Mj Kelly
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Mj Kelly Email & Phone Number

HealthCare Reimbursement and Financial Assistance
Location: Greater Pittsburgh Region, United States, United States 5 work roles 1 school
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Role
HealthCare Reimbursement and Financial Assistance
Location
Greater Pittsburgh Region, United States, United States

Who is Mj Kelly? Overview

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Mj Kelly is listed as HealthCare Reimbursement and Financial Assistance based in Greater Pittsburgh Region, United States, United States. AeroLeads shows a matched LinkedIn profile for Mj Kelly.

Mj Kelly previously worked as Manager at Panther Specialty Pharmacy and Director, Billing & Reimbursement at Optumrx/Briovarx(A United Health Group Company - Formerly Catamaran/Sxc). Mj Kelly holds Associate'S Degree, Accounting from Community College Of Westmoreland County.

Profile bio

About Mj Kelly

Patient Access Programs Reimbursement professional who assists in patient’s access to drugs & services, removing access barriers through appropriate insurance submissions. Thorough understanding of payer’s requirements and coding facilitating drug access. Outgoing, flexible, responsible, motivating team player who thrives in a fast-paced environment. Proven ability to maintain continuity among departments to achieve top customer service. A multi-task oriented problem solver with proven results, patient focused and company oriented

5 roles

Mj Kelly work experience

A career timeline built from the work history available for this profile.

Manager

Panther Specialty Pharmacy

Greater Pittsburgh Area

Primary responsibilities was to manage all outstanding receivables. Passion is to educate peers and team to understand the differences between Medicares A,B,C,D and assist patients on how to access financial assistance for their copaysMajor Accomplishments  Implemented policies to manage Pharmaceutical companies Financial Assistance Programs Subject.

Jun 2016 - Aug 2017

Director, Billing & Reimbursement

Chicago, IL

Managed billing, third party collections, patient collections, pricing and analytics supporting >$3B of specialty pharmacy annual revenue while consistently maintaining company expectations. Major Accomplishments  Crafted criteria and gained approval from Executive Management team for a Financial Assistance Program to evaluate and assist patients having.

Apr 2012 - Mar 2016

Director, Enrollment/Billing & Reimbursement

Responsible for patient intake and verifying patients benefits. Managing billing, third party collections, patient collections, pricing, analytics and performance improvement supporting $24B of specialty pharmacy annual revenue. Major Accomplishments Created financial assistance program to evaluate/assist patients who are having financial difficulty.

Oct 1998 - Oct 2011

Manager, Member/Provider Services

Gateway Health Plan

Managed Member Services/Provider Services Call Centers during period of growth and expansion. Call Center was brought “in house” to support a Medicaid HMO population of 100,000 members supporting 24/7 operation.Major Accomplishments Developed a staffing model, formulated a training plan; designed department structure to support full operations within a.

Jan 1996 - Oct 1998

Account Services/Enrollment Manager

Responsible to handle all employer inquiries from employee benefits to financial concerns. Performed in-service training at client locations in conjunction with Marketing DepartmentMajor Accomplishments Reconciled 2,000 accounts and collected over $2M high risk receivable Implemented a logging/tracking system to improve claims processing Facilitated.

Dec 1988 - Dec 1996
1 education record

Mj Kelly education

  • Community College Of Westmoreland County
    Community College Of Westmoreland County
    Accounting
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What is Mj Kelly's role at their current company?

Mj Kelly is listed as HealthCare Reimbursement and Financial Assistance.

Where is Mj Kelly based?

Mj Kelly is based in Greater Pittsburgh Region, United States, United States.

What companies has Mj Kelly worked for?

Mj Kelly has worked for Panther Specialty Pharmacy, Optumrx/Briovarx(A United Health Group Company - Formerly Catamaran/Sxc), Cvs Caremark Corporation, Gateway Health Plan, and Healthamerica.

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What schools did Mj Kelly attend?

Mj Kelly holds Associate'S Degree, Accounting from Community College Of Westmoreland County.

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