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PHONE NUMBER AVAILABLE EMAIL AVAILABLEObjectiveI am a devoted and committed individual seeking a career move where my strong skill set and a positive attitude willmake a difference.Professional Experience2022-2023 Accredo Health Group Resolution Team Lead Memphis, TN2013-2022 Accredo Health Group Patient Care Advocate Memphis, TN2011-2013 Randstad Temp Service/Accredo Patient Care Advocate Memphis, TN2001-2007 Three Rivers Community Hospital ER Office Manager Grants Pass, ORAccredo Health Group RTL (Resolution Team Lead)o Handle escalated issues with patients, doctors offices, and insurance companies.o Find resolutions to billing issues, missed medication shipments, legal and formal complaintso Report adverse events Reports and work:o MDS90 and processed max day supply callso CSO AOM Reduction Pilot Order Scheduling reporto Integrated New Patientso Direct New Patients Back up Lead for the Offline Teamo Liaison between representatives and Business Unitso Update tools for departmental use and developed guidelines for new procedureso Facilitate and develop training materials for representatives on process workflowo Establish work schedules and assignments for staff, according to workload, space and equipmentavailability Coordinate communication between patients, regulatory agencies or pharmacy staff Provide patients with appropriate health care services or resources Created and facilitated implantation of departmental processes (ATMS rescue calls, Flow Tool) Team Trainer for Rescue Calls Coachingo Educate representatives on Express Scripts/Accredo processes and policies to ensure adequatedocumentations are maintainedo Model and coach representatives on service excellence and exceeding expectations SME - Facility Trainer Maintain daily Inventory List for teams productivity Maintain urgent escalated requests via CERES, emails, instant message Maintain working rescue calls per contractual requirements Experience working On Boarding (welcoming) new patients Well-rounded working incoming callso Systems used:ESD RxHomeTMWFlow ToolOPS InsiteEnterprise Case ManagerMicrosoft wordExcelOutlookWorkdayShare PointWeb ExThree Rivers Community Hospital Created and facilitated implementation of departmental policies Experience maintaining budgetary control with a focus on implementing cost saving measures Managed capital, intermediate, and educational equipment expenditures. Responsible for 24/7 scheduling of a staff of over 90 employees and on call physicians Experienced in departmental hiring and orientation process. Maintained electronic filing of patient census log statistical data Payroll processing. Performed quality assurance chart reviews Created and maintained a monthly departmental newsletter:EducationJan. 2010 June 2013Southern Oregon UniversityBachelor of Science Forensics not completedSept. 2005 March 2010Rogue Community CollegeAssociates Degree of ScienceJune 1987Virginia Beach Vo-TechLegal / Medical Office ProceduresReferencesSharie Smith PHONE NUMBER AVAILABLE Marilee Rodgers PHONE NUMBER AVAILABLECurtis Rawlings PHONE NUMBER AVAILABLE Kris Lupold PHONE NUMBER AVAILABLEChanel Cazeau - PHONE NUMBER AVAILABLE Cathy Cutter - PHONE NUMBER AVAILABLE/pre> |