Jay M.
Case Manager @AssistRx
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WORK HISTORY
Case Manager @AssistRx
Overland Park, KS, US
Ensures cases move through the process as required in compliance with company requirements and the organization\'s defined standards and procedures; in a manner that provides the best level of service and quality.Conducts benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers.Verifies patient specific benefits and document specifics including coverage, cost share and access/provider options.Identifies any coverage restrictions and details on how to expedite patient access.Documents and initiates prior authorization process and claims appeals.Reports any reimbursement trends or delays in coverage to management.Acts as a liaison for field representatives, health care providers and patients.
EDUCATION
Park University
Bachelor of Science - BS, Business Administration. Minors: Healthcare Management, Military Studies
Park University
Associate of Science (A.S.), Business Management/Accounting
Central Texas College
Emergency Medical Technology/Technician (EMT Paramedic)
ABOUT JAY M.
Patient focused. Positive outcomes driven. As an experienced administrative professional with a diverse skill set, accompanied by an academic background in healthcare legislation and policy making, I strive to be part of a team that creates improvements throughout our industry. Concierge level service, emapthy, and an unwavering work ethic. Operation Enduring Freedom Veteran.\"I wanted to take the time to appreciate all the hard work Jay has put into securing my contract with [redacted]. I wasn’t sure what to expect since this is my first time traveling through an agency. At first the process was daunting and overwhelming. I will say Jay was incredible in keeping me updated in every step of the process. Jay took the time to call me and restored my faith in travel nursing through [redacted]. While I was never looking for an apology, it was greatly appreciated! Jay kept me updated daily, checked on me on my first day multiple times, and has been the driving force behind me securing my position with [redacted]. I am grateful I have him standing behind me making sure this process goes as planned. Typically the recruiter plays the biggest role in securing a positive working relationship. Jay has proven to be my biggest advocate and a valuable member of the [redacted] team. Without Jay working endlessly behind the scenes I would not have started my contract today. Jay deserves a huge applause for representing your company!\"-M.D.\"Jay was amazing during the application process I had to do those tests and he was so motivating I finally passed all he was very diligent with making sure I was fully credentialed from start to finish he is amazing.\"-M.M.\"I just started my first 13 week contract using [Redacted]. Every employer I interacted with made me feel like I was the only nurse they were working with. I want to send a shoutout to my compliance officer Jay for putting in the extra time (evenings and weekends) to get all my documentation in so I could make the start date. I recommend [redacted] to all travelers out there and I will be signing with them in the fall.\"-T.B.\"I just wanted to take a moment to shout out Jay. Jay is always a pleasure to work with – organized, communicative and knowledgeable. I greatly appreciate Jay’s initiative as an integral part of the branch’s success.\" A.H.
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