Jessica Roman
Carnegie
Summary
Highly motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
Specialty Pharmacy Liaison II
RareMed Solutions
Pittsburgh
08.2022 - Current
- Manage and report the referral/prescription process to and from RareMed to ensure timely and accurate triage, follow-up, and communication.
- Primary point of contact for client and customer inquiries, and escalations. Coordinate services with internal program operations and program management.
- Lead and facilitate conference calls with specialty pharmacy contacts and clients to monitor patient progress, reconcile data discrepancies, research missing data, handle inquiries, and provide updates as requested.
- Generate meeting agendas, capture meeting minutes, and maintain a log of all action items with specialty pharmacies.
- Work independently to complete assigned work in accordance with Standard Operating Procedures, and defined service levels.
- Focus on identifying and addressing gaps in processes to ensure exceptional quality of care.
Patient Case Manager
RareMed Solutions
03.2021 - 08.2022
- Primary point of contact and case manager for patient support, inquiries and escalations.
- Coordinates services with internal program operations and Program Management
- Conduct initial Welcome Call to patients informing them of available services
- Use of high-level problem-solving skills to research cases independently, using professional judgement to make sound decisions
- Provides support to ensure referral processing from intake to triaging the prescription
- Independently and effectively resolves complex issues with creativity and innovation
- Strong compliance mindset, demonstrating clear understanding of patient privacy laws
- Ability to understand payer trends, product access, and reporting reimbursement trends and/or delays (i.e. denials, underpayments, access delays etc.)
Lead Care Liaison
RareMed Solutions
12.2019 - 03.2021
- Daily delegation and management of Care Liaison team activities
- Support Operations Supervisor for prioritization of activities and execution of escalated cases
- Execution of end to end processes to support appropriate data entry and referral triaging
- Day to day phone support in order to ensure appropriate routing of calls to internal teams as well as timely resolution of program inquiries
- Day to day involvement with team to ensure all referrals are processed and triaged appropriately via documented standard operating procedures
- Interface with patients and caregivers in order to coordinate delivery of prescriptions
- Provide feedback to operations team when issues in process arrive in order to quickly correct
- Awareness of quality assurance measures used to verify that processes, procedures, and program business rules are being followed appropriately
- Triage issue resolution related to escalated operational program elements/questions including incoming referrals, patient assistance, patient/provider inquires.
- Strong compliance mindset, demonstrating clear understanding of patient privacy laws
- Active participation in building and maintaining respectful, collaborative internal/external team relationships, exercising and encouraging positivity
Care Coordinator
RareMed Solutions
Carnegie
11.2018 - 12.2019
- Executes end to end processes to support appropriate data entry and referral triaging
- Provides daily phone support in order to ensure appropriate routing of calls to internal teams as well as timely of program inquiries
- Daily involvement with team to ensure all referrals are processed and triaged appropriately via documented standard operating procedures
- Provides feedback to operations team when issues in process arrive in order to correct them in a timely manner
- Awareness of quality assurance measures used to verify that processes, procedures, and program business rules are being followed appropriately
- Triages issue resolutions related to escalated operational program elements/questions including incoming referrals, patient assistance, and patient/provider inquiries
Education
Certificate - Medical Coding
Pittsburgh Technical College
Oakdale, PA07.2019
Associate in Science Degree - Medical Assisting
Pittsburgh Technical College
Oakdale, PA07.2013
Skills
- Managing referrals
- Specialty pharmacy knowledge
- Data reconciliation
- Patient privacy compliance
- Referral triage management
- Customer relationship management
- Effective communication
- Problem solving
- Team collaboration
- Detail-oriented
- Compliance monitoring
Timeline
Specialty Pharmacy Liaison II
RareMed Solutions
08.2022 - Current
Patient Case Manager
RareMed Solutions
03.2021 - 08.2022
Lead Care Liaison
RareMed Solutions
12.2019 - 03.2021
Care Coordinator
RareMed Solutions
11.2018 - 12.2019
Certificate - Medical Coding
Pittsburgh Technical College
Associate in Science Degree - Medical Assisting
Pittsburgh Technical College