Patient Advocate Iii
-Preform audits of Genesight test orders to prevent delays in testing and for accuracy of insurance, demographic, and medical information.-Selected as Lead Auditor for Genesight ‘over 30 days’ audit report, analyzing findings and resolution data weekly while maintaining the cancellation rate at 3% or less monthly. (May 2023-Present)-Participating in building Customer Service’s first internal auditing process for Order Verification, Eligibility Verification, Inbound and Outbound Exceptions, and Phone teams. (May 2023- present)-Manage, analyze, and audit order insurance exceptions to ensure accurate billing for the Genesight test.-Expertise in working with major payers including Medicare, Medicare Advantage, State Medicaid, Managed Medicaid, Commercial, Cost Share, and Tricare insurance programs in all 50 states. -Working knowledge of ICD-10 codes, CPT codes, and HIPAA regulations.-Selected as a Lead Department Trainer to develop, manage, and facilitate insurance eligibility and exceptions training materials, program, and processes. (2019-Present)-Develop and train insurance exceptions for new and tenured employees. -Trained over 20 Order Verification and Exceptions Patient Advocates in insurance eligibility. (2019-Present)-Implement new learning strategies by creating training materials and SOPs for insurance verification and exceptions trainings based on the needs and skill levels of remote Patient Advocates. (2019-Present)-Collaborate with Molecular Sales Consultants, other Myriad stakeholders, and Genesight customers to pull through testing in a timely manner. -Developed and facilitated Customer Service’s first onboarding program for new employees. (2018-2022)-Neuroscience Young Professionals, Leadership & Professional Development. (2018-2020)Started first Diversity, Equity, and Inclusion affinity group at Myriad Neuroscience, Myriad United. (2019-2021)-Member of Customer Service Employee Engagement Team. (2019-2022) Member of BEAM. (2020-Present)
