Parth Patel Email & Phone Number

Whippany, Nj

•Responsible for compiling and analyzing data relevant to the handling of all types of complex adjusted claims; conducting reviews of all organizational or functional activities related to fraud/abuse. • Ensure the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit sampling review process. • Develop management reports detailing the review process findings as well as trending/analysis reports. • Monitor and train quality and operational staff. • Identify any potential fraudulent activity relating to adjustment and/or duplicate claim processing and address any and all deficiencies to remain compliant and report non compliant areas.

East Hanover, Nj

• Coordinated with hundreds of caregivers and hospital personnel across the country to ensure medication is ordered and manufactured according to patient-specific details. Client interaction and data management.• Assisted with the launch of revolutionary Car-T therapy KYMRIAH that provides treatment for children diagnosed with Acute Lymphoblastic Leukemia. • Worked cross-functionally with Novartis Supply Chain Management team in production planning to account for all product requests, ultimately increasing overall efficiency and effectiveness. • Managed HUB services and provided assistance to caregivers and families by facilitating patient needs such as travel or financial services. • Communicated and followed up with doctors and patients to ensure correct delivery of medication.• Managed, maintained and conducted QA on client and patient data in Salesforce.

Fairfield Nj

• Investigated and resolved insurance issues to allow patients to fully utilize pharmacy benefits. • Managed team workflow to drive tickets to completion with quick turnaround time by assigning tasks to appropriate individuals. • Collaborated with pharmacy supervisors and managers for quality assurance reviews and determined solutions for internal issues (such as unaccounted medication, mishandling of deliveries). • Reviewed and corrected billing discrepancies on patient accounts resulting in an average savings of 20K daily.

Fairfield, Nj

• Delivered exceptional customer service by assisting patients with prescription medication.• Documented patient health, medication information, and insurance records to ensure proper treatment is provided at all times.• Explained insurance coverage and treatment plans to allow patients to properly understand benefits.

West Orange, Ca

• Delivered presentations and product demonstrations to prospective clients resulting additional expansion of the business.• Worked with design and marketing teams to improve product image and analyzed consumer feedback resulting in higher consumer interest and product visibility.• Researched and identified business opportunities in order to expand company and product reach.

• Organized medications for pharmacist to dispense by creating labels, calculating medication quantities and deciphering orders and prescriptions.• Maintained inventory and safe storage of medication which resulted in audits being passed 100% of the time.• Assisted senior pharmacist by processing prescriptions and assembling intravenous solutions.