Tonya Cobia Percival
Savannah
Summary
Seasoned healthcare professional with background in healthcare reimbursement skilled in practice administration, access and reimbursement reimbursement strategies, fostering clinic and patient collaboration, and driving results in dynamic environments. Known for adaptability, effective communication, and analytical abilities. Reliable in managing changing needs and ensuring accuracy in all tasks.
Overview
18
18
years of professional experience
Work History
Field Access Reimbursement Manager
Verrica Pharmaceuticals
West Chester, PA
08.2025 - Current
- Lead reimbursement initiatives for 17 states throughout the Northeast and Central United States.
- Support 19 territory managers and internal stake holders
- Subject matter expert to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business related issues.
- Collaborated with cross-functional teams to identify and resolve complex reimbursement issues, ensuring timely resolution.
- Act as point of contact for patient support services and communicate and collaborate cross-functionally in order to leaded pull through efforts.
- Support territory managers in education of office personal on Buy-and-Bill processes and procedures, prior authorization and appeals, reimbursement support and financial assistance programs.
- Establish positive and productive working relationships with all key customer segments, both internal and external.
- Conducted regular audits of reimbursement activities, identifying areas for improvement and implementing corrective actions as needed.
- Conduct meetings with HCP offices to facilitate pull-through efforts and problem solve escalated issues with as a HIPAA compliant contact.
- Developed strong relationships with healthcare providers, fostering collaboration and ensuring smooth communication for reimbursement matters.
- Provided exceptional customer service when addressing patient inquiries about their reimbursements, resolving issues promptly and professionally.
- Streamlined communication between departments involved in the reimbursement process, fostering collaboration and accuracy.
Clinic Operations Manager
AllerVie Health
Savannah, GA
01.2024 - Current
- Utilized data-driven insights to analyze clinic performance and support continuous operational enhancements.
- Achieved enhanced patient throughput through the effective streamlining of inpatient care processes.
- Implemented and maintained healthcare regulations and standards, ensuring optimal patient safety and high-quality care delivery.
- Analyzed patient feedback and complaints, developing and executing strategies to boost patient satisfaction and retention rates.
- Resolved conflicts raised by physicians, employees, and patients, fostering a collaborative approach with key stakeholders.
- Implemented multi-clinic collaboration sessions that enhanced case reviews and provided practical training techniques.
- Achieved accurate determination of medication and biologic prior authorization requests by analyzing physician orders and patient medical records. Streamlined authorization request submissions using electronic health record systems and online portals.
- Conducted thorough monitoring of prior authorization processes, implementing follow-up actions to swiftly resolve any identified delays or complications.
- Assessed access and reimbursement concerns and facilitated communication with third-party hubs to ensure effective resolution.
- Developed and implemented educational sessions for providers on product hub program, focusing on patient support offerings, financial assistance, and available resources.
- Exhibited expertise in access resources and effectively communicated payer processes and policies.
- Spearheaded field marketing initiatives and community engagement to promote practice offerings and specialties.
Practice Manager
SouthCoast Health
Savannah, GA
09.2022 - 05.2023
- Achieved operational excellence in medical practice by streamlining daily activities to enhance patient care quality. Optimized inventory management processes for medical equipment and supplies through effective collaboration with healthcare staff. Delivered insightful reports to senior management, highlighting operational efficiencies and areas for improvement.
- Analyzed existing workflows and introduced efficient billing and data processing methods to improve overall financial effectiveness.
- Monitored and refined office procedures to improve operational efficiency, promote collaboration, and ensure ongoing enhancements in practice performance.
- Managed comprehensive HR activities, including recruitment and staff development, to ensure operational efficiency and support the strategic goals of the medical practice.
- Analyzed and controlled clinical expenditures, implementing corrective actions to align spending with budget while upholding service quality standards.
- Refined payroll and benefits management procedures, focusing on precise wage and tax calculations to boost team effectiveness.
- Implemented efficient patient registration protocols to improve accuracy in insurance verification and appointment scheduling.
- Supervised data entry operations to uphold integrity of patient records within healthcare organization's electronic medical records system.
- Integrated NCQA PCMH, HEDIS, and MACRA/MIPS standards into patient care plans, focusing on improving overall quality of care and health outcomes.
- Directed comprehensive strategies in education, research, and professional development to elevate patient care standards.
- Directed operational strategies to optimize patient care and improve workflow efficiency across multiple departments.
- Facilitated targeted training sessions to elevate staff competencies and optimize service delivery in clinical environments.
- Evaluated and adjusted budgets to support strategic resource allocation in alignment with patient care requirements.
