Andrew Mudge Email & Phone Number

San Mateo, Ca, Us

Menlo Park, Ca

Dedicated to efficient pull-through coordination for rare disease medical therapy in a challenging reimbursement landscape. Focused on maximizing the collaborative effort between a driven clinical field team and a fast-paced specialty pharmacy, and identifying trends for payer-specific process optimization.

Menlo Park

South San Francisco

Managed automation rule engines and SOPs for frequent system enhancements in response to claim trends.Trained and coached associates for efficient onboarding and continual skill development.Leveraged nine years of experience with medical benefits, prior authorizations, medical record coordination, claim processing issues, and portal/phone system navigation to work effectively with medical payers of all types throughout the United States.Lead a ‘Backlog Team’ focused on… Show more Managed automation rule engines and SOPs for frequent system enhancements in response to claim trends.Trained and coached associates for efficient onboarding and continual skill development.Leveraged nine years of experience with medical benefits, prior authorizations, medical record coordination, claim processing issues, and portal/phone system navigation to work effectively with medical payers of all types throughout the United States.Lead a ‘Backlog Team’ focused on identifying trends in ageing outstanding revenue, developing system enhancements to reduce future claim processing delays, and communicating developments to the department in a monthly executive summary. Show less

South San Francisco

Quickly ramped up to process a high volume of claims and payments with a strong standard of accuracy, efficiency, and analysis for problems and improvement opportunities; resulting in a fast-tracked promotion to the Reimbursement Specialist position after my first significant performance review.

Managed seven employees in busy home infusion pharmacy intake department in various aspects of complex care coordination, thorough benefit verification and investigation, clinically-detailed prior authorization, business development in a competitive marketplace, and collection from insurance companies and patients.