Kinna Patel Email & Phone Number

Philadelphia, Pennsylvania, United States

Medicaid Drug Rebates Processing:- Analyze and validate the Medicaid Rebates utilization data of the products to prevent disputes by trending data from prior quarters.- Validate ModelN Flex System with the current CPI-U values, Quarterly AMP/BP pricing.- Calculate & verify RPU (Rebate Per Unit) Pricing in ModelN Flex against CMS DDR to ensure RPU calculations are accurate in order to maintain accuracy for invoice processing.-Work closely with three Clients for multiple labeler codes by providing quarterly trend reports and their needs. -Contribute to given projects including Clients migrations to ModelN Flex.

North Carolina, United States

Medicaid Drug Rebates Processing:-Process Medicaid Drug Rebate Invoices for multiple labeler codes for the Federal, Managed Care Organization (MCO), State Pharmaceutical Assistance (SPAP) and Supplemental programs for the Medicaid Rebates payments. -Analyze and validate the utilization data of the products to prevent disputes by trending data from prior quarters on regular basis. -Update ModelN Flex System with the current CPI-U values.-Calculate quarterly AMP/BP and RPU (Rebate Per Unit) Pricing in ModelN Flex and verify against CMS DDR to ensure RPU calculations are accurate in order to maintain accuracy for invoice processing.-Maintain to work closely with two Clients for multiple labeler codes by providing quarterly trend reports and their needs. -Contribute to given projects including Clients migrations to ModelN Flex.

Irvine, Ca

-Manage invoice processing on a quarterly basis for Federal Medicaid, Managed Care Organization (MCO), State Pharmaceutical Assistance (SPAP) and Supplemental programs for the rebate payments.-Review and analyze utilization claims and pricing on quarterly invoices for billing errors; Prepare invoice packages by adding Business Analysis reports to review current invoices by trending data from prior quarters. -Update Revitas Flex System with the current CPI-U values, Quarterly AMP, BP, WAC and AWP Pricing to ensure accurate RPU (Rebate Per Unit) calculations for all programs to maintain invoice processing.-Complete the task of uploading quarterly and monthly pricing submission files to Center for Medicare & Medicaid Services and state websites according to federal and corporate compliance.-Upload Supplemental programs State contracted pricing and formulas into the system provided by management for rebate payments.-Responsible for reduction of aging on disputed dollars. Analyze, audit, scrub and validate outstanding dispute claims by working with the states to resolve them. -Add accurate product information in the system for each NDC's; such as baseline AMP, baseline CPI-U, market dates, termination dates and all data associated according to federal guidelines.-Generate Medicaid Business Analysis reports requested by management for the total utilization, total gross sales and total net sales of the products.-Perform Revitas Medicaid Rebates System Integration and Regression testing to ensure that all system enhancements and upgraded versions are implemented correctly.-Contribute to projects including the data conversion, integration and migration from Imany/Medicaid Classic to Revitas Medicaid Rebates, and from Actavis Model N to Allergan Revitas Medicaid Rebates, Business Intelligence report maintenance, testing, and streamlining processes.

Fullerton, Ca

- Post patient payments against their outstanding balance in the Meditech system and reconcile all discrepancies daily.- Prepare cash and check transactions for varying departments in the hospital; such as the pharmacy, cafeteria and patient payments. Enter all transactions into the general ledger, accounts receivable and prepare deposits for the bank.- Generate and update excel spreadsheets to record daily deposits and balance statements. - Continuously update patient data into the Meditech system. Clearing share of cost for MSI and Medical patients. - Post all claims for Medicare/Medicaid Contractual Adjustment. Reconcile accounts for proper benefit processing.- Knowledge of ICD9 and CPT codes associated with recording claims.- Prepare AD HOC spreadsheets for all departments as needed. - Prepare and analyze monthly general ledger reports and accounts receivable balances. - Perform a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.- Follow up on all correspondence and billing denials in a timely manner.