View Candidate Resume

Name: Julissa Passano
Last Updated: 2022-11-16
Phone #: 8588882706
Address: 12518 Caminito de la Gallarda
San Diego, CA 92128
Field Reimbursement Manager • Case Manager • Pharmaceutical Sales Representative

Qualifications Profile

Multifaceted, client-focused, and performance-driven professional, with broad-based experience in delivering excellent client assistance, overseeing administrative operations, and dealing with healthcare providers within the insurance and pharmaceutical industry. Highly familiar with Medicare, Medicare Supplement Plans, Tricare, and Medicaid. Knowledgeable of International Classification Disease (ICD) systems 9 and 10. Recognized for solid interpersonal and communication skills to accommodate and effectively resolve diverse queries, as well as educate workers regarding reimbursement policies and related concerns.

Areas of Expertise

Health Insurance Portability and Accountability Act (HIPAA) Regulatory Compliance | Reports Generation
Customer and Stakeholder Relationship Management | Territory Management | Client Account Reconciliation
Sales Administration | Clinical Data Analysis | Medical Records Documentation | Medical Billing
Medicare Coverage and Reimbursement System Administration

Professional Experience

Covance Market Access Services | San Diego, CA
Case Manager ▪ Patient Access Advocate Jun 2016–Present
Function as the main point of contact for both patients and doctor offices, in charge of addressing queries.
Render guidance and support to healthcare organizations in resolving payer access and reimbursement problems to improve patient access to FDA-approved medications.
Share insights with providers on several product fulfillment pathways, such as the physician buy-and-bill process, benefits assignment, and specialty pharmacy options.
Guarantee implementation of proper reimbursement procedures for patient, including insurance verification, prior authorization process, claims, patient assistance screening, and specialty pharmacy triage to accurately determine reimbursement against financial barriers.
Build and strengthen relationships with service providers, patients, clients, and stakeholders to ensure their compliance with policies throughout patient therapy procedures.
Play an integral role in working closely with patients and providers to identify and eliminate barriers in accessing required therapies, as well as ensuring patient adherence to treatments.
Supervise patient escalations from clients and supervising staff by assessing and providing appropriate solution.
Carry out development and presentation of training materials to new and experienced case managers.
Demonstrate hands-on support in handling incoming client calls and queries by determining the best method to resolve their concerns, while maintaining documentation of calls in patient care databases.
Provide assistance in training new case managers through shadowing and reverse shadowing, while acting as a data checker.
Accomplish other duties including preparation of daily reports to track completed assignments in a day, delegation of daily tasks to team members, and setting of activities for the team’s Social Committee which include monthly birthday parties and potlucks toward boosting of employee morale.

Hexagone Restaurant | San Diego, CA
Restaurant Manager Mar 2011–Jun 2016
Oversaw the entire restaurant operations, including staff development and scheduling, food and beverage inventory management, and customer service.
Performed administrative tasks such as payroll control, accounting oversight, sales reports generation, and trends identification.

LIND PASS, Inc. | Bal Harbor, FL
Sales Manager • Owner Jan 2009–Oct 2010
Improved properties prior selling by directly collaborating with realtors through different marketing techniques that highlighted referrals and promotional campaigns for new and current clientele.
Fulfilled expanded business administrative tasks, such as client communication, sales report preparation, bid management, daily account management, and project management responsibilities.
Visually represented samples and features to promote products and applications based on client budget.
Received locally recognized award for outstanding customer service and work dedication.

Atlantic Pacific Management | Boca Raton, FL
Account Manager Nov 2006–Dec 2008
Led a team consisting of 30 members which encompassed recruitment, hiring, training, and performance appraisals.
Directly coordinated projects with the construction crew to maintain good working relationships.
Created annual property budgets with the help of legal tax associates.

MetLife | Tampa, FL
Registered Representative ▪ Financial Advisor Feb 2004–Oct 2006
Thoroughly assessed financial needs and situations of institutional and private clients and offer variety of investment services and products suit their portfolio.
Generated customer leads by completing 100 cold calls every day with a high retention rate.
Developed territorial sales strategy with integrated best practices from numerous management departments.
Successfully attained a record of 25 contracted clients in three months and obtained the "Super Starters" Award for excellent client relations and proactive marketing strategies.


Bachelor of Science in Industrial and Systems Engineering
Florida International University | Miami, FL


Financial Industry Regulatory Authority (FINRA)
Series 6: Life and Variable Annuity Insurance

Technical Skills

Microsoft Office Suite | Salesforce | Siebel Systems

Horizon Career Copyright Site Map Online Advertising Discussion Forum Press Release Recruiting and Executive Search Classified Ads Job Fairs Networking Advice and Resources Employers and Recruiters' Accounts Post Jobs Search Resumes Horizon Careers