• Quickly and efficiently respond to incoming calls and faxes, identify how best to assist. • Document calls in appropriate tracking systems, and handle/escalate calls per established procedures. • Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications. • Process patient applications of various complexities, and follow the programs specifications to determine their eligibility. Place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary. • Liaise with partner distributors and pharmaceutical manufacturers to request products per the program’s guidelines and track shipments.• Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.• Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate.• Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the program’s tracking system. • Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language.

Acquired customers for our clients through direct marketing and residential sales. Trained and managed a team on the skills of leadership, direct sales and marketing, interviewing, training, and managing others. Interviewed and trained candidates that were a potential fit for the company. Brainstormed on structures that would increase our daily sales goals

Assisted Federal Employees and Contractors via, phones, email, and in person with building services issues and request for office service for six different PBGC office locations.Verified State Identification and collected fingerprint of new Federal and Contract employee to PBCB to order Federal issued ID cardsPerformed Federal credential renewals, issue PIV Badges, and collected separation documents for Federal and Contract employee of PBGC. Performed timely delivery of daily and express mail to the different the departments within PBGC buildings.June 2015 Public Trust Security Clearance

Contracted to evaluate current project plan for implementation of new imaging system, created training materials for facility physician on ICD-10 education and code changes. Analyzed and evaluate currently Patient Financial Services accounting system.

.Responsible for managing Blue Plans Member Benefit Cost performance and Provider Network access and cost trends.Developed reports identifying FEP members for Case, Disease, and Patient-Centered Medical Home Management programs for 39 service areasCollaborated with internal IT, clinical areas and external Blue Plan customers to implement system enhancements to FEP Clinical Data Warehouse. Consulted with Information Technology on business requirements and projects requirements to ensure successful implementation of the project. Developed clinical HEIDS related reports for Blue Plans clinical staff using benchmarks, claims, medical records, pharmacy trends, for patient outcomes for Value-Based reimbursement programs and STARS programs.Partnered with numinous business partners to create cross-functional projects to improve plan engagement, satisfaction, and the administration of the FEP Health Plan Benefits.Monitored and generated Benefit Cost Performance and Provider Networks reports on a monthly resulting in scheduling meeting via conference calls, plan visits, to present finding and create and create the action plan to decrease Benefit Cost when necessary.Organized and produced program-wide Member and Blue Plans profiling reports manually and later automated the Case, Disease, and Rare Disease Management, and High-Cost High-Risk Member reports