Ta-Sha Smith Email and Phone Number

End to end case management of absence claims Review of documentation and correct assessment of absence type• Resolution of all tasks associated with this absence type• Outbound contacts to employees as needed to address questions about absence cases• Inbound contacts to support employee questions about COVID absence options

• Validate approval, completeness and correctness of invoice details including required invoice details for countries with specific statutory requirements • Sorts, codes, matches, uploads invoices and set up the same for payment • Tracks expenses and process expense reports • Prepares and processes electronic transfers and payment • Prepares and performs check runs • Reconciles accounts payable transactions • Prepare month end costs accruals. • Monitors accounts to ensure payments are up to date • Does research and resolves invoice discrepancies and issues • Maintains vendor files and information • Corresponds with vendors and responds to inquiries • Prepares monthly internal reports • Assists in month end closing • Provides audit requirements, requests and attends to audit queries • Oversees the accurate and timely processing of 3-way match of purchase orders/delivery orders/invoices, non-PO purchase and staff expense claims. • To issue cheque and COD payments. • Handle petty cash payments.

• Responsible for tracking, reporting, analyzing, and summarizing data.• SME for Missing Voucher Payment team.Conducted quality review of team reconciliation transactions.• Created, maintain and execute routine queries.• Comprehending functional specifications.• Create files and submit requests timely in accordance to SLA requirements and compliance• Troubleshoot and resolve issues with the test runs in coordination with other business units.• Track and trend transactions report statistics on SharePoint logs.• Assist in Voucher Payments reconciliation and audits. • Conduct in accordance to regulatory and Hipaacompliance guidelines.

Case management; Monitor cases to ensure compliance with patient therapy while maintaining required metrics Extensive benefit Investigations, major medical, PBM, claim analysis, copay assistance, prior authorizations and appeals Schedule delivery of pharmaceuticals to suit patient needs and payer contract requirements Relationship building with patients and prescribers Served as a liaison between sales team, patient and prescribers to ensure compliance Facilitate financial assistance with financial assistance payers to secure financial assistance forpatient. Identify patient opportunities for counseling by Registered Pharmacists or Nurse Counselors andmake referral as appropriate. Arrange for direct communication or provide responses to patients,as appropriate. Trend escalated issues and make recommendations to management for process improvement Communicate issues, resolve problems and maintain specified level of knowledge pertaining tocase management/insurance verification process Proven ability to maintain patient/provider loyalty and retention Other duties assign by mana

Responsible for the Billing and Collection of pharmaceutical reimbursement of Medicare, Medicaid, commercial and workers comp payers. Completed benefit verification on all assigned payers to determine eligibility and benefits prior to billing. Accurately billed pharmaceutical claims within the timely filing limits on CMS-1500 paper claim forms, NCPDP Universal paper Claim Forms or via plan web forms to facilitate electronic claim submission. Maintained complete accountable records of assign collection efforts to assist with period end RCM reporting requirements. Ensured accurate diagnosis coding and payer preferred billing methodology as defined by plans fee schedule or contractual agreement. Interact with A/R to ensure payments received match expected payments and contractual adjustments requirements. Stayed abreast of any changes to HCPC codes and contractual obligations related to payer reimbursement policies Adherence to state, federal and company regulations /policies regarding compliance, integrity, patient privacy, and ethical billing and collection practices.

 Assisted in conducting primary research to ensure that health insurance benefits and/or other financial assistance (as directed by clients) and/is available to patients for the products related to the program activities. Responded to heave inbound inquiries (telephone, fax, email, and etc.) from patients, caregivers, health care professionals, consumers, payers concerning client product(s) as defined by program scope of work. Provided initial screening and enrollment for patient assistance, foundation programs, and/or client driven initiatives. Follow standard operating procedures for all support- related activities while maintaining compliance with HIPAA at all times when handling protected health information. Maintained working knowledge of program guidelines, FAQ’s, products, and disease state being referenced on the program(s). Identified and escalated all client inquiries to the program manager/supervisor.

