Gloria Krueger
@gloriakrueger
I improve patient access to specialty therapies through reimbursement, prior authorization, and appeals expertise.
United StatesWhat I'm looking for
At Allergy Institute PC, I manage end-to-end reimbursement strategies for specialty therapies, navigating prior authorizations, appeals, payer requirements, and manufacturer patient-support programs to reduce barriers to patient access.
Previously, at Centene-Iowa Total Care and Northern Iowa Therapy, I resolved claim denials, audited billing patterns, supported coding and documentation requirements, and produced accurate financial and patient-access reporting. I bring a Health Science background and Medical Coding Specialist training to cross-functional work with providers, pharmacies, manufacturers, and healthcare entities.
Experience
Work history, roles, and key accomplishments
Biologics Coordinator
Allergy Institute PC
May 2023 - Present (3 years 3 months)
Served as internal expert on regional payer policies, identifying trends in coverage criteria and step-therapy requirements. Executed end-to-end reimbursement strategies, navigating Prior Authorization and Appeals processes to ensure timely patient access to specialty therapies.
Administrative Assistant
Northern Iowa Therapy
Sep 2022 - Jan 2023 (4 months)
Managed monthly revenue cycle operations for multiple facilities, generating precise financial reports. Streamlined monthly financial reporting and invoicing across a multi-facility network, ensuring 100% accuracy in billing and providing timely data to expedite reimbursement.
Referral Specialist II/Claim Denials/Billing
Centene-Iowa Total Care
Nov 2019 - Aug 2022 (2 years 9 months)
Developed deep expertise in regional payer landscapes, interpreting medical policies for commercial and government plans to successfully overturn denied claims and navigate step-therapy requirements. Served as a technical resource for clinical staff, proactively resolving high-level reimbursement hurdles and providing guidance on coding and documentation.
Education
Degrees, certifications, and relevant coursework
Northwestern of Iowa Community College
Certificate, Medical Coding
Medical Coding Specialist certification from Northwestern of Iowa Community College.
Mercy College
Bachelor of Science, Health Science
Bachelor of Health Science degree from Mercy College in Des Moines, IA.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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