 Explain the enrollment process for specialty medications to patients Enroll patients for specialty medications programs Follow up on status on enrollment and through the whole process Create a prior authorization for specialty medications and other medications (if needed) Submit clinical information and documents (if needed) Schedule delivery for the specialty medication Contact patient when the specialty medication has arrived  Schedule an appointment for specialty medication to be administered Created an excel spreadsheet for patients on specialty medications for tracking purposes Maintain excel spreadsheet and update on a weekly basis Reorder specialty medications (as needed) Build rapport with pharmaceutical representatives Attend lectures hosted by pharmaceutical companies to learn more about the biologic Accounts receivables (research and resolve if possible) Constant communications with physicians Call patients on behalf of the physician and relay messages as directed Check in and check out patients (as needed) Collect deductibles and co-pays (as needed) Scan and fax documents (as needed) Confirm appointments (as needed) Request medical records and lab results (as needed)

 Excellent communication skills Sound judgment and problem-solving skills High level of professionalism and discretion Kronos (Payroll edits) Supervise 11 direct reports and 70 plus indirect employees Resolve upset patient (patient’s family member), referring physician’s office, internal customers (physicians and clinical staff) calls  Call center environment that is very fast pace with high volume of calls over 1200 a day Multi-tasking and flexible Coach and mentor staff, new employees and peers by providing on the job training and observing them work to improve process flow Participate and assist in real time problem solving sessions  Complete the whole process of Employee Performance Reviews Conduct Quality Audits on patient calls to ensure accuracy and quality per the department guidelines Conduct Peer Reviews to enhance the employees performance Strong knowledge in HR policies and procedures Review multiple resumes Conduct behavioral interviews Most numbers of interviews back to back is five Administer employee policies

 Supervise and manage 6 direct reports Medical coding and prepared charges (add modifiers and verified all ICD-9 codes were correct) for billing Release charges for billing Train new hires on coding and billing for the department Coach and Mentor employees Provide continuing education to physicians on billing and documentation guidelines Assist in developing billing guidelines, policies and procedures for the Revenue Cycle process within the department Generate an invoice for the Veterans Hospital in San Antonio Attend meetings weekly (departmental and VA) Attend billing and coding conferences and seminars (in and out of town) Stay current on Medicare and Trailblazers guidelines Stay up to date on the National Correct Coding Initiative Edits Stay current on the Local Coverage Determinations for Radiation Oncology Track trends of denials, edits, and physician behavior on documentation