Tenae Shaffer, Cpht
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Tenae Shaffer, Cpht Email & Phone Number

Field Access and Reimbursement Manager at CoverMyMeds
Location: Greater Chicago Area, United States 10 work roles 1 school
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Current company
Role
Field Access and Reimbursement Manager
Location
Greater Chicago Area, United States
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Tenae Shaffer, Cpht is listed as Field Access and Reimbursement Manager at CoverMyMeds, a with 1242 employees, based in Greater Chicago Area, United States. AeroLeads shows a matched LinkedIn profile for Tenae Shaffer, Cpht.

Tenae Shaffer, Cpht previously worked as Access and Reimbursement Regional Manager at Covermymeds and Field Reimbursement Manager at Mckesson. Tenae Shaffer, Cpht holds Marketing from Chicago State University.

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Profile bio

About Tenae Shaffer, Cpht

Experienced Access and Reimbursement Specialist with a demonstrated history of working in the pharmaceutical, hospital, & academic health care industry. Over 13 years experience in Pharmaceuticals. Advanced leadership experience. Strong pharmacy and healthcare management services professional skilled in Microsoft Word, Event Management, Team Building, Pharmacy Audits, Specialty Pharmacy/Therapies, Healthcare, Healthcare Management, Buy and Bill, Prior Authorization, Appeals, Patient Access, Foundation Assistance and Reimbursement. Specialize in Rheumatology, Dermatology, Oncology, Urology, Transplant, Neurology, Hepatology, Infectious Disease, Cardiology, Infertility, and Gastroenterology.

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Tenae Shaffer, Cpht's current company

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CoverMyMeds
Covermymeds
Field Access and Reimbursement Manager
columbus, ohio, united states
Website
Employees
1242
AeroLeads page
10 roles

Tenae Shaffer, Cpht work experience

A career timeline built from the work history available for this profile.

Access And Reimbursement Regional Manager

Current

Chicago, Illinois, United States

• Provided assistance with patient reimbursement challenges with HCP • Educated HCP on payor landscapes including Medicare and commercial plans• Collaborative effort with the internal support program/hub• Remote and In-Office interaction and education assistance on patient support program to HCP offices and staff• Provided billing and coding updates to HCP for buy and bill products• Provided education and knowledge in commercial and government reimbursement/access• Actively supported field sales and case manager efforts to support patients and HCP offices• Specialty pharmacy reimbursement assistance and education• Acted as a key liaison between HCP office, sales, PSP teams, and Hub• Launched and provided access and reimbursement services for 1st in class Cardiology medication partnered with Bristol Meyers Squibb

Mar 2021 - Present

Field Reimbursement Manager

Current

• Provided assistance with patient reimbursement challenges with HCP • Educated HCP on payor landscapes including Medicare and commercial plans• Collaborative effort with the internal support program/hub• Remote and In-Office interaction and education assistance on patient support program to HCP offices and staff• Provided billing and coding updates to HCP for buy and bill products• Provided education and knowledge in commercial and government reimbursement/access• Actively supported field sales and case manager efforts to support patients and HCP offices• Specialty pharmacy reimbursement assistance and education• Acted as a key liaison between HCP office, sales, PSP teams, and Hub• Launched and provided access and reimbursement services for 1st in class Cardiology medication partnered with Bristol Meyers Squibb

Mar 2021 - Present

Senior National Clinical Training Specialist

• Provided in Clinic Training support for Physicians, Nurses, and new liasons in specialty clinics• Provided classroom training for all new liasions and pharmacy technicians in specialty clinics• Coordinated training scheduled for New liasions • Developed training materials for liasions and pharmacy technicians working with specialty clinics• Provide regular review of Prior Authorization and Finacial Assistance log and therigy for new liasons• Conduct both new hire and ongoing functional training as well as quality assurance audits, primarily but not limited to our Pharmacy Technicians, Patient Support Center Representatives, and Pharmacy Liaisons• Provide Classroom Training for all new liaisons and pharmacy technicians, whether in the PSC or a partner pharmacy• Provide "Liaison Perspective" training for new Pharmacists and other members of the Shields Business team when requested• Provide In Clinic Training support for new liaisons• Provide continuing education for existing liaisons and PSC technicians• Develop written training materials covering all key components of Liaison, pharmacy technician and PSC work• Best Practices for Prior Authorization Log• Best Practices for Financial Assistance• Best Practices for Therigy• Best Practices for working with TelemetryRX• Best Practices for in-pharmacy technician responsibilities• Coordinate Training schedule for New Liaisons with Senior Manager of Patient Services and Liaison Managers• Develop training Program for National Integration Liaisons• Develop training Program for Liaison Managers (Manager of Patient Services)• Continue to Develop and coordinate efficient Liaison/PSC Technician/Pharmacy Technicians Training Program in collaboration with Director of Training, Senior Director of Pharmacy Services, Regional Liaisons and Liaison Managers• Provide regular review of PA/FA log and Therigy for new liaisons

Apr 2020 - Mar 2021

Field Quality Review And Audit Analyst

• Examine and interpret pharmacy records efficiently and effective against submitted claims data for potential discrepancies• Conducting pharmacy network audits to ensure compliance with government regulations and decrease fraud• Conduct onsite audits in a professional and respectful manner• Use prescription knowledge to review pharmacy submitted documentation against submitted claim data• Make confirmation calls to pharmacies prior to audit date• Research board of pharmacy regulations as well as state and federal laws as they relate to prescription requirements and pharmacy practices• Develop and produce reports as required to meet needs of department management. • Review and analyze claims data against pharmacy policy/procedures to determine fraudulent or incorrect billing• Analyze pharmacy claims data for discrepancies and fraud, waste, and abuse• Prepare for and participate in client communications, including conference calls and on-site meetings to present status updates and ongoing issues/results of completed audits.• Provide education to pharmacies during audit process• Coordinate schedule and travel to attend onsite audits

