Lauren Williams
@laurenwilliams
Dedicated healthcare professional with 10+ years in case management.
What I'm looking for
I am a dedicated and empathetic healthcare and customer service professional with over 10 years of experience in case management, patient access, and reimbursement support. My career has been marked by a proven ability to lead teams, train staff, and deliver exceptional service to clients and patients within complex healthcare systems. I pride myself on my efficiency and innovation in resolving issues while maintaining compliance with HIPAA and patient privacy standards.
Throughout my career, I have managed high-volume case loads and have consistently achieved exceptional service levels, including maintaining a 95%+ call quality and satisfaction score. My experience includes serving as a lead case manager, where I coordinated projects, trained staff, and resolved complex client escalations. I am passionate about improving patient access to therapy and have developed comprehensive training materials to support ongoing operations, ensuring team readiness and compliance with protocols.
Experience
Work history, roles, and key accomplishments
Lead Case Manager
Patient Service Center
Feb 2024 - Aug 2024 (6 months)
Managed escalations and supported training for the Case Manager team. Coordinated projects and team coverage schedules with the Operations Supervisor, serving as the primary contact for client and customer escalations.
Case Manager
Patient Service Center
Nov 2023 - Feb 2024 (3 months)
Served as a case manager for patient and provider support across all functions, managing benefit verification, triaging referrals, and processing free drug requests. Handled adverse events and product complaints according to compliance standards.
Patient Case Manager
Mercalis
Aug 2019 - Nov 2023 (4 years 3 months)
Managed a high-volume caseload of 75-100 patients, ensuring timely and effective support from benefits investigation through therapy initiation. Served as the primary liaison between patients, healthcare providers, payers, and specialty pharmacies.
Care Coordinator
Mercalis
Nov 2020 - Feb 2021 (3 months)
Ensured compliance with credentialing and documentation, serving as a key liaison between patients, nursing agencies, healthcare providers, and internal teams. Managed a caseload of 60-80 patients, facilitating in-home or virtual nursing support.
Patient Support Coordinator
McKesson by Biologics
Jul 2018 - Aug 2019 (1 year 1 month)
Provided high-touch, personalized support to oncology patients managing complex conditions and therapies through a specialty pharmacy model. Served as the main point of contact for patients, caregivers, and providers.
Reimbursement Case Manager
McKesson by Biologics
May 2016 - Jul 2018 (2 years 2 months)
Managed end-to-end reimbursement support for patients prescribed specialty medications, serving as a key liaison between healthcare providers, payers, pharmacies, and support programs. Conducted in-depth benefit investigations using Avality.
Reimbursement Case Manager
Mercalis
Oct 2014 - May 2016 (1 year 7 months)
Processed prior authorizations, appeals, and benefits verifications for insurance claims, providing billing support and claim status updates to patients and providers. Managed end-to-end reimbursement support for patients prescribed specialty medications.
Customer Experience Specialist
Mercalis
Oct 2014 - Feb 2016 (1 year 4 months)
Processed pharmacy overrides and provided high-volume inbound call support, handling an average of 300+ inbound calls while maintaining HIPAA compliance. Served as the first point of contact for inbound calls for copay assistance and program enrollment.
Receptionist
Johnson Lexus of Raleigh
Apr 2014 - Jul 2014 (3 months)
Served as the first point of contact for customers and visitors, providing a warm and professional welcome in a fast-paced dealership environment. Answered and directed a multi-line phone system, routing inquiries to appropriate departments.
Cashier Supervisor
Victoria's Secret
Jan 2011 - Dec 2012 (1 year 11 months)
Supervised a team of 10+ employees, overseeing daily operations to ensure efficient, accurate, and customer-focused checkout experiences. Trained, coached, and evaluated cashier staff on POS procedures, cash/credit handling, and customer service standards.
Acting Assistant Store Manager
New York and Company
Jan 2010 - Dec 2011 (1 year 11 months)
Temporarily fulfilled assistant store manager responsibilities, overseeing daily retail operations, team supervision, and customer service excellence. Supported the store manager in achieving sales goals and maintaining store standards.
Education
Degrees, certifications, and relevant coursework
Strayer University
Bachelor of Business Administration, Business Administration
Focused on core business principles and management strategies. Completed coursework relevant to organizational leadership and operational efficiency.
Meredith College
Pre-Law, Pre-Law
Undertook studies in foundational legal concepts and critical thinking. Prepared for potential further education in law.
Knightdale High
High School Diploma, General Studies
Completed general education requirements and graduated with a high school diploma.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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