Terry Johnson Email & Phone Number

Memphis, Tn, Us

Remote

Coordination of cases on behalf of the provider’s office/Obtain status of patient’s order; request portal enrollment form; request web portal registration form; welcome calls to explain the portal.Management of Payer related issues/Obtain clarification of patient’s benefits relative to reimbursement & denied claims; verify changes and updates within the plan; verify accurate benefits applied to patient’s account.Significant experience with buy-n-bill within 340b Children’s HospitalsStrong understanding and experience specific to Medical and Pharmacy benefits Superior working knowledge of specialty product channels and a keen awareness of specialty product distributionReimbursement & denial issues related to processing of complex claims; request prior authorization form from payer; obtain order status. Escalated case reviewCommunication face-to-face, email, phone related to program performance, status updates, participation in meetings to support

Greater Memphis Area

The Sr. Eligibility Associate is responsible for the accurate and timely input of all manual, and phoned-in eligibility requests from clients to enable members maximize use of their prescription benefit program. This position documents and track requests and contacts clients for clarification of requests. In addition, this position serves as liaison to clients and other departments.

Triage inbound and out bound calls Ensuring HIPAA Guidelines are followed Input patient data Input prescription orders Main contact for Mirena & Skyla IUD systems Excellent customer interaction Resolve customer issue's Process claims and input co-pay insurance Adjudicate insurance claims

Greater Memphis Area

Display Professional Conduct Teaching pharmacy course's & Pharmacy Laws Asses student learning Develop course curriculum and classroom activities Individual Tutoring Student retention Counseling Maintain student attendance and grades Attend Faculty & Program Chair meetings Submit reports, grades and attendance in a timely manner Contact students via phone & email when they miss class

Scheduling & planningAdministrative work, maintaining files, Microsoft OfficeAccounts receivable & invoicing and processing center paymentsPerformed month end journal entries reconciliation Worked with center manager for payment approval for invoices into account payable ledgerContact clients regarding past due payments, also prepared and mailed communication to clients regarding past due or return check payments. Maintain employee’s records issue corrective action as well as terminationsRecruit and interview potential candidates for employmentAnnual performance reviewsCommunicate policy and SOP changes to team members Resolve customer/donor issue's and complaintsUtilized computer to generate daily and monthly reports, data base/Excel, using medical office softwarePrepare staff and facility for internal and external auditsQuality Assurance is heavily monitored to ensure donor and product safety.

Greater Memphis Area

Organize and direct a team of pharmacy technicians in the daily activities of the call center operations. Planning & schedulingMaintained employee files, appraisals, couching logsMaintain employee’s records such as attendance and corrective action as well as terminationsRecruit and interview potential candidates for employmentMaintain confidentiality of all personnel recordsMonitor attendance and time clock punchesPrepare monthly and annual performance reviewsPrepare and complete annual appraisals and raise recommendationsPrepare and direct schedules, monitor attendance of technicians, schedule breaks and shifts as necessary.Communicate solutions, success, and/or opportunities for improvement to the call center manager.Manage, train, and guide call center technicians to execute their tasksSupport call center technicians by resolving problems and complaints, as well as customer service supportMonitor call center technicians; calculate call center performance, and analyze reportsManage and support First Dose Response Team

Greater Memphis Area

Assisted in the development and modification of Synagis (Northeast Territory of NJ Medicaid program) and a new product, Thryogen.Assisted pharmacists supervisors in other interdepartmental developments andmodifications as needed.Trained new hires; developed training modules.Facilitated new and existing work procedure in-services

Bachelor Of Business Administration (Bba), Business Administration And Management, General

BA

Hs Diploma, Sciences/Human Sciences

Activities and Societies: Track & FieldRan Track