Denise Apland Email & Phone Number

Savannah, Georgia, United States

In depth benefit and coverage research in support of patient's access to newly introduced specialty medication. This includes benefit reporting on major medical coverage. The Case Manager is also responsible for prior authorization and appeal support.. Direct communication with field staff to ensure continuity of care.

Gaithersburg

This is a job to do for the joy of it.

Rockville Maryland

Rockville Maryland

Thirteen years’ experience with Reimbursement, Copay Assistance, Patient Assistance Program service models including various disease states (e.g. hemophilia, infectious diseases, multiple sclerosis, severe asthma, diabetes, mental and behavioral health, COPD)Successfully coordinates program support services as main point of contact with internal and external providers to ensure services are performed in accordance with program policyEstablishing regional expertise in payer trends regarding prior authorization, billing and claim denials and relaying information to managementDelivers quality customer service by building strong and trusting relationships with patients and providers"Hands-on" "take ownership" and "going that extra mile" approach to solving problems, following through to successful resolutionKnowledgeable of Medicare, Medicaid and commercial insurance processesResearches alternate sources of funding for needy patientsManages detailed accounts of all communications and work flowProvides prior authorization, claims and billing assistance to specialist officesProvides billing assistance whether through pharmacy or buy and billEducates providers and patients on questions pertaining to coverage and payment policiesHIPAA compliant in all circumstances Created a comprehensive report on all assistance programs in thirteen states available for hemophilia patients and presented to client

Centreville Va

Patient Assistance Program customer service representative.

Master'S Degree, Healthcare Administration, A

Bachelor'S Degree, Historic Preservation And Conservation, B