David Garner Email & Phone Number

Houston, Texas, United States

Houston, Texas Area

• Lead pharmacy technician operations in the Central Pharmacy including directing day-to-day operations, delegating responsibility, and assuring adequate resources are available to meet patient care needs
• Assists Pharmacy Manager with staff scheduling, new employee training, and continuous evaluation of technician staff
• Completes monthly reports for quality assurance audits and specialized workload
• Performs other tasks as assigned and works in collaboration with Pharmacy Manager to meet departmental goals and objectives.

Houston, Texas Area

• Oversees all activities of reimbursement functions, day to day operations of fast paced customer service area and meeting customer service expectations ensuring all applicable laws and regulations governing debt.
• Builds and motivates reimbursement team with expertise in benefits investigation, billing, accounts receivable and payment processing from public and private insurance companies.
• Develops, implements, and improves reimbursement strategies, policies, and work plans that optimize performance and minimize expense.
• Oversees payment processing and adjustments from public and private insurance companies in addition to overseeing the reimbursement software, payor audits, credits, overpayments, and processing of refunds in a timely.
• Reviews and resolves escalated issues with calculations of payment arrangements and settlements on accounts.
• Demonstrates knowledge based competencies of all insurance billing standards and regulatory guidelines and requirements as it relates to billing.

Houston, Texas Area

• Develops programs and coordinates activities associated with the Patient Assistance Program (PAP)
• Responsible for hiring, staff development, performance evaluations/management and scheduling of direct reports
• Initiates Pharmacy Benefit Manager contracts and provides input for reimbursement prior to negotiation on contracts
• Develops and maintains computerized data systems to support patient enrollment information
• Responsible for creation and review of monthly reports containing financial, quantity and quality metrics aspects for PAP

Houston, Texas Area

• Awesome Job Winner for June 2013
• Oversee every insurance/financial aspect of individual patient pharmacy needs
• Maintain pharmacy insurance information and complete prior authorizations
• Conduct patient interviews to determine eligibility for drug assistance programs
• Manage and coordinate financial issues for all pharmacy services
• Active member in hiring and training process for new specialists and process improvement team