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Mennette Camberos

@mennettecamberos

Experienced healthcare professional specializing in patient access and reimbursement.

United States

What I'm looking for

I am looking for a role that allows me to leverage my expertise in patient access and reimbursement, while fostering collaboration within a supportive team environment.

I am a dedicated healthcare professional with over 15 years of experience in the pharmaceutical and biotech industries, specializing in patient access, insurance navigation, and reimbursement support. My career has been marked by a commitment to resolving complex access challenges, including prior authorizations, appeals, and coding. I have a proven track record of collaborating with stakeholders to optimize patient outcomes through strategic solutions and process improvements.

In my most recent role as Access Reimbursement Manager at Biogen, I successfully troubleshot claims and collaborated with healthcare providers and sales representatives to resolve access escalations for the MS portfolio. My experience as a Field Reimbursement Manager at Xcenda allowed me to minimize access barriers for patients by establishing strong relationships with provider offices across multiple states. I am passionate about educating healthcare providers on payer requirements and ensuring prompt resolution of access and reimbursement concerns.

Throughout my career, I have developed a comprehensive understanding of medical insurance terminology and healthcare billing processes. I am proficient in utilizing various software tools, including SalesForce CRM and Veeva, to enhance operational efficiency. As a Subject Matter Expert for reimbursement of newly launched therapies, I am committed to supporting patients and healthcare providers in navigating the complexities of the healthcare system.

Experience

Work history, roles, and key accomplishments

BI

Access Reimbursement Manager

Biogen

Oct 2020 - May 2022 (1 year 7 months)

Managed claims, appeals, and prior authorizations with various payers. Collaborated with healthcare providers and sales teams to resolve access escalations for the Biogen MS portfolio, while educating on FDA REMS program requirements.

XC

Field Reimbursement Manager

Xcenda

Apr 2015 - Oct 2020 (5 years 6 months)

Established relationships to minimize access barriers for patients. Collaborated with various stakeholders to ensure prompt resolution of access and reimbursement concerns, supporting both buy and bill and specialty pharmacy therapies.

GS

Medical Information Associate

Gilead Sciences

Aug 2014 - May 2015 (9 months)

Collaborated with medical affairs and sales teams to address medical inquiries. Referred patients to assistance programs and generated reports for quality assurance.

GE

Case Manager

Genentech

Jul 2013 - Jul 2014 (1 year)

Provided reimbursement support to patients and physicians, identifying assistance programs and communicating patient benefits effectively.

VI

Senior Client Services Associate

Veracyte, Inc.

Feb 2011 - Mar 2013 (2 years 1 month)

Educated patients and physician offices on diagnostic test ordering and managed high-level issues related to molecular tests and insurance billing.

GE

Clinical Appeals Specialist

Genentech

Jan 2006 - Aug 2010 (4 years 7 months)

Composed appeal letters for physicians and educated them on the payer appeal process for biologic therapies, while analyzing appeal trends.

Education

Degrees, certifications, and relevant coursework

San Jose State University logoSU

San Jose State University

Bachelor of Arts, Art/Art Studies

1992 - 1994

Completed a Bachelor of Arts degree with a focus on Art/Art Studies, General. This program provided a comprehensive understanding of various art forms and their cultural significance.

City College of San Francisco logoCF

City College of San Francisco

Associate's Degree, General Studies

1988 - 1992

Earned an Associate's Degree in General Studies, which included a broad range of subjects to provide a well-rounded educational foundation.

Tech stack

Software and tools used professionally

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