Dynamic Patient Access Consultant with a proven track record at Cencora, excelling in customer relationship management and analytical thinking. Expert in coordinating patient access services and enhancing team performance through effective training. Recognized for implementing efficient processes that improved patient support and streamlined operations, ensuring timely treatment access for diverse populations.
· Coordinate patient access services by managing benefits verification, prior authorizations, claims assistance, pharmacy triage, and alternative coverage research to ensure timely treatment access.
· Serve as the primary point of support for approximately 15 healthcare offices within an assigned territory, while also assisting patients nationwide through the general inbound call queue.
· Conduct patient intakes, document and report adverse events, respond to inbound inquiries, and perform proactive welcome calls to deliver a high-quality patient experience across assigned offices and broader patient populations.
· Provide billing and coding support by verifying transactions, assisting with prior authorizations, tracking claims, and delivering detailed benefit verification results to patients, providers, and internal stakeholders.
· Support field reimbursement and sales teams by processing wholesale orders, coordinating services, and engaging directly with manufacturer representatives to drive effective patient access solutions.
•Monitored and created reports showcasing program outcomes to communicate results with clients and stakeholders.
• Helped team members improve productivity and performance through hands-on coaching to achieve company objectives.
• Planned and conducted strategy meetings to brainstorm new ideas and deliver program and milestone updates.
• Designed and implemented standard operating procedures in various departments for optimal efficiency.
• Manage the resolution of client issues and ensure appropriate follow-up is done to manage client relationship; Deliver routine client reports.
• Completed administrative duties to include but limited to daily attendance tracking; timecard approval and credentialing monitoring (all duties as secondary to point of contact supporting SAL).
• Assessed team members for strengths and developmental needs to conduct career mentoring discussions for growth in the talent pipeline.
• Facilitated and monitored program specific training
• Communicate with and provides exceptional customer service to patients, providers, and pharmacies; resolves any issues or requests in a timely manner.
• Provides internal training to new hires, along with support and guidance to all other associates.
• Responsible for reporting to and maintaining relationships with Field Reimbursement Managers, Sales Representatives, and healthcare facilities within a specific region.
• Manages the patient journey from beginning to end, including benefit verification, prior authorization initiation, specialty pharmacy coordination, and ongoing patient support.
• Works on complex cases that require detailed evaluation of patient-specific information. Determines coverage support options based on insurance type and income level.
• Partners with the pharmacovigilance team to identify and report any possible Adverse Events or Product Technical Complaints.