Summary
Overview
Work History
Education
Skills
Affiliations
Certification
References
Timeline
Generic

Jamie Heiberger

Hartford

Summary

Results-driven professional with strong skills in coaching and team-building. Successfully facilitated training for new hires and identified improvement areas through monthly PIC reviews, ensuring alignment with departmental SOPs and fostering a culture of continuous learning.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Eligibility Lead Representative

Accredo Health Group
Hartford
04.2020 - Current
  • Support Supervisor any way that is needed
  • Developed training materials and maintained Reauth SharePoint
  • Collaborated with other teams to enhance department processes
  • Created Task Tracker/SME schedules and communicated to team members.
  • Conducted monthly PIC reviews for team to identify areas for improvement and coached as needed
  • Assisted with developing standard operating procedures within the department.
  • Facilitated OJT classes for Primary PAC new hires
  • Maintained positive working relationship with other Reauth teams and Leads
  • Worked closely with Supervisor to monitor team goals and development

Eligibility Senior Representative

Accredo Health Group
Sioux Falls
11.2019 - 04.2020
  • Transitioned from Cigna Specialty Pharmacy to Accredo Health Group when Cigna acquired Express Scripts.
  • Coordinated with healthcare providers to gather necessary documentation for prior authorizations (PA).
  • Created detailed chart notes outlining each step taken during the PA renewal process.
  • Collaborated with insurance plans to resolve complex rejections.
  • Maintained positive working relationship with fellow staff and management.
  • Explained PA processes and requirements to patients with kindness and respect.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Answered questions and responded to inquiries to deliver high level of service to patients.

Base Rush Pharmacy Technician

Cigna Specialty Pharmacy
Sioux Falls
07.2017 - 11.2019
  • Processed prescription orders accurately for specialty medications.
  • Worked Base Rush inbox requests as a liaison between Cigna representatives and production floor to cancel/stop or change orders.
  • Performed as a back-up for Manifest Lead and Specialty Rush Technician to cover absences.
  • Restocked shelves with new supplies of medications as needed.
  • Packed and shipped prescription drugs in a mail order pharmacy.
  • Organized work areas so that everything was easily accessible when needed.

Failed Claims Pharmacy Technician

Cigna Specialty Pharmacy
Sioux Falls
08.2014 - 06.2017
  • Processed failed pharmacy claims of all types with the intention of resolving the claim.
  • Worked TD Non-Form email box to process requests from other departments.
  • Worked tasks in Auth Queue and Order Entry.
  • Cross-trained to go work on Production Floor as needed to cover vacations or excess volume of orders.

Pharmacy Technician

Cigna Specialty Pharmacy
Sioux Falls
01.2013 - 08.2014
  • Dispensed and shipped prescriptions on the production floor in a mail order pharmacy.
  • Assisted with annual inventory counting.
  • Stocked drugs on dispensing shelves as needed.
  • Ran supplies for the shipping line.
  • Filled in for Failed Claims to cover vacations.
  • Assisted Procurement in counting Factor meds.

Education

Bachelor of Arts - English

South Dakota State University
Brookings, SD
12-2002

Skills

  • Training material development
  • Team collaboration / team building
  • Problem solving
  • Coaching and mentoring
  • Effective communication skills
  • TAP-Trainer / new hire facilitator
  • Knowledgeable in Excel, Word, Outlook and PowerPoint
  • Growth mindset
  • Reliable and trustworthy
  • Flexibility / able to cover other positions when needed

Affiliations

  • Owner of Artistic Alchemy Studio, a small in-home art studio. Award-winning model horse artist - take on customer commissions and create sales pieces.

Certification

  • Graduated from Discover Development leadership training program, August 2025
  • Certified TAP / STEP Trainer, 2020 - Present
  • Certified Pharmacy Technician, 2014 - Present
  • Graduated from Mental Health First Aid USA course, September 2021

References

References available upon request.

Timeline

Eligibility Lead Representative

Accredo Health Group
04.2020 - Current

Eligibility Senior Representative

Accredo Health Group
11.2019 - 04.2020

Base Rush Pharmacy Technician

Cigna Specialty Pharmacy
07.2017 - 11.2019

Failed Claims Pharmacy Technician

Cigna Specialty Pharmacy
08.2014 - 06.2017

Pharmacy Technician

Cigna Specialty Pharmacy
01.2013 - 08.2014

Bachelor of Arts - English

South Dakota State University

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Jamie Heiberger