Remote Customer Support Specialist resume title: Remote Customer

BRIANNE CAMPI

Ewing, NJ • 609-***-**** • **************@*****.***

PROFESSIONAL SUMMARY

Patient Access & Case Management Specialist with 10+ years of experience navigating complex reimbursement pathways, coordinating specialty medication access, and managing high-volume benefit verifications across pharmaceutical, clinical, and provider settings. Proven success reducing access barriers by 15–30% through denial analysis, payer-criteria review, and collaborative problem solving with HCPs, payers, and specialty pharmacies. Skilled in prior authorization strategy, Medicare/commercial payer navigation, DUR and MTM review, appeals support, clinical trial coordination, and HIPAA-compliant documentation. Known for improving reimbursement outcomes, accelerating therapy initiation, and delivering patient-centered support across the full access-to-therapy lifecycle.

PROFESSIONAL EXPERIENCE

Access Specialist Cycle Pharmaceuticals 04/2025 – 11/2025 NJ

- Managed 15–20 benefit verifications daily, ensuring Medicare/commercial payer compliance and reducing claim delays by 30%.

- Coordinated specialty medication access between HCPs, payers, and specialty pharmacies, decreasing triage times by 20%.

- Analyzed denial patterns and recommended process improvements, increasing reimbursement success by 15%.

- Educated providers on documentation and PA requirements, reducing preventable denials by 10%.

- Conducted drug utilization review (DUR) for specialty therapies to ensure alignment with payer medical-necessity criteria.

- Maintained full HIPAA compliance across reimbursement, copay, and patient-support workflows. Patient Access Specialist Novartis 12/2022 – 04/2025 East Hanover, NJ

- Completed 15–20 benefit investigations daily, delivering accurate coverage results to HCPs within 24–48 hours.

- Reduced access barriers by 25% through root-cause analysis of denials and collaborative resolution with provider offices.

- Advised HCPs on coding, documentation, and CMS/commercial payer requirements, reducing rework and improving claim outcomes.

- Monitored Medicare/commercial policy changes and communicated updates to stakeholders.

- Performed payer-criteria reviews supporting DUR and screening for clinical trial eligibility.

- Ensured 100% HIPAA compliance in all patient-access functions. OPM Program Speaker (Aimovig) Amgen 05/2018 – 07/2022 NJ

- Delivered 100+ educational programs to HCPs on CGRP medication access, reimbursement pathways, and payer documentation requirements.

- Reduced post-launch access barriers by 15% by addressing PA, coverage, and benefit-design challenges.

- Contributed to product-launch strategy by providing insights to medical, marketing, and market-access teams.

- Provided compliant pharmacovigilance messaging and reinforced proper adverse event reporting processes.

Medical Administrative Assistant Mid Jersey Orthopedics 05/2004 – 11/2020 Flemington, NJ

- Completed 25+ daily benefit verifications and achieved 88–90% PA approval rates for medications and procedures.

- Performed DUR, MTM, and patient counseling for specialty medications.

- Managed billing, claims submissions, and appeals in compliance with CMS and commercial payer rules, improving financial recovery by 20%.

- Supported clinical trial processes, including documentation, payer verification, and patient communication.

- Led administrative staff and trained team members on HIPAA, billing compliance, and reimbursement workflows.

- Assisted with pharmacovigilance responsibilities, ensuring accurate and timely adverse event reporting.

SKILLS

Benefit Investigations, Prior Authorization, Revenue Cycle Optimization, Specialty Medications, Drug Utilization Review (DUR), MTM, Reimbursement Strategy, Coding & Documentation Education, Medicare & Commercial Payer Policy, Denial Analysis, Appeals Support, HIPAA Compliance, Pharmacovigilance, Patient Counseling, Clinical Trial Coordination, Cross-Functional Collaboration, EMR Systems, Microsoft Excel & Word

EDUCATION

Rochester Institute of Technology — B.S., Technical Communications and Writing (2010)

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