Lucy Dismukes Email & Phone Number

Buda, Tx, Us

Leads the proposal process, heads communications and marketing, and supports various functions such as back office application testing, quality assurance/control, document review and development, and project implementations. Works toward making projects more efficient through the identification of critical tasks and collaborating with the team to execute them effectively, contributing significantly to project efficiency and success.

Remote

Strategizing and executing process improvements to streamline complaint intake, adverse eventreporting, and complaint resolution processes in order to increase efficiency and compliance. Assessing complaints reports for reportability per 21 CFR Part 803, CMDCAS, MDD 93/42/EEC and otherinternational regulations. Reviewing complaint submission documentation and contacting physicians, patients, and company representatives as needed to gather additional information. Executing decision trees for reportability within Pilgrim complaint management system. Preparing, generating, and submitting incident reports (e.g., MDR, MDV, and MPRs) upon identification of adverse events and submitting follow-up and final reports to US, European, and international NCAs within required regulatory timeframes. Responding to standard and extended requests from NCAs. Collaborating with local RA/QA representatives for follow-up, assessment, and submission of foreign incident reports. Documenting and maintaining records of adverse events reports in accordance with internationalregulations in an accurate, professional and timely manner.

Project Management and coordination of Risk Adjustment and HEDIS projects. Retrospective chart review for Risk adjustment and HEDIS. HEDIS Noncompliant member status reporting. HEDIS Noncompliant Email Campaigns. HEDIS Rate Validation and Research. Claims research in Amisys and other relevant systems. Reviewed and reinforced provider contract agreements for performance standards. Retrieved charts from electronic medical record systems and compiled medical records to send to other parties for coding and abstraction. Requested medical records by making outbound phone calls to provider groups. Resolved outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues. Wrote reports and evaluations on existing program performance.

Austin, Texas Area

Evaluate complaints to determine whether an adverse event report/Medical Device Reporting (MDR) is necessary in accordance with 21 CFR Part 803 Medical Device Reporting and 806 Corrections and Removals, Canadian regulations, European Vigilance Reporting (93/42/EEC) and any other worldwide regulatory requirements. Runs decision trees for reportability in the system and documents review. Ensures that incident reports to U.S., European and International NCAs are submitted within the regulatory timeframes. Documents rationale if incident reports are not required. Prepares, generates and submits incident reports (MDR,MDV, etc.) upon adverse events and submits follow-up and final reports to U.S., European and International NCAs. Works with local RA/QA representatives on determination and filing of foreign incident reports. Document and maintain records of all adverse events reporting's in accordance with international laws. Complete all required customer complaint/adverse event related documentation in an accurate, professional and timely manner. Prepares responses or respond to standard and extended requests from Competent Authorities. Revises the process as needed to increase efficiency and compliance. Identify and Investigate solutions to procedure and process related issues. Defines process improvements.

Manage implementation projects and client issue projects. Act as primary project contact for clients and internal groups. Develop and maintain professional client relationships and manage expectations with respect to live dates and other key timelines by providing continuous project feedback and status updates to key stakeholders. Develop project plans and related task list. Drive project deliverables with other internal groups to ensure project completion is in accordance with client requirements. Support multiple projects while maintaining support of day to day business. Develop and maintain documentation for both new and existing client business and system processes. Review, analyze, and evaluate business systems and client needs. Troubleshoot and drive solutions for client issues. Prepare and document business and technical requirements. Work with IT and business project teams to understand reporting requirements and propose solutions. Document and provide knowledge transfer to the rest of the Project Team for all solutions. Analyze divisional procedures to identify areas for automation, process improvement, etc. Coordinate and facilitate meetings with clients, technical team and end-users (SMEs).

Initiate routine collection calls on assigned accounts to ensure prompt payment in accordance with defined goals. Contact customers by telephone, fax, email and or other means necessary to resolve billing and collection issues. Obtain and provide supporting documents to the customer as necessary to facilitate and expedite payment. Communicates with and assists Sales and Customer Service/Operations Departments to resolve collections and/or billing issues. Responsible for consulting/updating department management about all potential bad debt accounts. Responsible for managing U.S. Sales Agents’ accounts by providing monthly statements and requesting payment or submitting them for commissions deductions.

Processed inquiries and sales orders in a timely, accurate, and efficient manner. Interacted with the Credit and Collections department to coordinate shipment releases when customers were on credit hold. Worked with functional business organizations to keep process documentation updated, and highlighted potential problems and possible solutions to facilitate speedy resolution. Training of all new hires on the Order Entry processes and procedures

Arthrocare Corporation

Managed collections correspondence from composition to mailing. Responsible for writing and revising reports to increase operating efficiency. Responsible for assisting in the development of processes, procedures, and the establishment of accurate documentation for business areas (SOP). Managed and produced ad hoc letter campaigns to increase profitability. Responsible for the development and electronic submission of batch skip files to outside contracted agencies. Responsible for management of skip tracing activities and strategies