Jo-Jena L. Everage
Alton
Summary
Dynamic Program Specialist with a proven track record at Neovance in insurance verification and patient advocacy. Expertise in building relationships and ensuring compliance adherence has led to the effective resolution of patient issues and streamlined processes for efficient eligibility determinations. Dedicated to delivering exceptional customer service while fostering cross-departmental collaboration.
Overview
19
19
years of professional experience
Work History
Program Specialist
Neovance
Greenfield
04.2022 - 02.2025
- Quickly and efficiently respond to incoming calls and faxes
- Evaluated strategies to provide support effectively.
- Document calls in appropriate tracking systems
- Handle/escalate calls per established procedures
- Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage
- Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications
- Process patient applications of various complexities and follow the programs specifications to determine their eligibility
- Place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate
- Be familiar with the marketplace and the insurance options available for patients
- Educate patients on the available options as appropriate
- Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the program’s tracking system
- Maintain a professional, calm and friendly demeanor
- Express thoughts and instructions clearly in both verbal and written communication
- Use grammatically correct and concise language
- Conducted research and analysis on healthcare and insurance program challenges to drive informed recommendation
- Reviewed applications and documentation to make decisions pertaining to programs.
- Facilitated cross-departmental collaboration to meet program objectives and deadlines.
- Built and maintained strong relationships with patients by successfully resolving issues and responding promptly to phone inquiries.
Patient Access Representative
BJC Healthcare
St. Louis
06.2021 - 01.2022
- Serves as the first point of contact during the check in process, gather demographic and insurance information for the registration process
- Collect co-pays as needed for services rendered
- Communicated financial obligations to patients and collected fees at time of service.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
- Facilitated patient registration, verifying all required documentation is collected and filed properly.
- Obtained informed consent and payment documentation from patients and filed in system.
- Created new patient accounts in EMR system as needed.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Processed insurance verifications and authorizations to ensure coverage of services.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Explained policies, procedures and services to patients.
- Applied HIPAA privacy and security regulations while handling patient information.
- Actively participated in team meetings and training sessions.
- Greeted patients and visitors in a courteous and professional manner.
- Participated in training sessions to stay updated on healthcare policies and registration software.
- Utilized hospital systems to update patient records, ensuring accuracy and completeness.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Utilized Soarian and Epic data systems to process patient information in the emergency room triage and in-patient facilities
Adjustor
Olin Winchester
East Alton
11.2005 - 06.2021
- Forklift Driver
- Scan in finished product to be shipped out for sales
- Remove and bring in proper materials needed to run production
- Inspect, pack and make bullets for the scheduled production
- Fix and repair machinery as it breaks down to stay on schedule for production needs
- Answer phones when in office
- Print, scan, fax paperwork as needed for job at hand
- Fill out proper documents for machine operations
- Perform varies jobs throughout the day as needed
- Participated in training sessions related to new policies or procedures.
- Organized warehouse space for efficient storage of products.
- Maintained accurate inventory records using computerized tracking systems.
- Reviewed work orders before starting work to determine necessary materials and meet deadlines.
- Transported goods to designated areas within the warehouse facility.
- Placed bracing, straps and other protective devices onto items in transit to prevent damage.
- Loaded and unloaded trucks with hand-trucks, pallet jacks, and forklifts.
- Identified discrepancies between physical count and computer data.
- Moved large and bulky items manually or with pallet jacks or forklifts.
- Used scanners to track parcel information, condition or receipt.
- Packaged items carefully using protective materials like bubble wrap or foam sheets.
Education
Associate of Applied Science - Computer Information Systems, Computer Programmer and Analysis
Lewis & Clark Community College
Godfrey, IllinoisSkills
- Insurance verification
- Data management
- Patient advocacy
- Compliance adherence
- Healthcare literacy
- Problem solving
- Effective communication
- Customer service
- Research and analysis
- Performance assessments
- System enhancement
- Eligibility determination
- Proactive mindset
- Problem-solving abilities
- Eligibility requirements
- Relationship building
- Skill development
- EMR documentation
- Cross-departmental collaboration
Systems Experience
- Siebel
- Salesforce
- Amazon Connect
- Workday
- UGK
- Epic
- Sharepoint
Therapeutic Experience
- Infectious Disease: Anti-Viral Therapy – Hepatitis B, Hepatitis C, HIV/AIDs
- Immune Medicated Inflammatory Disease(IMID): Systemic IMID – Psoriatic Arthritis, Rheumatoid Arthritis, Osteoarthritis; Dermatologic – Psoriasis
Timeline
Program Specialist
Neovance
04.2022 - 02.2025
Patient Access Representative
BJC Healthcare
06.2021 - 01.2022
Adjustor
Olin Winchester
11.2005 - 06.2021
Associate of Applied Science - Computer Information Systems, Computer Programmer and Analysis
Lewis & Clark Community College
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