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Click here or scroll down to respond to this candidateLTLawrence Calvin Tolbert JrProfessional SummaryDedicated Account Manager promoting dynamic client management, issue resolution and relationship-building skills. Proven history of increasing revenue while bringing in new clients. Dedicated Pharmaceutical Sales Representative & Field Reimbursement Manager successful and focused on attending to various customer needs with a history of achieving and exceeding expectations. Expert salesperson and team leader. Creative and engaging Account Manager bringing 20+ years of dynamic and diverse management, in field reimbursement, pharmaceutical sales, specialty pharmacy, and reimbursement experience. Recognized for essential business acumen and focus through budgetary and deadline adherence, innovative sales techniques and concept solutions. Visionary leader dedicated to aligning organizational business goals with quality work to achieve consistent success. Collaborative Key Account Manager with demonstrated success in relationship building, negotiating and developing new business within targeted and assigned accounts. Strong analytic, quantitative and technical aptitude with great attention to detail. Self-motivated, driven and adaptable with proven track record of exceeding goals. Dynamic Account Manager offering expertise in building partnerships, retaining key accounts and enhancing profit channels. Strong leader with proficiency in growing professional network, influencing decision-makers and devising successful strategies. Collaborative and strategic team leader with robust background in customer relationship management.AccomplishmentsAchieved 2021 KAM (Key Account Manager) of the year award for the central east region by being number one in completing sales and reimbursement goals with accuracy and efficiency. Supervised team of eleven staff members.Work HistoryAimmune Therapeutics/ Nestle' Health Sciences - Practice & Key Account Manager/ FRMEMAIL AVAILABLEPHONE NUMBER AVAILABLEMemphis, Tennessee, United States,TN 38134Website, Portfolio, Profileshttps://bold.pro/my/lawrencecalvin-tolbertjr-19115https://LINKEDIN LINK AVAILABLEcalvin-tolbert-jr-892b09157SkillsDeveloper and updater of SOP forReimbursement Policies andProcedures Conflict ResolutionResearcher of intricate insurance detailsand policies (Medicaid, Medicare,Commercial, etc)Professional communicator, RealisticGoal setting, and Training ProgramsListening and successfully adhering tothe needs and concerns of patientsBenefits Verification, Customer Service,CVS delivery, Financial AssistanceResearcher, Registered PharmacyTechnician Account Management Strategic Account Planning CRM Software Verbal and Written Communication Customer Service Problem-Solving Relationship Building Opportunities IdentificationBrisbane, CA01/2020 - 10/2022Oversaw multiple accounts and worked diligently to meet and exceed performance sales goals.Improved account management by predicting potential competitive threats and outlining proactive solutions.Secured high-value accounts through consultative selling, effective customer solutions, and promoting compelling business opportunities.Built and maintained productive relationships with customers and internal partners.Acted as main point of contact in matters relating to client concerns and needs.Developed successful customer relationships and quickly resolved service requests to increase sales.Renewed existing accounts by cementing trusting relationships with customers.De-escalated customer interactions by providing alternative tactics to solving problems and satisfying customer needs.Developed thorough understanding of products and service offerings to better upsell and cross-sell to clients.Scheduled appointments with medical professionals to sell specific products.Educated customers on product features and technical details to highlight benefits. Educated clients on product benefits and provided demonstrations. Achieved territory, individual and company goals for call metrics, sample distribution, market share and sales. Traveled to various locations to sell medications. Liaised with vendors to coordinate delivery schedules and promote customer satisfaction.Built strong, professional relationships through identification of client needs, which increased overall sales and opportunities.Streamlined department's workflows by assessing billing and collections processes and making appropriate changes. Maintained confidentiality and integrity of patient data. Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.Reviewed billing and collections process and determined improvements to streamline workflows.Observed strict data confidentiality procedures to protect patients' information.Held weekly staff meetings and implemented team building exercises, which promoted positive working environment.Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.Managed book of business totaling millions of dollars in accounts receivable, applying insurance expertise and exemplary customer service. Business Development Documentation and Reporting Upsell Opportunities Time Management Pharmaceutical Sales Product Knowledge Expense Management Attention to Detail Customer Communication Account Development Expense Reports Billing and Collections Procedures Analytics Skills Reimbursement Management Issue Resolution Team Assistance and Oversight Electronic and Paper Claim Submission Computer Skills Microsoft Office People Skills Good Work Ethic Team Building Reliable & Trustworthy Critical Thinking Customer Relationships Budget Management Business Growth Opportunities Interpersonal Skills Account Planning Customer Relationship Management Team Member Motivation Preventive Healthcare Staff Training and Development Google AdWords Salesforce Software Networking Events Territory Management Cold Calling Policyholder Communication Insurance Coverage Verification Policy Changes Documentation Skills HIPAA Compliance Group Presentations Medicare Compliance Customer Account Review Insurance Eligibility Billing Inquiries Services Optimization Needs AnalysisBenevere Specialty Pharmacy/ CVS Health - Reimbursement AdministratorCollierville, TN02/2014 - 11/2019Nova Factor, Medco Health, & Accredo Health Group - Patient Account RepresentativeMemphis, TN07/2003 - 12/2013Self-titled position at a start-up specialty pharmacy overseeing the Reimbursement Department where I managed patient accounts to ensure correct and timely delivery of medication and correct bill pay.Create patient account records along with cold-calling doctors' offices in order to obtain patient prescriptions.Verify insurance benefits through insurance companies for prior authorization and/ or appeal approval.Targeted new customers to grow geographic reach and increase revenue. Collect outstanding balances from insurer and insured. Correct and clean up bad debt. Ok clearance of shipments with pharmacists.Answered telephones to take messages or redirect calls to appropriate colleagues.Verified technical reimbursement questions for providers, billing and coding staff.Determined medical necessity, using individual insurance carrier regulations.Streamlined department's workflows by assessing billing and collections processes and making appropriate changes.Provided personnel development by holding weekly staff meetings and team building activities. Researched rejections, investigating problems to appeal claims. Drafted documents based on payer guidelines and submitted to necessary parties.Identified opportunities for coverage access to address reimbursement barriers.Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.Worked with billing department to reduce contract implementation errors. Wrote appeal letters to insurance companies for denial of claims. Computerized office activities, maintained customer communications, and tracked records through delivery.Screened and transferred incoming calls, took down messages, and transmitted information and documents to internal personnel.Reviewed billing and collections process and determined improvements to streamline workflows.Observed strict data confidentiality procedures to protect patients' information. High-Impact Proposal Presentation Consultative Selling Change Management Written and Verbal Communication Contract NegotiationEducation12/2000Arkansas State UniversityJonesboro, ARBachelor of Science: Business/ SportsManagementCollaborated with relevant parties to resolve billing issues, insurance claims and patient payments. Reviewed flagged items daily and resolved issues. Resolved inquiries from patients, families and external payers. Applied organizational policies and complied with regulations for patient privacy.Submitted electronic bills following facility and legal compliance standards. Processed refunds, disbursements and payments.Reached out to patients once insurance was billed in order to obtain payments due.Created letters, invoices and other documents with diverse computer programs such as Microsoft Word, RxHome, and AS400.Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.Answered customer questions regarding account discrepancies or problems.Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems. Advised delinquent customers on strategies for debt repayment. Utilized computer programs to create invoices, letters and other documents.Prepared reports detailing billing actions, flags and other key information. Responded to patient, family and external payer inquiries. Contacted customers to discuss past-due accounts and negotiated payment plans.Reviewed billing and collections process and determined improvements to streamline workflows.Observed strict data confidentiality procedures to protect patients' information.Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.Delivered timely information to insurance representatives to resolve common and complex issues.Contributed knowledge to help improve financial management, billing and tracking systems.Performed Tennessee and federal regulations compliance audits related to documentation and reporting.AffiliationsMember of the Leadership Team for the Diversity & Inclusion group Kaleidoscope |
