator/Patient Account Representative Team Lead
Central Georgia Cancer Care
07.2019 - 10.2022
Eligibility & Billing Specialist
McIntosh Trail Community Service Board
05.2016 - 06.2019
Patient Assistance Coordinator/Clerk
McIntosh Trail Community Service Board
07.2015 - 01.2016
Preschool Lead Teacher
BrightStar Learning Center
11.2014 - 07.2015
Licensed Insurance Agent
Geico
03.2013 - 06.2014
Bachelor of Science - Health And Human Services
Western Governors University
High School Diploma -
Lamar County High School
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