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Amber Lowe

@amberlowe

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Case Manager in specialty pharmacy, skilled in prior authorizations, insurance navigation, and patient access outcomes.

United States

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What I'm looking for

I’m looking for a case management or patient advocacy role where I can drive medication access through prior authorizations and benefits navigation, improve quality metrics, and mentor teams—while partnering closely with providers and manufacturers to remove barriers.

I’m a results-driven Case Manager with 5+ years in specialty pharmacy, managing high-volume patient caseloads and provider communications. I’m trusted for escalation support, de-escalation, and delivering timely, solution-focused outcomes that improve patient adherence and satisfaction.

At KnippeRx Inc., I handled a 300–500 patient caseload while managing 75–100 inbound calls and 50–100 provider emails daily. I coordinated end-to-end care—benefits investigation, prior authorizations, appeals, financial assistance, and medication delivery—while maintaining 90–95% first call resolution and 85%+ quality scores.

I focus heavily on affordability barriers and access. By securing copay assistance and manufacturer-sponsored patient assistance for 50–60 patients daily, I reduced costs from up to $10,000 to as low as $0–$25 per fill, and partnered directly with pharmaceutical manufacturers to ensure ongoing program approvals and therapy access.

I also strengthen teams through training and process improvement. Selected as 1 of 3 escalation specialists, I resolved complex issues independently and earned consistent positive feedback; I trained and mentored 20–30 team members and developed SOPs and training materials adopted team-wide and approved for use at the manufacturer program level.

Experience

Work history, roles, and key accomplishments

Customer Service Representative

John Jones Automotive Group

Sep 2022 - Dec 2023 (1 year 3 months)

Received inbound phone calls and scheduled service appointments, improving customer satisfaction and service efficiency through timely coordination.

Customer Service Appointments Service Coordination Communication Problem Solving Quality Improvement Time Management Documentation Customer Satisfaction

Patient Advocate / Case Manager

KnippeRx Inc.

Oct 2020 - Jun 2021 (8 months)

Managed a high-volume specialty caseload of 300–500 patients while handling 75–100 inbound calls and 50–100 provider emails daily, maintaining 90–95% first call resolution and 85%+ quality scores. Secured copay/manufacturer patient assistance for 50–60 patients daily, reducing costs from up to $10,000 to $0–$25 per fill, and trained 20–30 team members as an escalation specialist by developing SOPs

Case Management Prior Authorizations Appeals Medication Access Insurance Verification SOP Development Training

Benefit Verification Specialist

AmerisourceBergen

Oct 2019 - Feb 2020 (4 months)

Verified patient benefits and authorizations by answering benefits/claim questions, conducting eligibility checks with employers and insurance companies, and coordinating documentation sent to healthcare providers to expedite care access.

Insurance Verification Benefits Administration Prior Authorizations Outbound Calling Eligibility & Compliance Patient Support Data Entry

Case Manager, Benefit Administration

McKesson

Jun 2016 - Dec 2018 (2 years 6 months)

Prepared and reviewed insurance claim documentation for completeness, verified coverage and prior authorizations, and entered claims into database systems while applying Medicare/Medicaid rules to improve approval outcomes. Managed medical records through creating, updating, and quarterly audits, and provided resources to patients facing financial hardship to support ongoing medication access.

Insurance Claims Processing Prior Authorizations Medicare And Medicaid Eligibility Verification Documentation Management & Compliance Quality Assurance Patient Support

Customer Service Representative

First Source LLC

Jun 2014 - Jun 2016 (2 years)

Handled inbound calls from insurance members regarding coverage, claims, and benefit information, resolving issues efficiently. Served as a Subject Matter Expert for process/procedure concerns and managed escalated customer calls.