Juliette Radatz
Chula Vista, CA *****
ad4fwa@r.postjobfree.com
Work Experience
Patient Access Advocate
Covance - San Diego, CA
July 2018 to Present
· Key Responsibilities
· Build and maintain relationships with patients, providers, or other key stakeholders ensuring their best interests are met. Proactively keep them informed of progress, issues, and other important updates. Travel to regional stakeholders may be required.
· Act as a patient advocate by identifying all possible avenues of coverage. Ensure that any existing barriers impeding a needed therapy are identified and necessary steps are taken to remove them.
· Manage and respond to incoming calls and determine how best to meet the needs of the customer. Ensure calls are documented per established guidelines and procedures.
· Provide oversight and guidance on the transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.
· Assist with training new Patient Access Advocates by shadowing/reverse shadowing them.
· Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct, concise language.
· Other duties as assigned.
Program Specialist
Covance - San Diego, CA
June 2018 to January 2021
· Key Responsibilities
· Quickly and effectively respond to incoming calls and faxes, identify how best to assist.
· Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
· Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications.
· Process patient applications of various complexities, and follow the programs specifications to determine their eligibility. Place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary.
· Liaise with partner distributors and pharmaceutical manufacturers to request products per the program’s guidelines and track shipments.
· Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.
· Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate.
· Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the program’s tracking system.
· Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language.
· Other duties as assigned.
Education
High School Diploma
School Montgomery High School - Chula Vista, CA
PIMA Medical Institute - Chula Vista, CA
Skills
• Insurance Verification
• Patient Care
• Medical Billing
• Medical Records
• HIPAA
• Medical Terminology
• Microsoft Word
• Microsoft Excel
• Medical Coding
• Office Administration
• Salesforce
• Siebel
• Typing
• SharePoint
• Windows
• Customer service
• Medical Scheduling
• ICD-10
• Call center (4 years)
Awards
CQM Empathy Award
2018
Mini Pink Flamingo Award
2019
Team Player
2022
Quarterly Employee of the month award
September 2022