Robin Derose Email & Phone Number

Charlotte, North Carolina Area

11/14/2011-PRESENT:The Lash Group/AmerisourceBergen Consulting Services: Corporate Center, 3735 Glen Lake Drive, Charlotte NC 28208: Patient Case Coordinator. 06/28/2014 Reimbursement Counselor. Starting 04/03/2015 working remote. On the Diabetes Team, helped with the Lovenox Team, Oncology Team (SFO), MS (Aubugio), Rilutek, Multag and Vaccines Avui-q Team. Also I’m working on RSL training for Reimbursement Counselor.Demonstrated a strong understanding of Reimbursement Services and Patient Assistance Program design components, setting up, and shipping out products. Evaluates and identifies funding resources and patient eligibility for co-pay assistance or other financial resources.General knowledge of HCPCS, CPT, and ICD-9 coding preferred.Proficient in both Patient Plus and Web Portal. Assisted in launching new program. Performed general office duties including answering phones, faxing, database entry, spreadsheets, email, and calendar events.Extensive experience with Medicare, Medicaid and private payers in order to assist with claims denials and appeals process.Experienced in Adverse Event reporting.Continued flexibility and ability to adapt towards client and management needs and requests.

Charlotte, North Carolina Area

The Lash Group/AmerisourceBergen. Benefit Verification Specialist:Collects and reviews all patient insurance benefit information, to thedegree authorized by the SOP of the program.Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors.Researches and resolves any electronic claim denials.Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers.Reports any reimbursement trends/delays to supervisor (e.g. billing denials, claim, denials, pricing errors, payments, etc.).Processes any necessary insurance/patient correspondence.Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process.Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation.Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims.Works on problems of moderate scope where analysis of data requires a review of a variety of factors.Typically receives little instruction on day-to-day work, general instructions on new assignments.Performs related duties as assigned.

Novant/Presbyterian Hospital, 200 Hawthorne Lane, Charlotte, NC 28204; Patient Access Specialist in AdmittingPatient Access for all areas of the hospital/Register PatientsCash Collections/InsuranceExperience in a Medical/Professional environmentExcellent organizational/communication skills/Microsoft SkillsMaintain patient medical recordsLittle to no Supervision/with several different data bases

Lay off Novant Medical Group (NMG); White Hall, 3701 Acro Corporate Drive, 7th floor, Charlotte, NC 28273; Posting Representative Specialist; as of September 2010; Patient Account Rep III; PRN, Pre-Visit Service from 05/09 to 10/09.Patient AccessBilling/Appeals/Cash Collections (from patient or insurance company)Reading EOB/ICD-9 and diagnosis codingResearching for billing/Investigate and evaluate situationsInsurances and the websiteExperience in a medical/professional environmentExcellent organizational/communication skills/Microsoft SkillsMaintain patient medical recordsSignature/Medical Manager DatabaseLittle to no supervision

03/06-05/09 and 04/01-11/05: Presbyterian Hospital/Novant Health, Pre-Visit Services, 1900 Randolph Road, Metroview Bldg, Charlotte, NC 28204, (11-1-08 Team lead, Patient Access Specialist and Anesthesia Scheduler: also Part time: 01/05-11/05 and 05/09-10/09Patient Access/Pre-register PatientsHuntersville PSS (Anesthesia Scheduler) 03/06-05/09Main PSS (Anesthesia Scheduler) 04/01-11/05Experience in a medical/professional environmentExcellent organizational/communication skillsExperience in Microsoft BusinessMaintain patient medical records/InsuranceLittle to no supervision/Handling schedules/training new hire

Presbyterian Hospital/Novant Health, Rankin Women’s Center, 1718 East 4th Street, Suite 307, Charlotte, NC 28204: Patient Services Coordinator III, PRN, Pre-Visit Services 01/05 to 11/05.Patient AccessExperience in a medical/professional environmentExcellent organizational/communication skills/Microsoft skillsMaintain patient medical records/InsurancesReferrals for patient/Scheduled appointmentsChecking patients in at the front deskLittle to no supervision/Basic clerical duties

Sickle Cell Disease Association of Southern Piedmont, Inc., (SCDASP), 841 Baxter Street, Suite 116, Executive Park, Charlotte, NC 28202, Secretary/Receptionist/Data Entry Patient Access/Data Entry/ReceptionInsurance/CSC billingProfessional environmentExcellent organization/communication skills/Microsoft skillsMaintain patient medical records

Graduated

Administrator

Software User, Receptionist Skills, and Data Entry Certificate *Keyboard *Text Entry and formatting *Text Editing Application * Word.