Stefanie Smart
@stefaniesmart
Patient advocate specializing in benefits, prior authorization, and specialty pharmacy support.
What I'm looking for
I am a results-oriented patient advocate with extensive experience in specialty pharmacy and benefits verification, focused on improving patient access to essential therapies. I have created comprehensive intake documents, processed deliveries of specialty medications, and managed high-touch service for VIP clientele.
At Optum specialty pharmacy I resolved escalated prior authorization issues and set up deliveries to doctors, offices, rehab facilities, and patients' homes, contributing to improved outcomes and service quality. I currently screen patients for co-pay and assistance programs, determine billing paths, process intakes and referrals, and calculate patient quotes and profit/loss on therapies.
I pride myself on clear communication, meticulous documentation (NFRs, PSAs, ABNs), and a proven track record in benefit verification and prior authorization resolution, driving measurable improvements in patient access and satisfaction.
Experience
Work history, roles, and key accomplishments
Patient Benefit Specialist
Optum Infusion
Nov 2024 - Present (1 year 4 months)
Screen patients for co-pay and assistance programs, pull monthly benefit verifications, determine billing paths, process intakes/referrals for therapies, and prepare intake documents (NFRs, PSAs, ABNs).
Patient Advocate
Optum Specialty Pharmacy
Jul 2022 - Nov 2024 (2 years 4 months)
Provided white-glove service to VIP clients (CalPERS, BCBS New Jersey, SONJ), resolved prior authorization escalations, and processed setup and delivery of specialty medications to providers and patient homes.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
Bachelor of Science, Healthcare Administration
2022 -
Pursuing a Bachelor of Science in Healthcare Administration at the University of Phoenix, expected 2026.
Walker High School
High School Diploma, High School Diploma
1994 - 1997
Completed High School Diploma at Walker High School from 1994 to 1997.
Availability
Location
Authorized to work in
Job categories
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