suzy UserSU
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suzy User

@suzyuser

Detail-oriented healthcare professional with expertise in patient access services.

United States
Message

What I'm looking for

I am looking for a role that fosters collaboration, supports patient care, and offers opportunities for professional growth.

I am a dedicated healthcare professional with over 6 years of experience in pharmacy benefit management and patient access services. My journey has equipped me with the skills to coordinate complex caseloads, process prior authorizations and appeals, and communicate benefits effectively to ensure timely access to therapy. I pride myself on my ability to manage cross-functional communications and perform quality checks while adhering to regulatory compliance.

In my current role as a Patient Access Specialist at Elevance Health, I oversee patient caseloads, acting as the primary liaison for prior authorization and appeal communications. My commitment to delivering accurate and timely information has allowed me to support successful therapy initiation across multiple therapeutic areas. I have a strong patient-centered approach, which drives my passion for ensuring that patients receive the care and resources they need.

Throughout my career, I have demonstrated my ability to troubleshoot multi-disease state cases and collaborate with internal and external teams to improve operational processes. I am eager to continue my professional journey in a role that allows me to leverage my skills and experience to make a meaningful impact in the healthcare industry.

Experience

Work history, roles, and key accomplishments

EH

Patient Access Specialist

Elevance Health

Jan 2019 - Present (6 years 6 months)

Provided daily oversight and coordination of patient caseloads, ensuring timely completion of all case elements and movement through the access process. Acted as the primary liaison for all prior authorization and appeal communications with patients, healthcare providers, field reimbursement representatives, and external stakeholders.

CT

LPN Personal Care Coordinator

Chartspan Medical Technologies

Mar 2016 - Present (9 years 4 months)

Provided monthly care management conversations through outbound phone calls to assigned patients to address their healthcare needs. Identified patient-specific problems, goals, and interventions designed to meet individual needs through action-oriented and time-specific goals.

VH

Staff Nurse

Veteran Nursing Home

Jan 2013 - Present (12 years 6 months)

Assisted residents with activities of daily living (ADLs), such as bathing, dressing, eating, and mobility. Documented care accurately in residents' medical records and reported changes in health status to the RN or physician.

Education

Degrees, certifications, and relevant coursework

EC

Eastwick College

Licensed Practical Nurse, Practical Nursing

Completed a comprehensive program to become a Licensed Practical Nurse. Gained foundational knowledge and practical skills essential for patient care.

Tech stack

Software and tools used professionally

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suzy User - Patient Access Specialist - Elevance Health | Himalayas