Jennifer B. Email & Phone Number

Naples, Fl, Us

During my current role, I assess and interpret Medicare, Commercial, and Medicaid policies at national, regional, federal, and state levels to effectively minimize medical policy constraints and reimbursement obstacles. I partner with decision-makers in medical practices, including CFOs, CEOs, pharmacy and medical directors, as well as stakeholders in community-based urology and oncology practices, academic institutions, hospitals, and clinics. I resolved obstacles to practice reimbursement through resource provision. I offer timely marketplace insights to corporate leadership team regarding customer coverage and reimbursement patterns, competitive dynamics, and pertinent industry prospects. I communicate between internal benefits verification hub and internal/external stakeholders concerning all aspects of coverage, coding, and reimbursement. I record all pertinent information on Regional Payor Provenge medical policies and contact details within the Salesforce system. Here are some of my key accomplishments: • Created and deployed comprehensive strategies to capitalize on growth opportunities and enhance business prospects. • Retained substantial payment recovery for various accounts by reversing significant number of denials. • Employed strategies to prevent occurrence of denials for prior authorization requests in improving success rates. • Built and maintained successful partnership with wide range of healthcare institutions to eliminate reimbursement barriers and facilitate PROVENGE utilization.

During this tenure, I coordinated with North Atlantic Reimbursement Account Manager in maintaining consistent flow of communication through email and phone correspondence for daily progress updates on ongoing cases. I optimized enrollment of eligible patients into the PROvide Commercial Copay Program. I conducted bi-weekly individual meetings with Manager of the Patient Access Team to identify training requirements and propose robust solutions in increasing PAC team operations efficiency. Here are some of my key contributions: • Validated patient benefits pertinent to Provenge and administration to provide accounts with precise information about patient expenses and authorization prerequisites. • Cultivated strong rapport across all accounts, including top infusers, to streamline dissemination of information necessary for guiding patients seamlessly from enrollment to scheduling.

Pittsburgh, Pennsylvania, United States

In my previous role, I cooperated with patients and insurance entities to validate insurance coverage and procure necessary authorizations for injections and infusions via both telephonic and online communication channels. I coordinated with insurance providers to strategize optimal approach for acquiring patient medications within budgetary constraints. I played an integral role in appointment scheduling and telephone management for seamless call redirection/comprehensive call logging as per requirements. Here are some of my key achievements: • Determined and integrated cost-effective methods of obtaining Part B drugs for patients and employers. • Facilitated patients in minimizing medication expenses by providing appropriate guidance throughout savings programs and grants in securing funding.

Pittsburgh, Pa

Bachelor Of Science - Bs, Biology/Biological Sciences, General

Associate'S Degree, E-Commerce Development