April Raines, Pacs, Mba, Dha Email & Phone Number

Atlanta, GA, US

Redwood City, CA, US

Contribute to and engage in instructional best practice for adult learners in PGU's Undergraduate Health Sciences, Graduate Health Sciences, and Graduate Telehealth Microcredential programs

-Responsible for developing and implementing the Market Access Strategy for sipuleucel-T (Provenge®), Dendreon’s flagship autologous cellular immunotherapy, to ensure an integrated approach to payer customers that delivers optimal access for patients - Support and communicate Market Access strategies in partnership with the Marketing, Government Affairs.

Cambridge, Cambridgeshire, GB

-Develop, implement, and execute strategic plan to optimize access for patients by communicating value messaging for AstraZeneca’s Oncology (Faslodex, Lynparza, Iressa, Tagrisso, Imfinzi, Calquence, and Lumoxiti) and Infectious Disease products (Synagis)-Collaborate with cross-functional partners (including, but not limited to, Market Access & Hub.

-reimbursement support for new product launches and new indications -review patient benefit options, prior authorization requirements, and alternative financial assistance programs (including PAPs and Bridge programs)-contributes to the development of new product launch plans-Communication with Sales colleagues to identify prescribing barriers related to.

Milwaukee, Wisconsin, US

-facilitated college-level courses in Medical Billing and Coding and Health Information Management programs (curricula includes ICD-9, CPT, and HCPCS coding, HIPAA, Anatomy and Physiology, Medical Terminology, Administrative Medical Assisting, Medical Office Administration/Management, Health Information technology/Management)

-Served as Senior Outpatient Oncology Coding Auditor (reviewed claims for accurate coding of injections, infusions, and E&M services; assigned CPT and ICD-9 codes to patient accounts; queried physicians for clarification of records before assigning and/or while auditing patient records; assisted with medical chart reviw & audit process)-Monitor LMRP.

Nashville, TN, US

-Supervision of registration, insurance verification/precertification, financial counseling, and cashiering activities of a team responsible for data integrity ensuring complete and accurate information is entered in an efficient manner-Coordinated responsibilities related to insurance verification and precertification for hospital procedures (inpatient.

US

-Follow-up of Medicaid Patient Accounts for all Hospital-owned physician practices to ensure timely payment and maximize A/R recovery-Evaluated and processed explanation of benefits-Processed and reviewed remittance advice from primary and secondary insurance companies to ensure accurate reimbursement-Drafted appeal letters and provided follow-up to.

Americus, GA, US

Assisted Public Relations Department with coordination of hospital-sponsored activities and distribution of patient surveys

-Retrieved and interpreted medication orders; performed pharmaceutical calculations-Entered medication orders into pharmacy computer system for pharmacist's review-Received and triaged information requests from patients, maintenance of inventory and supplies, including retrieval of discontinued, expired, or recalled medications from stock and patient.

-Assisted Home Care Administrator with scheduling, payroll, and maintenance of patient medical records-Maintenance of supplies and completion of purchasing requisitions

-Assisted HR Director with screening and interviewing potential candidates for house-sitting and personal care positions-Conducted background checks and verification of references; scheduled drug screens and interviews for job applicants

Doctorate, Healthcare Administration

Bs, Allied Health Sciences

Mba, Healthcare Management