Case Manager Patient Access
Resume:
CONTACT
Rock Hill, SC *****
**********@*****.***
PROFESSIONAL SUMMARY
Dynamic Case Manager with a history at
Cencora, adept in developing
comprehensive care plans and reducing
medication cost denials. Excelled in
customer care and complex problem-
solving, training team members, and
ensuring data integrity. Achieved
significant improvements in patient access
and service quality, leveraging skills in
electronic filing systems and patient
assessments.
Accomplished and certified professional
with expertise in managing complex
caseloads and connecting clients to
appropriate resources. Proven ability to
build and maintain productive
relationships with clients, stakeholders,
and service providers. Skilled in analyzing
client needs, developing effective service
plans, and providing compassionate
person-centered care.
Hardworking professional with experience
in office operations, administrative
support,scheduling and customer service.
Highly organized and self-motivated with
excellent communication and
interpersonal skills. Demonstrated ability
to prioritize tasks and meet deadlines.
SKILLS
■ Service Quality
■ Special Projects
■ Excel Spreadsheet Functions
■ Patient referrals
■ Patient status assessment
■ Multitasking
■ Organizational Skills
■ Decision Making
■ Logistics Coordination
■ Adaptability and Flexibility
SELIMA AHIALAKA
EXPERIENCE
Case Manager/ PA Consultant/ AR-SA Liaison Cencora - Fort Mill 11/2019 - Present
Developed highly effective communication with Providers/Patients and other healthcare professionals to develop comprehensive patient care plans with high-quality care
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Established assessment to identify key areas of services provided within Welcome calls, PAP (Patient Assistant Program), IAP (Interim Access Program), Copay, and Alternate coverage/ Medicare helped to reduce denials of medication cost
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Met directly with patient to assess needs and develop individualized continuing care plan in collaboration with physician.
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Developed and implemented comprehensive case management plans to address client needs and goals
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■ Supported AR Season as SAL (Support Associate Liaison) for 2 years
■ Trained new team members in policies and procedures
■ Observed strict procedures to maintain data and plan participant confidentiality. Coordinated meetings between clients, family members and other health care providers involved in the treatment process.
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Evaluated client eligibility for government benefits or entitlements such as Social Security Disability Insurance.
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Manager Taxes Services - Rock Hill
01/2009 - Present
Accomplished multiple tasks within established Federal and State tax deadlines and oversee 15 clients, this also includes any questions customers have
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■ Established up-to-date knowledge of product and service changes. Customer Service Representative HealthGram - Charlotte 10/2018 - 09/2019
Performed 65-90 calls, emails, and faxes per day, addressing customer inquiries, solving problems, and providing product information
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Senior Caregiver PRN Nurse Staffing - Rock Hill
05/2018 - 10/2018
Monitored 25 clients' vital signs, and administered medications and document important health information.
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EDUCATION
Associate of Science: Health And Human Services
Ultimate Medical Academy Online Operations - FL, 01/2002 Associate of Science: Criminal Justice
ITT TECHNICAL INSTITUTE - NC, 01/2006
CERTIFICATIONS
Global Recognition Award for being a team player
Achievement Awards/ Certificate of Recognition
Global Recognition Bronze Award
Global Recognition Award for shift training
The Presidents National & Community Service Award
Achievement Award/ Certificate of Volunteer Service Outstanding Job Award for competing BV Case correctly point system
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