Michelle Montalvo

Managed end-to-end access workflows including benefit investigations, prior authorizations, medical exceptions, and tier appeals. Partnered with healthcare providers to reduce access barriers and optimize patient outcomes.

Developed efficient workflow procedures to enhance operational capacity and accuracy of medication dispensing. Oversaw inventory management and provided bilingual customer support.

Provided advanced telephone support and access navigation for patients on high-cost specialty therapies. Collaborated to obtain insurance authorizations and co-pay resources, minimizing time-to-therapy delays.

Resolved complex third-party billing and prior authorization issues as an escalation specialist. Drove process improvements by partnering with account managers and provider networks.

Executed duties within federal and state laws governing controlled substances, maintaining compliance records. Processed patient profiles and delivery schedules for long-term care facilities.

Spearheaded community engagement and educational programs to expand awareness of preventative care services. Guided Spanish and English-speaking visitors through medication options and pharmacy services.

Bachelor of Science in Allied Health degree from Robert Morris University in Chicago, IL.

Associate of Science in Pharmacy Technician from National College in Bayamon, PR, with an all-Spanish curriculum.