Case Management

CHERYL LEACH

Raleigh, NC ***** 919-***-**** ad5dlt@r.postjobfree.com

PROFESSIONAL EXPERIENCE

Biogen Pharmaceuticals, Raleigh, North Carolina April 2020 – October 2023

Senior Case Management Coordinator/Universal Patient Services Coordinator/Interim Case Management Coordinator/Mentor

Processing Enrollment Forms from Providers to Start Patients on Therapy,

Assisting with Prior Authorization Processes and Pull Through, Complying with

REMS, and Resolving Reimbursement Issues with Infusion Sites

Multiple Sclerosis Investigator for Compliance, Investigating Adverse

Events and Maintaining Compliance with Stakeholders working Directly

with the Quality and Compliance Regulatory Team

Coordinating Weekly Analysis Sales Reports and Working Directly with

Sales Field Team for Assistance with Doctor’s Offices and Pull Through of

Patients to Start, Remain and Stay on Therapy

Adhering to Compliance, Standard Operating Procedures, and Quality

Metrics

Assisting Patients with Starting Therapy, Resolving Reimbursement Issues,

Prior Authorization Processes, and Switching Infusion Sites as well as

Healthcare Providers

Reporting and Complying with FDA for Adverse Events and product

Complaints, while Educating Patients on Processes of Replacement Doses

Working with Biogen Business Partners to Service Customers with

Financial Assistance Programs, Billing, and Nurse Educators

KinderCare Learning Centers, Raleigh, North Carolina July 2019- February 2020

Subsidy Tuition Field Coordinator I

Process and Maintain Authorizations, and Secure Reimbursements

Accounts Receivable Tasks; Process Reconciliations, Transfers, Discounts, Adjustments, and Rebill/Refund Opportunities; Audit and Reconcile Center Financial Records and Prepare Audit Documentation

Review Attendance Documents and Complete Billing Process

Prepare and Distribute Reports, Monitor for Unusual Items and Resolve and/or Escalate Issues

Build Effective Relationships with Our Families, Field Operations and Child Care Agencies

Obtain Agency Contracts and Review All Agency Requirements

Workplace Options, Raleigh, North Carolina June 2007 – July 2019

Back-Up Care Advantage Specialist/Child Care Consultant

Triage Incoming Calls

Educate Clients on Back-Up Care Program and Policies

Registration and Intake Processing

Pre-authorizations, Collect Payments, Invoicing, Reimbursements

Schedule Back-Up Child Care

Perform Telephone and Web Consultations

Complete Case Research to Locate Child Care Providers

Provide Confirmed and Customized Referrals to Employees within Required Turn-Around Times

KinderCare Learning Centers, Raleigh, North Carolina June 2002 – June 2007

Pre-Kindergarten Lead Teacher

Plan and Implement Activities that Promote the Social, Physical, and Intellectual Growth of Children

Maintain the Care, Hygiene, and Education of Children

Communicate with Parents, Director, and Peers

Maintain Classroom Records, Cleanliness, and Organization

Complied with KLC and Governmental Regulations Regarding the Care of Children

EDUCATION

Western Governors University, Millcreek, Utah 2023 - Present

Accounting

Vision Medical Billing Service, Raleigh, North Carolina 2015

Medical Billing

Medical Billing Part I and II

North Carolina State University, Raleigh, North Carolina 1999 – 2001, 2011 – 2012

Mathematics Education with Specialization in Mathematics

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