Tiffany Mitchell
Charlotte
Summary
Results-driven Case Manager specializing in specialty pharmaceutical support and care coordination. Skilled in benefit verification and building strong relationships with patients and healthcare providers to enhance program enrollment and prior authorization. Experienced in insurance verification, managing prescription triage, and coordinating patient assistance shipments. Focused on accurate documentation and facilitating re-enrollment for continuous patient care.
Overview
7
7
years of professional experience
Work History
Case Manager
Cencora
11.2019 - 10.2025
- Coordinate patient cases to support timely access to specialty therapies, serving as a primary point of contact for patients, prescribers, and field representatives.
- Identified and communicated patient insurance coverage, including prior authorization requirements, appeals, tier exceptions, and formulary exclusions, ensuring patient access to necessary therapies.
- Proactively communicated prior authorization reverification needs and facilitated patient assistance program re-enrollment to maintain continuity of care.
- Triage prescriptions to preferred specialty pharmacies to ensure appropriate medication fulfillment.
- Coordinate product shipment through patient assistance and bridge programs to prevent delays in therapy.
- Conduct program welcome calls and provide ongoing patient support throughout the care journey.
- Built trusted relationships with patients, prescribers, and field representatives through consistent, high-touch communication, enhancing patient engagement and support.
- Report adverse events, product complaints, and medical inquiries in accordance with program requirements.
Benefit Verification Specialist
Cencora
11.2018 - 11.2019
- Verified insurance benefits for patients to confirm coverage eligibility and identify plan requirements, helping improve patient access to prescribed therapies and reduce processing timelines.
- Reviewed and documented coverage information, including benefit limitations and authorization requirements, to facilitate case progression and ensure accurate follow-up.
- Managed multiple benefit verification requests in fast-paced environment while ensuring accuracy and detail.
- Collaborated closely with internal team members to research and resolve coverage discrepancies or missing information.
- Communicated benefit findings internally to support timely decision-making and improve overall service quality.
- Maintained organized records for coverage details, ensuring accessibility for internal teams and reference.
Education
High School Diploma -
Morrow High School
Morrow, GASkills
- Case management
- Benefit verification and coverage review
- Prior authorization and appeals
- Reverification and specialty pharmacy coordination
- Patient support and assistance
- Patient and provider communication
- Claims processing
- High-volume call management
- Field representative communication
- Documentation and data accuracy
- Adverse event and product complaint reporting
- HIPAA-compliant case handling
Timeline
Case Manager
Cencora
11.2019 - 10.2025
Benefit Verification Specialist
Cencora
11.2018 - 11.2019
High School Diploma -
Morrow High School