Jul 2018 - Jan 2020

Game Day Fan Services

• Proactively offer assistance and respond to the needs and questions of all fans in attendance at Chicago Bears home games at Soldier Field• Contribute assistance around Soldier Field for a safe and enjoyable game day for fans• Communicate policies succinctly and positively• Create a welcoming environment for fans across all demographics• Provide fans with a high level of customer service by demonstrating our “Fans First” attitude

Jul 2018 - Dec 2019

Academic Patient Care Advocate

Chicago, Il

• Serve as a primary liaison between provider clinics, patients, pharmacy, and sales representatives for reimbursement and billing solutions for multiple high-cost medications billed to private (Medicare, Medicaid) and public payers. • Provide benefits investigation, prior authorization and appeals support for numerous provider clinics • Communicate directly with healthcare staff (physicians and nurses) and clinics (i.e.: Rheumatology, Dermatology, Gastroenterology, Neurology, Urology, Oncology, Infertility, Infectious Disease, Hepatology, Obgyn, Transplant, and Cardiology) regarding reimbursement and patient access • Assist provider clinics with reimbursement for specialty pharmacy and buy and bill medications • Assist patients with copay/financial assistance support programs and applications for company sponsored medication assistance programs • Screen for adverse drug events and adherence to regimen • Participate with Marketing Committee to develop marketing tools for advertising • Participate in team and leadership development meetings and seminars • Participate with URAC, Process Improvement, and Quality Committee’s to develop workflow procedures, accreditation, and daily operations • Medication Inventory Management • Work cross functionally with various department managers to gain experience and knowledge of current initiatives • Manage day to day activity to ensure appropriate coverage for business and coordinate with various managers to complete numerous activities • Lead onsite "New Employee Training" to familiarize technicians with workflow and processes that ensured standardization and organized training schedules • Provide coaching/education support to staff to achieve high end customer service and efficiencies, while helping to identify individual improvement • Identify ways to improve daily operations and create a positive working environment

Apr 2015 - Jun 2018

Senior Certified Pharmacy Technician

• Provided advanced pharmacy technician services• Managed specialty drug and supply inventories• Trained and supervised staff technicians• Effectively resolved chargebacks and other insurance rejections/billing issues• Serviced multiple incoming calls while operating out window• Assisted with PBM audits• Accurately entered, processed, filled and dispensed a high volume of specialty and controlled prescriptions per day in a hospital setting• Regularly stocked shelves, rotated stock and checked for expired medications• Worked closely with staff pharmacist to provide excellent patient care• Efficiently delivered medications bedside to inpatients• Closely monitored department performance metrics

Aug 2011 - Dec 2014

Administrative Assistant

Century 21 Pro Team

Handling High volume calls and directing to the correct agent or department.Calling and setting up showing appointments for real estate listings.Typing spreadsheets and notices for the agents.Directing potential sellers or buyers to the right agent.Faxing and e-mailing documents to the correct department or agentOrganizing and filing important documents.Processing sales and paperwork for real estate classes and property.Helping agents with necessary duties they may need.Scheduling Meetings and ConferencesOrdering SuppliesInput listings on MLS softwareUploading digital pictures for the listingGreeting ClientsAdministrative duties to an office over 50 agents

Sep 2009 - Oct 2011

Personal Assistant

Truman Group
Sep 2010 - Dec 2010

Production Assistant

Nbc Judge Mathis And Pirro Show

Collecting evidence and legal documentsHelp Lawyer backstage with all legal documents and evidenceOrganize and file legal documents and paperworkAny administrative duties for all Production staffGuide Plaintiff and Defendants to correct stage room and set-upRun personal assistant errands of any type for JudgesHelp research and book new cases for the show

Jun 2010 - Dec 2010
Team & coworkers

Colleagues at CoverMyMeds

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1 education record

Tenae Shaffer, Cpht education

FAQ

Frequently asked questions about Tenae Shaffer, Cpht

Quick answers generated from the profile data available on this page.

What company does Tenae Shaffer, Cpht work for?

Tenae Shaffer, Cpht works for CoverMyMeds.

What is Tenae Shaffer, Cpht's role at CoverMyMeds?

Tenae Shaffer, Cpht is listed as Field Access and Reimbursement Manager at CoverMyMeds.

Where is Tenae Shaffer, Cpht based?

Tenae Shaffer, Cpht is based in Greater Chicago Area, United States while working with CoverMyMeds.

What companies has Tenae Shaffer, Cpht worked for?

Tenae Shaffer, Cpht has worked for Covermymeds, Mckesson, Shields Health Solutions, Express Scripts, and Chicago Bears.

Who are Tenae Shaffer, Cpht's colleagues at CoverMyMeds?

Tenae Shaffer, Cpht's colleagues at CoverMyMeds include Andrea Colburn, Vickie Andros, Lea Sanders, Mj Dorony, and Ben Dickson.

How can I contact Tenae Shaffer, Cpht?

You can use AeroLeads to view verified contact signals for Tenae Shaffer, Cpht at CoverMyMeds, including work email, phone, and LinkedIn data when available.

What schools did Tenae Shaffer, Cpht attend?

Tenae Shaffer, Cpht holds Marketing from Chicago State University.

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