Sherodon Jackson, Mmh Email & Phone Number

Central Florida And Surrounding Areas, Florida, US

Bloomfield, CT, US

• Responsible for processing prior authorizations for specialty drugs, conducting medication research, and facilitating resolution of drug coverage issues.
• Research issues on benefits coverage with pharmacist and doctor’s office to ensure that all dispensed medication would be paid without any delay, contributing to the increase in sales by 50%.

Tampa, Florida, US

• Functioned as a liaison between plan and participating providers by responding to their needs and inquiries, and educating providers and their office staff.
• Achieved 92% provider enrollment in salesforce; 12% above goals.
• Reduced costs by 50% by implementing programs for poorly performing providers
• Suggested and implemented methods to improve accuracy of logs by 40%.

Philadelphia, PA, US

• Functioned as a proactive practice account leader nurturing and maintaining positive working relationships between plan and its contracted providers.
• Negotiated rates for services with participating and non-participating providers decreasing provider costs by 50% while following special pricing procedures.
• Resolved complex provider billing issues by detecting and correcting billing errors decreasing AR from 5000 outstanding claims to 1000.

New York, NY, US

• Team leader; reconciled electronic lockbox transactions and ensured compliance with the department financial standards by providing annual department budget information. Monitored expenditures identifying variances and.
• Reviewed insurance explanation of benefits in a timely fashion and posted accurate payments from lockbox to IDX billing system which increased revenue from $400K to 1M monthly.
• Suggested and implemented methods to improve accuracy of logs by 30%.

New York, N.Y., US

• Provided confidential, and administrative support to the director of HR and administrative services, and established significant knowledge of district-wide and human resources related policies, procedures, and practices.
• Collaborated with district finance department on issues related to payroll, benefits, employee leave and department budget.
• Processed new hire paperwork, verified I-9 documentation, assisted with on boarding training, and ensured accuracy of payroll with a track record of no errors.

Masters, Management And Human Resources

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