Dilksanny Peralta Rojas
Field Reimbursement Manager Patient Access Liaison @CoverMyMeds
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WORK HISTORY
Field Reimbursement Manager Patient Access Liaison @CoverMyMeds
Orlando, FL, US
Supporting Bristol Meyer SquibbEducated provider offices on payer criteria for Cobenfy across commercial, Medicaid, and Medicare. • Collaborated with cross-functional teams, including Key Accounts Managers and Therapeutic Area Specialists, to streamline patient access. • Enhanced provider understanding of Cobenfy, resulting in improved patient access and satisfaction.
EDUCATION
Southeastern Oklahoma State University
Master of Business Administration - MBA, Business Administration and Management, General
CUNY York College
Bachelor of Science - BS, Pharmaceutical Sciences
ABOUT DILKSANNY PERALTA ROJAS
I am a strategic and results-focused professional with deep expertise in field reimbursement, patient access, and healthcare navigation across specialty pharmacy, outpatient clinics, and managed care settings. I excel at resolving complex reimbursement challenges, streamlining access workflows, and leading education initiatives that empower providers and improve patient outcomes.With a strong command of Medicare Part B/D, Medicaid, and commercial payer processes, I facilitate benefits verifications, prior authorizations, appeals, and patient assistance programs that drive higher claim approvals and reduce access barriers. I am skilled at collaborating with providers, payers, and cross-functional teams to deliver efficient case resolutions, enhance billing compliance, and elevate patient satisfaction.Passionate about operational excellence and regulatory compliance, I thrive in dynamic healthcare environments where measurable results in access and reimbursement performance make a lasting impact.Signature Accomplishments: Delivered 40% increase in patient coverage by coordinating with third parties to resolve access andreimbursement issues for gastroenterology-immunology products within six months. Educated HCP office personnel to drive 20% improvement in access to infusion, self-injectable, and oral therapies by streamlining buy & bill and specialty pharmacy processes in five months. Reduced reimbursement issues by 25% by implementing innovative problem-solving strategies that enhanced communication with healthcare providers within four months. Boosted patient conversion rates by 30% through targeted education initiatives, increasing provider awareness of reimbursement workflows within six months. Built strong provider relationships to drive 30% increase in conversion rates for neurology product prescriptions through strategic engagement. Collaborated with over 50 HCPs, decision-makers, and office staff to drive 30% decrease in therapy prior authorization denials. Improved claims approval rates by 15% within five months through provider training on CPT codes and appeals workflows. Reduced claim denials by 25% within six months by leading white bagging and brown bagging educational initiatives.
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