Charle White

Facilitated patient access to treatments by navigating insurance and financial assistance complexities.

Acted as primary contact for patients, caregivers, and providers throughout reimbursement processes.

Conducted benefit investigations and secured prior authorizations for medications and treatments.

• Assisted patients in accessing co-pay assistance programs and patient assistance programs (PAP).
• Maintained communication with healthcare providers, insurance companies, and stakeholders for timely reimbursements.
• Resolved reimbursement issues through effective problem-solving and appeals management.
• Documented interactions, investigations, and resolutions to ensure accurate record-keeping.
• Adhered to HIPAA regulations while following company policies in all processes.

• Collected and reviewed patient insurance information to assist office staff with timely completion of all insurance forms.
  Managed reimbursement claims by communicating effectively with insurance companies, patients, and healthcare providers.
  Maintained up-to-date knowledge of insurance policies and regulations to ensure compliance.
  Provided support for benefit investigations and prior authorizations in accordance with third-party payor requirements.

• Receives and process medical requests for patients health information in accordance with company and facility policies.
• Maintaining confidentiality and security with all privileged information.
• Maintaining working knowledge of company and facility software.

• Responsible for retrieving medical records on demand.
• Maintaining patient records, organizing Miles, searching for patient Miles, reporting to medical staff, and solving inconsistencies.

• Patient/family advocate to assist with needs and/or concerns, which included investigations, mediation and resolution management.
• Effective communication between clinical liaisons and other health care staff.
• Having effective time management when setting up a patient admission to the health care facility.

• Reviewing medical records and collecting data according to the specifications with the health care facility guidelines.
• Data collecting can include patient's demographics and other data elements.
• Entering data into an Abstracting software and following all procedures and processes.
• Also maintain the security and the confidentiality of the medical records.