Jenni Keane

Hub Services- Bristol Myers Squibb

• Resolving escalations and assisting associates with problem-solving
• Daily monitoring of the phone queue of 800+ calls and sending productivity reports
• Staying current with payer formularies with insurance plans and pharmacy benefit managers.

Hub Services Pfizer Specialty, ABH, Regeneron, Smith and Nephew & Dendreon

• Confirming patient eligibility and coverage for prescribed treatments with their insurance plan
• Identifying and fixing problems that prevent a provider from being paid, including claims research and resubmission.
• Provide free or low-cost medicine to patients who are uninsured or underinsured.
• Analyzing the coverage policies of commercial insurance and government payers (like Medicare/Medicaid) to understand and find ways to maximize patient access and reimbursement.

Hub Services Betaseron Foundation and ARCH

• Responsible for the overall administration of multiple chronic disease programs
• Assisted with daily distribution for multiple disease programs
• Resolving escalations and assisting associates with problem-solving
• Assisted with year-end process for 10+ associates
• Created and maintained policy procedures
• Created and conducted training modules for associates
• Conducted program activity audits for data integrity
• Conducted monthly and quarter client reporting
• Maintain positive rapport with clients

Hub Services Fuzeon/ HIV/AIDS, AccessOne and AIM

• Confirming patient eligibility and coverage for prescribed treatments with their insurance plan
• Process patient assistance programs for uninsured/underinsured to provide free or low-cost medicine to patients
• Manage quality assurance for the daily distribution of patient medication
• Assisted with monthly client reporting
• Payer research of different state’s ADAP Programs.

• Research and resolve unpaid medical claims for contracted facilities
• Solved billing issues with in accurate, timely manner
• Managed patient relations with much detail and organization