Shawtate Evans Email & Phone Number

Bethesda, Maryland, United States

Oversaw and managed a team of 30 members, effectively communicating benefit investigation details to ensure the FRM was informed of next steps for patients on prescribed therapy.Monitored job performance to ensure timely completion of tasks in alignment with client- specific service level requirements.Conducted daily production monitoring to meet team SLAs, productivity goals, and quality control measures.Assisted the client's Area Leader in training initiatives for Reimbursement Specialists, ensuring achievement of performance benchmarks.Identified, reported, and maintained adverse events (AEs) and product complaints report for the client.Ensured accurate tracking and up-to-date information on all phases of the patient's journey for field team alignment and execution of patient next steps.Maintained open communication with staff to promptly address trends and resolve issues.Proactively identified program issues and proposed solutions to address challenges. Assisted in the development of program training documents.Selected to serve on a program pilot, analyzing and presenting results utilizing a new technology to confirm patient's benefits and claim details.

Collaborated closely with territory-aligned Field Reimbursement Manager (FRM) to analyze territory trends, track patient status, and enhance provider outreach efforts. Successfully resolved escalated issues related to prior authorizations, appeals, and claim denials, demonstrating expertise in payer terminology and reimbursement protocols. Provided invaluable assistance to patients in navigating therapy options and comprehending the financial assistance available (e.g., copay, pap, quickstart, and bridge programs).Proactively scheduled frequent updates with aligned FRM to ensure smooth progress in the therapy process for patients.Thoroughly collected and reviewed patient insurance benefit information in adherence with program standard operating procedures, effectively communicating findings to authorized parties.Conducted outbound calls to insurance companies, securing coverage for medication prior to treatment and confirming available buy and bill options.Supported physician office staff and patients in completing and submitting essential insurance forms and program applications.Efficiently processed all necessary insurance and patient correspondence.Proficiently adhered to reporting and documentation procedures, ensuring accurate and comprehensive records of identified adverse events (AEs) and product complaints. Successfully managed a team of reimbursement specialists, providing guidance andsupport to ensure timely and accurate reimbursement for healthcare providers, resulting in a 20% increase in overall reimbursement rates.Developed and implemented effective reimbursement strategies and programs to optimize reimbursement for specialty medications, resulting in a 15% reduction in reimbursement denials.Collaborated with cross-functional teams including sales, marketing, and legal to develop and implement reimbursement plans for new product launches, ensuring seamless market access and increased revenue.

Monroeville, Pennsylvania, United States

• Demonstrated effectiveness in training, mentoring and providing feedback to colleagues.• Facilitated a three week virtual training to 200-300 associates• Have a strong understanding of the importance of program operational standards and basic reportingconcepts and components(especially operational policies and processes, program communicationsand reporting)• Provided day-to-day mentoring to team members on performance metrics, program processes ensuring team members are performing in-line with program standards. Trained new and current team members on program standard operating procedures, provides routine updates and addresses team members questions.• Utilize Web join to provide training virtually to associates to demonstrate proper procedures on• Provided input on individual, as well as, group training needs.• Monitor associates check-in and checkout times followed by approval of timesheets using Fieldglass

Charlotte, North Carolina, United States

Successfully trained, mentored, and provided feedback to colleaguesFacilitated a three-week training to 200-300 associates at Proficiently grasped the significance of program operational standards andessential reporting concepts and components (e.g., operational policies,processes, communications, and reporting)Mentored team members on performance metrics and program processes,ensuring adherence to program standardsConducted training sessions on program standard operating procedures fornew and existing team members, offering regular updates and addressinginquiriesContributed insights on individual and group training requirementsEffectively monitored associate's check-in and checkout times andsubsequently approved timesheets using FieldglassParticipated in a leadership development workshop to understandexpectations and how to effectively execution project objectivesRegularly reviewed and updated operating procedures to ensure efficiencyand compliance.Successfully resolved customer queries and complaints, ensuring utmostsatisfaction or escalation when necessary.

Columbia, South Carolina Metropolitan Area

Served as mentor for junior team members.Prepared employees' timesheet for the payroll department.Handled inbound calls from customer (collections, insurance, claims, payoffs and billing issuesEnsured that new hires were properly trained with Green Tree's desk procedures and policiesGave additional support once the employees had completed the two-week trainingKept staff informed with the most current Customer Service and Collections updatesWorked service requests submitted by the employees that required additional researchMade sure employees were in compliance with all FDCPA policiesReviewed Quality scores and providing feedback to the employeesListened to escalated calls and provided a response to upper managementMonitored queue, track calls and call volume.Benchmark portal certified