Field Reimbursement Manager at MCKesson (2026-09 – Present)
- Territory Management — Oversee assigned region, supporting providers with reimbursement and patient-access challenges for a specialty therapy.
- Reimbursement Expertise — Delivered guidance on Benefit Investigations, Prior Authorizations, claims troubleshooting, appeals, billing/coding updates, medical benefit interpretation, and patient assistance programs.
- Provider Education — Conducted ~15 weekly on-site/virtual trainings (Lunch & Learns, office presentations) on payer processes, coverage criteria, and support-center services.
- Relationship Building — Built strong partnerships with physician offices and manufacturer representatives to align services with customer needs.
- Case Collaboration — Worked with case managers on ~4 cases/month plus ad-hoc escalations; documented all interactions in CRM and hub systems.
- CRM & Reporting — Logged daily activities in FRM CRM; produced weekly management updates and monthly/quarterly client-facing trend reports.
- Program Performance Monitoring — Tracked territory metrics via CRM dashboards; supported client surveys and integrated feedback into performance insights.
- Account Coordination — Scheduled provider appointments, completed outbound calls, assisted with backlog casework, and maintained detailed account profiles.
- Cross-Functional Collaboration — Partnered with internal hub teams to resolve provider needs and ensure alignment with client expectations.
- Travel & Training Delivery — Traveled across territory to conduct site visits, manufacturer training, and educational events.
Patient Access & Support at CareMetx, LLC & United Bio Source (2021-11 – Present)
Acts as a single point of contact and voice for all providers and patients. Works as a patient advocate and always demonstrates compassion.
- Serves as a patient advocate and enhances the caller/contact experience
- Coordinates access to therapies, conducts appropriate follow up and facilitates access to appropriate support services
- Manages case load depending on the parameters of the program
- Collects and review all patient information, to the degree authorized by the SOP of the program
- Validates completeness of all required information and provides assistance to provider and/or patient
- Provide guidance to physician office staff and patients on how to complete and submit all necessary program applications in a timely manner
- Determines patient's eligibility and conducts patient enrollment activities (example patient assistance programs and copay assistance)
- Performs reimbursement related activities such as benefit investigations, prior authorizations, appeals
- Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
- Maintain frequent phone contact with patients, provider representatives, third party customer service representatives and pharmacy staff
- Provides reimbursement information to providers and/or patients
- Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP)
- Coordinate with inter-departmental associates as necessary
- Work on problems of moderate scope where analysis of data requires a review of a variety of factors
- Exercise judgment within defined standard operating procedures to determine appropriate action
- Extensive knowledge of HIPAA regulations and follows all company policies
- Perform related duties as assigned
Individualized Care, Case Manager, Patient Access & Support clinical operations at Cardinal Health (2013-06 – 2020-03)
Work directly with Multiple Physician's Clinic's, Hospitals, Insurance Companies & Pharmacies, Oncology & Dermatology Benefit Investigations.
- Verify Major medical and prescription insurance coverage for patient's medications and initiate electronic prior authorizations
- Patient Care Support for Patients complex diseases
- Intake of data into multi enrollment portals
- Detecting and helping the patient journey to detect and help prevent adverse events
- Billing and coding assisted with claims appealed coding errors claims tracking
- Incoming and outbound calls with phone cue and monitored phone and computer software
- Work directly with specialty pharmacies, pharmaceutical manufacturers, insurance vendors, local physicians and nurses
- Order new prescriptions and establish treatment plans for patients' medications
- Data entry/data processing
- Provide resources for co-pay assistance for patients
- File prior authorizations and appeals with the patient's health plans
- Hipaa Compliance
- Experienced in a business office within medical care delivery, hospital, insurance and a large contract center environment
Leasing Professional at Pinnacle Reality Management (2012-04 – 2013-06)
- Developed annual operating budgets and forecasts as well as sales and marketing plans
- Organize and plan annual budget meetings with all Regional Asset Managers and Property Managers to train on budget expectant for FI assets
- Handled compliance in reviewing monthly site meetings
- Touring prospects on 550 Unit community, marketing, screening all applicants through one site, real page, MRI, Yield star, strong leasing and closing skills with reports to show the increase of occupancy
- Prepare new leases for new residents, move in and move out inspections
- Contribute new ideas, solutions, and participate in brainstorming
Assistant Manager/ Leasing Agent at Zumot Real Estate Management LLC (2011-05 – 2012-04)
- Touring prospects on 325 Unit community
- Screen all incoming prospects by qualification standards, contribute new ideas, solutions, and participate in brainstorming
- Strengths are in closing Leases
- Prepare lease summaries of new tenants, renewals, and created spreadsheets
- Assist in reconciliation of monthly budget and variance report preparation
- Conducted off-site marketing and assisted in preparing marketing plans
- Establish and maintain master lease files
- Assisted and raised occupancy from 77% -98% leases and reduced turnovers
- Assisted with rent collections and delinquency contributed to sales and profits
- Answer client calls regarding various issues, dispatch maintenance personnel and vendors as needed
- Manage work order system including adding/changing new properties and dispatching work orders
- Prepare and coordinates monthly reports
Leasing Consultant at Newport Property Ventures (2010-09 – 2011-05)
- Screen all incoming prospects by qualification standards
- Contribute new ideas, solutions, and participate in brainstorming
- Prepare lease summaries of new tenants, renewals, Created spreadsheets and marketing flyers
- Assist in reconciliation of monthly budget and variance report preparation
- Conducted off-site marketing and assisted in preparing marketing plans
- Assisted with rent collections and delinquency contributed to sales and profits
- Manage work order system, dispatch work orders
- Prepare and coordinate monthly reports
- Prepare lease summaries of new tenants
- Prepare monthly tenant analysis
- Collect rent through preparation of standard correspondence and obtaining aging reports complaints and to resolve all issues effectively with a positive outcome
- Initiate package logs, vendor work orders, employee schedules
- Coordinate safety committee, sanitation meetings and food safety awareness meetings
- Marketing and corporate training coordinator for local businesses, new hires, Managements training
- Assisted managers maintain sales and traffic of guests
Assistant Manager at Ihop Restaurants (1997-10 – 2010-09)
- Overseeing staff, ensuring exceptional customer service, maintaining quality standards
- Managing inventory, implementing company policies, and optimizing profitability