- Oversaw supplier partnerships to streamline inventory levels and achieve cost reductions without sacrificing care quality.
- Conducted comprehensive performance assessments, driving a culture of continuous improvement and professional growth among healthcare personnel.
- Implemented strategic initiatives to elevate patient satisfaction, resulting in improved feedback processes and service delivery.
- Led operational strategies to enhance patient care and streamline workflows across multiple departments.
- Implemented staff training programs, improving team performance and service delivery in clinical settings.
Practice Manager
AMW, Inc.
Savannah, GA
01.2014 - 01.2022
- Streamlined daily operations of the medical practice through effective leadership and guidance to healthcare professionals. Elevated patient service levels by fostering collaboration with healthcare facility staff. Drove strategic initiatives alongside medical personnel to enhance business effectiveness.
- Oversaw and enhanced operational workflows within multi-provider practice, ensuring exceptional healthcare services in primary care internal medicine and rheumatology.
- Managed budgeting processes, authorized expenditures, and generated financial reports to ensure robust financial health and operational transparency.
- Designed and enforced SOPs focused on maintaining high standards of quality and operational efficiency within the organization.
- Implemented quality improvement strategies by utilizing NCQA PCMH and HEDIS metrics to optimize patient outcomes and ensure compliance with MACRA/MIPS.
- Oversaw comprehensive HR functions, including annual evaluations, payroll management, and benefits administration to support organizational effectiveness.
- Enhanced patient experience by providing clinical staff with support in high-quality care delivery and community awareness education.
- Collaborated with external vendors and pharmaceutical representatives, providing precise information on medications and treatment options to promote patient-centered care delivery.
- Implemented efficient patient record management strategies with Allscripts and Citrix EMR systems, focusing on quick access and updates to support seamless practice operations.
- Evaluated physician orders and patient medical records to identify critical requirements and confirm accuracy of medication prior authorization requests. Streamlined the submission process of detailed authorization requests utilizing electronic health record systems and online platforms.
- Engaged with patients to convey authorization status and outline any additional information or actions needed for completion.
- Assessed access and reimbursement concerns and facilitated communication with third-party hubs to ensure effective resolution.
ES Complex System Sales / Corporate Trainer
MyMDSolutions, Inc.
Atlanta, GA
06.2008 - 01.2014
- Fostered strong partnerships with vendors and medical organizations to align with corporate goals and facilitate a balanced work environment.
- Drove substantial growth by successfully acquiring new business in complex system sales, enhancing market presence.
- Facilitated effective communication with providers, vendors, and patients through professional correspondence, report composition, and direct engagement in phone and in-person discussions.
- Integrated corporate vision into current business model and standard operating procedures to effectively launch new product lines and respond to market demands.
- Established and maintained trust with clinics, driving customer satisfaction through effective issue resolution.
- Executed client outreach by representing wellness programs in team sales presentations and product demonstrations, enhancing sales opportunities for the organization.
- Collaborated with key stakeholders to expand corporate wellness offerings, ensuring alignment with market demands and customer needs.
- Conducted in-person presentations and product demonstrations of wellness programs to potential clients, enhancing sales opportunities and fostering business development.
- Strengthened organizational capabilities through ongoing professional development and support activities.
Education
Bachelor of Science - Health Services Administration
Armstrong Atlantic State University
Savannah, GAMaster of Arts - Professional Communication and Leadership
Armstrong Atlantic State University
Savannah, GASkills
- Microsoft - Word, Excel, PowerPoint, Outlook, Teams
- Denial resolution
- HIPAA compliance
- Insurance verification
- Reimbursement strategies
- Effective customer communication
- ICD-10 coding
- Eligibility verification
- Prior Authorization submission
Timeline
Field Access Reimbursement Manager
Verrica Pharmaceuticals
08.2025 - Current
Clinic Operations Manager
AllerVie Health
01.2024 - Current
Practice Manager
SouthCoast Health
09.2022 - 05.2023
Practice Manager
AMW, Inc.
01.2014 - 01.2022
ES Complex System Sales / Corporate Trainer
MyMDSolutions, Inc.
06.2008 - 01.2014
Bachelor of Science - Health Services Administration
Armstrong Atlantic State University
Master of Arts - Professional Communication and Leadership
Armstrong Atlantic State University
CORE COMPETENCIES
- Healthcare and Program Management
- Team Training and Development
- EHR and EMR System Integration
- Financial and Budget Management
- Quality Control Management
- Performance Management
- Conflict and Crisis Management
- Public Relations Leadership and Field Marketing Promotions
- Patient Experience Enhancement
- Patient Access & Reimbursement
- Salesforce CRM
- Tableau Analytics