Network Operations and Patient Access Specialist

NETWORK OPERATIONS SPECIALIST, WELLTRANS APRIL ***4 – CURRENT

• Oversee user experience for Anthem Medicaid Members in our Passenger Portal

• Validate and approve registration requests for web portal access; verify insurance coverage and handle patient data in compliance with HIPAA.

• Review and approve Indiana Health Care Programs (IHCP) transportation bookings in compliance with Anthem Medicaid and Medicare plans.

• Oversee the processing of prior authorizations in accordance with clinical, state, and corporate policies

• Manage caseloads efficiently to ensure timely processing.

• Develop training materials for use upon department expansion; navigate dynamic start-up environment

AMBASSADOR RESOURCE SPECIALIST, ABBVIE NOV 2022 – OCT 2024

•Oversaw national program direction for nearly 600 pharmaceutical patients across three of AbbVie’s brand campaigns in the Complete Patient Assistance Program: Rinvoq, Skyrizi, Humira

•Managed patient communications and demonstrated the value of the Complete Program in each patient’s treatment journey; Guided their participation for positive treatment outcomes and provided psychosocial support as needed.

•Analyzed barriers to successful treatment to create interventions for improved care, bridge access to necessary treatment resources and insurance claim assistance.

•Maintained accurate documentation of adverse events in compliance with FDA regulations.

SENIOR MEMBER ADVOCATE, WELLTRANS APR 2021 – JUN 2022

•Mentored advocate team in handling complex member situations

•Acted as subject matter advisor, ensuring adherence to company policies, contract requirements, and state regulations in resolving member issues.

•Coordinated medical transportation services for Anthem Medicaid members, ensuring timely and efficient service.

•Thrived in a dynamic startup environment by adapting quickly to operation changes and evolving member needs.

PHARMACY TECHNICIAN, WALGREEN’S 2016-2017

•Helped process prescriptions, label medications, and keep inventory organized

•Maintained accuracy when counting, entering patient information, and preparing medications

•Assisted patients with questions and provided prompt, warm service.

•Adhered to safety and privacy rules, including HIPAA and proper medication handling

CERTIFIED NURSING ASSISTANT, GREENWOOD MEADOWS 2015-2016

•Provided ADL support (bathing, grooming, toileting, mobility) while maintain patient safety, comfort, and dignity.

•Recorded vital signs, intake/output, and patient observations in EMR; reported changes to LPN/RN.

•Delivered patient care according to care plans, infection-control protocols, and HIPAA guidelines

•Supported Memory Care patients through tailored activity, orientation, and gentle behavioral guidance.

CHEYENNA LAMB

CONTACT

************@*******.***

https://www.linkedin.com/in/cheyennalamb/

317-***-****

Indianapolis, IN

STRENGTHS

•Relationship-Building

•Impactful Communicator

•Discerning

•Creatively Resourceful

•Teachable

EDUCATION

IVY TECH COMMUNITY COLLEGE

Associate of Science, Radiation Therapy, 2021

Patient care, pathology and treatment principles, radiation physics, safety, and ethics.

CENTRAL NINE CAREER CENTER

Certificate,

Biomedical Science, 2013

Research, case study collaboration, conduction of scientific experiments, and collaboration on a grant proposal to fund Fibromyalgia research.

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