ROBIN H SCOTT

**** ******** ***** *** *** *-C

Raleigh, NC 27616

984-***-****

ad43px@r.postjobfree.com

OBJECTIVE To become employed with a company that will utilize my skills and passion for the advancement

of healthcare, as an experienced Administrative Professional with over 10 years of strong Data

Entry, Medical Coding, and Medical Administration experience

SKILLS Microsoft Office Suite Administrative skills

ICD-9, ICD-10, CPT-4, HCPCS Coding

Medical Records Experience

Home Healthcare

Customer Service Medical Terminology

Medical Billing Claims

Medical Software (CPR+)

EXPERIENCE June 2023- March2024

Account Coordinator-Cover My Meds by McKesson Corporation

Strong Account Coordinator with strong track record of performance in fast-paced work environment.

Expertise in data entry, records management, and account management .[ Salesforce, Verient, Citrix, Teams, Slack, Confluence, Hubble, Right Fax, and Five 9] and familiar with computer, fax machine and scanner operations. Methodical and Communicative Professional Committed to delivering Unparallel office Support and achieving or exceeding daily goals.

Follow up with Patient’s Prior Authorizations for Prescriptions

Follow up with Appeals for Denied Prior Authorizations for Prescriptions

EXPERIENCE November 2022-June 2023

Patient Access Representative—Biologics By McKesson Corporation

Perform the appropriate processes to answer manufacturer customer service lines

Refer patient s to copay assistance programs and perform the free drug eligibility,enrollment and

Coordination for manufacturer Patient Assistance Programs (PAP) in accordance with company policies and Procedures

Enter all communication and documentation in the Biologics MIS

Utilize all available resources to secure copay assistance funding for patients in need of financial assistance

Communicate with providers regarding patient updates and document in the Biologics MIS

Educate MDO and patient on available manufacturer assistance programs, when other assistance is not available

Manage inbound calls from patients, clients, physicians, practitioners and clinics regarding inquiries about order status, services provided, financial support options

Initiate the pharmacy dispensing workflow when the insurance and assistance outcome has been determined.

Triage prescriptions to preferred pharmacies or hub providers when Biologics is unable to serve the patient.

Other related duties as assigned by Supervisor

Identify and report adverse events (AEs) and product complaints (PCs) to clinicians

EXPERIENCE August 2022-November 2022

Benefits Representaive II-Conduent

Answer Inbound calls from Retirees

Process any administrative work for Retirees Accounts

Update any information ( Change of Address, New Financial Institution and Accounts, Deaths)

Advise Clients of their monthly annuity upon retirement based on plans chosen.

EXPERIENCE September 2021-March 2022

Contact Tracer-Medical Edge Recruitment

Notify contacts provided by the patients who have tested positive for Covid-19.

Trace and Monitor contacts of patients who have tested positive for Covid-19 utilizing the CCTO tool.

Support the contacts in many ways to include discussing effective ways to quarantine to prevent

additional transmission of the virus and providing resources available in the community.

Actively listening and providing empathy and compassion.

Providing vaccine support and awareness to contacts and cases.

August 2019-September 2021

Intake and Triage Coordinator

Review and ensure all incoming forms are complete and legible

Case Management tasks such as: Approvals, Denials, Benefit Investigations, and RX Triage

Ensure timely processing of all forms/referrals based on pre-set program requirements

Create new patient profiles or accurately associate correspondence to existing patient profiles

Create case reports and ensure they are forwarded to the appropriate Care Coordinator for finalization

Work closely with internal team members to appropriately manage and resolve issues (Program

Specific)

Understanding of HIPAA and the importance of confidentiality for patient and proprietary information

(Program Specific)

February 2018 - August 2019

Data Entry Operator NC Quick Pass Morrisville, NC

Maintain high-sensitive data

Enter State Abbreviations and License plate numbers

January 2017 - August 2017

Medical Data Collection Specialist RTI Raleigh, NC

Recorded payments for patient visit dates and services

Entered ICD-9, I CD-10, CPT4, HCPCS codes for dates of services for current and previous years

Reimbursement for all insurance carriers including Medicaid, Medicare and Tricare.

EDUCATION

Envisionary I Care, Garner, NC - Certification of Completion

December 2005

ICD-9, I CD-10, CPT-4, HCPCS coding

Medical Terminology/Medical Administration

Medical Billing and Reimbursement

FIELD RELATED CERTIFICATIONS, ACHEIVEMENTS AND COMMUNITY SERVICE

CMAA Certification 2005-2007 (1688-7533)

Wake Med Occupational Health& Safety Services Volunteer (2005)

Accounts Receivable Certification (Apria Healthcare) 2007

Medical Billing and Coding Program Certificate 2/21/2015

Contact this candidate