Michelle Enter

Experience

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  Aetna, a CVS Health Company

  Sept 1988 - Aug 2020

  Provide support to plan sponsors and internal sales staff for all inquiries related to Specialty Pharmacy (benefits, data analysis, medical specialty trend, consultation). Develop and retain client relationships to ensure delivery of Specialty Pharmacy solutions and productsDeliver compelling and meaningful value to priority customers using insight, problem solving and flexibility with focus on understanding the gaps and anticipating future needs. Instrumental in addressing issues involving Aetna Specialty Pharmacy and providing a resolution path that results in improved customer satisfaction.Sells the specialty pharmacy value proposition to internal partners and external clients. Show less Managed all aspects of the relationship between Aetna Pharmacy Management and Aetna's largest national account book of business. Fostered strong relationships with employer groups, brokers and consultants. Represent client internally and coordinates with functions to implement client systems, complete projects, and address ongoing service needs. Analyze reports to determine client trends, recommendations and implement programs.Work with other departments to develop operational solutions and recommendations. Show less

  • Senior Account Manager- Aetna Specialty Pharmacy

    Aug 2011 - Aug 2020

  • Account Representative, Aetna Pharmacy Mgmt.

    May 1995 - Aug 2011

  • Support Services Supervisor

    Sept 1988 - May 1995
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  MedEase Insurance Advocacy, LLC

  Aug 2020 - now

  Board Certified Patient Advocate

  The healthcare system is very complex leading to frustration and financial burdens for patients. I provide the expertise required in all aspects of the medical billing process, use my knowledge of the insurance industry to help you navigate the system and offer creative solutions for the management of your healthcare costs.SERVICES:MEDICAL BILL MANAGEMENTHelp you file health insurance claims, clarify coverage, and manage or reduce your hospital and medical costs.NEGOTIATEIf you choose, I will act as a liaison between you and your health insurance carrier to resolve disputes, denials of claims and appeals for coverage.FINANCIAL RESOURCESIdentify financial resources available to reduce your out of pocket costs. There are many community resources and copay assistance programs that can help reduce your medical costs. Website: https://www.medeaseinsuranceadvocacy.com/ Show less