Arlene Sawyer

Partner with HCPs independent, effective professional communication, troubleshooting and prompt issue resolution. Effectively communicate to HCPs and Patients regarding insurance coverage, case status, and Pharmacy Solution Services. Assist the pharmacist with the practice of pharmacy in accordance with federal, state, and local regulations, HIPAA guidelines and corporate and departmental policies and procedures by accurately interpreting healthcare provider’s prescription orders and entering this information into the core pharmacy system. This includes all physician demographic information, and referral and/or prescription information. Conducts quality case reviews to ensure the highest quality of work is being done. Identifies and recommends process/system improvements that increase efficiency and productivity and communicates ideas with supervisor. Understand and comply with all required training, including adherence to federal, state, and local pharmacy laws, HIPAA policies and guidelines, and the policies and procedures of Pharmacy Solutions and AbbVie. Maintain current licensure and CE requirements as necessary.

Investigate rep escalation process promptly with customer cases. Performs additional tasks, actives, and projects as assigned by management. Provides follow up with HCP to advise delays in referral processing or prescription forwards. Ensures proper information and data is being checked prior to releasing to HCP. Supports PSP activities set by other functional areas. Creates long term relationships with Hcp through communication. Explains the value of applying for copay cards.

Answered calls from team regarding health savings, payroll, and retirement plans. Evaluate customer needs. Process Medicare and commercial medical insurance plan choices including benefit calculations. Set up new and existing patient enrollment.

Worked with patients on dialyses to facilitate treatment and orders for medical supplies. Daily management multi-lined phone system for West Coast region Process patient orders for their dialyze solutions Handles various patient and clinic orders. Communication with patients, advocates, clinical staff, and other businesses

Collect and input new patient demographic, insurance, and medical history. Received referrals via phone/email and input into computer system along with therapy options. Outbound calls to gather additional information for patients. Assisted supervisor with special projects. Answered multi-line telephone, routed calls, and took accurate messages.

Order processing / data entry Receive inbound and places outbound calls. Performed faxing, photocopying, and filing duties. Trained new hires. Handle confidential credit files.