Mallory Graham Email & Phone Number

Greenville, Nc, Us

Greenville, North Carolina, United States

• Completion of over 700+ prior authorizations on behalf of providers and clinicians.• Manage clinical services for over 155 patients• Facilitated and created training materials for 3 new staff members.• Engaged in the enrollment of over 75+ patients in clinical services.• Reached a collaborative profit milestone of $5 million monthly alongside a team of 3 colleagues.• Maintaining a 99% completion rate of refill calls for oral oncolytic and hematology medications.• Assist with securing financial assistance for patients resulting in over a savings of $8 million for specialty patients.

Durham, North Carolina, United States

• Communicating with internal and external project staff• Report serious adverse events into the designated system and route to medical monitor for review• Writing external correspondence such as emails, memos, minutes, and reports• Formatting documents and creating document templates• Creating and formatting case report forms manual of operations, documents, and other study-related documentation

Greenville, Nc, United States

• Handling insurance billing for 120 hematology and oncology patients via third-party software.• Adhere to clinic policies, procedures, and HIPAA compliance guidelines.• Assist with securing financial assistance for patients resulting in over a savings of $5 million for specialty patients.• Reached a collaborative profit milestone of $2 million monthly alongside a team of 3 colleagues.• Uphold responsibility of sustaining 100% accuracy for auditing and credentialing purposes.• Adhere to Medicaid, Medicare and insurance billing guidelines.• Access to over 1000+ electronic medical records via EPIC.• Completion of over 500 prior authorizations on behalf of providers and clinicians.• Conduct and participate in 10 office visits and meetings with staff weekly.• Recruitment of over 50+ new patient enrollments annually.• Process 70+ insurance claims and ensure that it is billed for accuracy daily.• Reconcile rejected claims to ensure %100 reimbursement.• Dedicate 30-45 minutes daily to follow up with insurance companies or third party payers.• Develop strong interpersonal relationships with clinicians, patients, and outside entities.•Schedule 28-45 refills of specialty medications with designated patients while monitoring and reviewing medical history for accuracy.• Collaborate with over a team of 30 medical professionals to determine the best plan of care for patients.•Manage a multitude of patient cases and report 5% of adverse events related to medications.•Advocate for patients' needs that fall within or below 17.1 % poverty level.• Trained and led 4 new hires until they were appropriately transitioned into the workflow.• Report patient concerns as well as adherence concerns to clinicians and pharmacists.•Research and review data for clinical use and facilitation of improving program models with aims to maintain 90% retention.

Greenville, North Carolina, United States

• Data entry team member responsible for prescription processing• Knowledge and familiarity of 340b drugs and billing• Communicate with caseworker(s) for 340b and Ryan White populations’• Facilitate and confirm patient eligibility and funding for 340b and Ryan White programs• Answer telephone and take patients refill requests • Abide by HIPPA regulations• Bill and process claims to third party insurance companies •Fill processed prescriptions and take prescription orders from MD•Initiate prior authorizations and access medical database record via Epic and CoverMyMeds• Navigate database and access patient records via Epic• Familiarity with medications and medical terminology

Greenville, North Carolina, United States

• Generate prescription labels and satisfied medication orders per the physician's request with 0% errors.• Provide exceptional and professional service to staff, patients, and families meeting 96% customer satisfaction.• Be of service to 15% of patients that are disabled and/or handicapped populations for DME products.• Ensure responsibility for data entry for 200-250 prescriptions into electronic database daily.• Assist inventory technician with restocking and maintaining over 100+ medications.• Prepare specialized adherence medications for over 50+ at risk populations

Greenville, North Carolina, United States

• Data entry team member responsible for prescription processing• Answer telephone and take patients requests• Support and aid mental & substance abuse patients• Abide by HIPPA regulations• Bill claims to third parties insurance •Interact with interprofessionals in multi-disciplinaries•Initiate prior authorizations through CoverMyMeds• Navigate database and access patient records• Familiarity with medications and medical terminology

Masters Of Science, Clinical Mental Health Counseling

Bachelor'S Of Science, Family And Community Services

Bachelor Of Arts (B.A.), Psychology