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Yolanda Ponder

@yolandaponder

Healthcare operations professional at AbbVie patient support, resolving insurance coverage barriers for specialty therapies.

United States

Message

At Randstad Life Sciences supporting AbbVie, I investigated insurance eligibility and benefits for specialty therapies in Immunology and Endocrinology. I researched payer requirements and helped identify barriers to treatment access.

I supported prior and retro-authorization workflows by coordinating information with provider offices, payers, PBMs, specialty pharmacies, and HUB teams. I also explained benefits, financial responsibility, and available access resources to patients and healthcare providers.

In this role, I documented cases in Salesforce CRM/Lightning and payer systems, completed required adverse-event reporting, and consistently achieved 98–99% quality scores on recorded call evaluations.

Across hospital, behavioral-health, Medicare, and patient-support settings, I’ve worked in patient access, provider enrollment, eligibility, and reimbursement support. My experience includes Epic Prelude/ADT, PECOS, CAQH, and coverage across Commercial, Medicare, Medicaid, TRICARE, and VA plans.

Experience

Work history, roles, and key accomplishments

Insurance Analyst II

Randstad Life Sciences

Oct 2023 - Feb 2025 (1 year 4 months)

Managed high-volume patient/provider support, conducted insurance eligibility and benefits investigations for specialty therapies, and supported prior authorization workflows. Achieved 98-99% quality scores on call evaluations.

Insurance Eligibility Verification Benefits Investigation Prior Authorizations Salesforce Salesforce Lightning Payer Portals HIPAA compliance Documentation Quality Assurance

Provider Enrollment Analyst

Wisconsin Physicians Service

Feb 2023 - May 2023 (3 months)

Processed Medicare provider enrollment activities through PECOS and CAQH, reviewed provider information and credentials, and resolved discrepancies to support reimbursement readiness.

PECOS CAQH Medicare Provider Enrollment Credentialing Compliance Documentation

Admissions Representative

Mental Health Resource Center

May 2018 - Oct 2022 (4 years 5 months)

Coordinated behavioral-health admissions through patient intake, insurance eligibility verification, authorization support, and financial-responsibility review. Maintained accurate patient and insurance information in a confidential environment.

Patient Intake Insurance Verification Authorization Financial Responsibility Behavioral Health Confidentiality

Patient Access Representative II

Piedmont Atlanta Hospital

Feb 2017 - Feb 2018 (1 year)

Conducted front-desk and bedside Emergency Department registration using Epic Prelude/ADT, including insurance verification and financial clearance. Registered direct-admit transplant patients and collected copayments at point of service.

Epic Prelude ADT Patient Registration Insurance Verification Financial Clearance Point Of Service Collections

Eligibility Specialist

Adreima

Aug 2015 - Jul 2016 (11 months)

Evaluated uninsured and underinsured patients for Medicaid eligibility, charity care, and financial-assistance programs through financial screening and documentation review.

Medicaid Eligibility Hospital Charity Care Financial Assistance Financial Screening Documentation Review

Lead Patient Access Representative

Palmetto Health Richland

Jul 2010 - Feb 2014 (3 years 7 months)

Directed front-end patient access processes in a high-volume hospital environment, including registration, insurance verification, and pre-certification support. Trained and mentored staff on registration functions and payer requirements.

Patient Access Registration Insurance Verification Pre Certification Corporate Trainer Mentorship

Education

Degrees, certifications, and relevant coursework

University of Cincinnati

Associate of Applied Science, Health Information Systems

Activities and societies: AHIMA Member

Pursuing an Associate of Applied Science in Health Information Systems with expected completion in 2027. Coursework includes revenue cycle, health information management, ICD-10-CM/PCS, pharmacology, and healthcare information systems.