Qiana Peebles

Dedicated healthcare professional with extensive experience in case management and reimbursement processing. Known for strong leadership and problem-solving skills, driving efficient communication among patients, providers, and insurance companies to ensure optimal patient care.

SR. Patient Coordinator - Eversana Pharmacy - St Louis, MO

(2023-02 - 2026-06)

Serve as Primary Point of contact for Patients, Managing Onboarding account set up,and ongoing treatment set up.

• Coordinated patient care , ensuring timely medication delivery and adherence to treatment plans.
• Streamlined communication between patients, healthcare providers, and insurance companies to resolve issues efficiently.
• Conduct insurance benefit investigations manage Prior Authorizations.
• Assist patient with Financial assistance programs to minimize delays in therapy.

Benefit Coordinator - Beacon Hill Staffing - Saint Louis Mo

(2022-09 - 2023-01)

• Coordinated benefits enrollment processes for new and current employees, ensuring compliance with company policies and regulations.
• Developed and maintained relationships with vendors to optimize benefit offerings for employees.
• Coordinated benefits enrollment processes ensuring compliance with company policies and regulations.
• Streamlined communication between departments regarding benefits administration, improving workflow efficiency.

Reimbursement Specialist/Case Manager - United BioSource Corporation/ Express-Scripts - Saint Louis, MO

(2014-04 - 2020-07)

• Manage a caseload to ensure timely processing of Benefit verification , Prior Authorization & Appeals.
• Act as single point of contact for Patients, providers,and reimbursement stakeholders.
• Implemented process improvements that reduced claim denial rates, increasing overall reimbursement efficiency.
• Report Drug Adverse Events that have been experienced by the patient in accordance to pharmaceutical requirements.
• Analyzed reimbursement claims to ensure compliance with regulatory guidelines and internal policies.

Associate of Science - Medical Billing And Coding - Allied College (2004-10)