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Service Representative Case Manager

Location:
Buckeye, AZ, 85326
Posted:
March 14, 2023

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Resume:

Lee Ann Wagner

Buckeye, AZ *****

advwg0@r.postjobfree.com

+1-903-***-****

Authorized to work in the US for any employer

Work Experience

Case Manager/Patient Assistance Councelor

McKesson through RemX - Scottsdale, AZ

November 2021 to Present

Trained with the Organon Program as a Case Manager calling for Benefit Investigations and working cases to get approved through the copay assistance program and was then transferred to the Amgen Safety Net Foundation Program to process cases and currently working the phones answering inbound and making outbound calls to assist patients with questions about their applications for Specialty Medications. Finally, I have spent the last 10 months with the Cosentyx Connect Personal Support Program working as a Case Manager. I worked the Region for Michigan, Delaware, Virginia, and Maryland. I would call the patient’s insurance to check the status of any Prior Authorizations or Appeals daily that would be needed to try to get the patient approved for their medication. I would perform Benefit Investigations when needed and would work all the cases daily until I was able to get the patient approved or into a program that could help the patient if the insurance would not approve them. I would also answer calls coming in from both patients and Health Care Providers and answer any questions they would have on a case even if it was not my case. We had a Team Chat where I would also help other Case Managers with any questions they might have about a case they were working on. Working from home required discipline and organization and I am a self starter once I have been trained. Working for Cosentyx has been by far the most rewarding job that I have had the honor of working for because I was able to help a lot of people get a life altering medication that most would never be able to afford. Patient Service Representative

VALLEY UROLOGIC ASSOCIATES - Goodyear, AZ

November 2018 to Present

Check patients in and collect copays, balance copays collected to computer receipts, moved to the phones where I answer up to approximately 150 or more calls to schedule patients for 9 Doctors and send tasks and messages to Medical Assistants, Reviewers, and Surgery Schedulers to assist patients with their needs and answer their questions and assist them with all their needs, and print out and fax medical records in accordance to HIPPA.

Travel Receptionist

Pulmonary Specialist of Tyler

December 2014 to Present

I made sure patient charts were ready for the next working day including insurance verification and what each patient would owe with copays, coinsurance, and out of pockets charges. Checked patients in and out, schedule appointments and follow up appointments and balance all money at the end of each day manually to the computer generated receipts.

Eye Technician/Insurance

Dr Gene Bennett

October 2010 to December 2014

I would schedule appointments, check patients in and out and collect any fees they may owe at time of service. Balance cash drawer to reports, verify insurance on all charts the day before and file the claims after the appointments. I would check in and tray all contact lense orders and call patients to let them know their order was ready for pickup. I would make deposits and take to the bank when the Office Manager would be out of the office.

Health Care Provider

Jordan Health Services

January 2009 to October 2010

I would take care of individuals who couldn’t take care of themselves. I would clean their homes, cook, and bathe them.

Substitute Teacher

Gonzales ISD - Gonzales, TX

August 2004 to May 2007

Stand in for any teacher who would be out for the day. I also did long term substitution for a teacher if they were out for extended periods of time.

Office Manager/Bookkeeper

Orkin Pest Control - Tyler, TX

August 1994 to June 1999

Printed all tickets for the Technicians everyday for the next day service, enter and balance all money from mail and what Technicians would collect and balance out at the end of the day. Handled all bad debt collections.

Assistant Treasurer

Smith County Treasurer - Tyler, TX

January 1990 to August 1994

Handled all County monies and printed checks for all accounts payables. Handled Texpool account transfers to cover Alaccojnts payables. Reconciliation of all County department accounts. Education

Diploma

Whitehouse High School

Skills

• Medical office experience

• Computer skills

• Insurance verification

• Medical scheduling

• HIPAA

• EMR Systems



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