 Utilized and understood provider guidance and eligibility processes, in order to make necessary updates to various internal systems required for enrollment into ESI’s prescription drug plan. Served as first point of contact for internal clients and members to gather Enrollment Data; analyzed and processed data accordingly. Handled inbound member calls and written correspondence regarding member eligibility. Made independent judgments in order to respond to complex or critical member issues. Identified and escalated repetitive questions and/or problems so that corrective action can bepursued and expedited. Maintained accurate and complete documentation of all contacts. Completed other projects and additional duties as assigned.

 Handled inbound and outbound customer service inquiries from members, providers, physicians and internal and external clients related to prescription and eligibility Worked to research and resolve problems in a timely manner. Assist clients in understanding and maximizing the use of their pharmacy distribution program. Used computerized system to gather information and respond to questions. Documented issues and resolutions in a common database. Escalated issues as necessary.

•Direct and provide Homemaker/Companion and Advocacy Service to the aged and disabled community.• Maintain accurate and complete Patient records per Delmarva requirements• Negotiate care plans with APD Targeted Case Managers• Submitt CMS 1500 billing claims for payment

• Supervise the day-to- day activities of the Dispatch center• Handle inbound and outbound Brighthouse subscribers, Personnel & Cable Technician calls.• Assist team members in understanding and complying with performance standards, policies, procedures, and other requirements.• Ensure compliance with all company and departmental policies, procedures, standards and goals.• Responsible for ensuring sufficient staffing levels and coordinating appropriate scheduling.• Assess training needs and coordinate training for staff.• Assist in the hiring and ongoing development of the team.• Prepare and administer performance evaluations, performance improvements and/or corrective action.• Document, compile and correlate various reports including on call updates, daily completion sheets, customer care reports, corporate reports, trouble call reports, etc.• Perform other related duties and responsibilities as assigned and/or required.

• Answering a multi-line telephone • Verify each work order• Receive updates from technicians •Pre-calls subscribers to confirm order, time frames, C.O.D. etc. •Alert customers at set times throughout the day when technicians are running behind schedule

• Oversee the day to day operations of a 256, PDSA Section-8 Community• Worked as liaison between property manager and tenants• Responsible for conducting HUDs on-site Management and Occupancy• Review regulatory compliance audits on affordable housing projects. • Responsible for assuring each property Housing Assistance Payments (HAP) contract is being administered in compliance with current HUD regulations. • Review tenant eligibility processes, and perform on-site audits annually on each project.

• Oversee the day to day operations of a 188 unit PDSA Section-8 Community• Worked as liaison between property manager and tenants• Responsible for conducting HUDs on-site Management and Occupancy• Review regulatory compliance audits on affordable housing projects. • Responsible for assuring each property Housing Assistance Payments (HAP) contract is being administered in compliance with current HUD regulations. • Review tenant eligibility processes, and perform on-site audits annually on each project.

• Assist the Property Manager with the oversight of 120 LIHTC/Sec-8 Blended residential units• Responsible for greeting ,touring and pre-qualifying prospective residents• Maintained tickler file for rental escalations and expirations.• Rent collection, 3-day/10 day notices, small claims court actions for evictions and collection process for delinquent accounts. • Worked as liaison between property manager and tenants.• Ensured the quality of maintenance services • Complied with the state, federal and or local laws relating to fair housing

• Assist the Property Manager with the oversight of 372 LIHTC residential units• Responsible for greeting ,touring and pre-qualifying prospective residents• Rent collection, 3-day notices, small claims court actions for evictions and collection process for delinquent accounts. • Maintained tickler file for rental escalations and expirations. • Worked as liaison between property manager and tenants.• Supervised the marketing/leasing staff to ensure management's goals • Compiled and maintained weekly and monthly reports for corporate and agencies. • Ensured the quality of maintenance services • Complied with the state, federal and or local laws relating to fair housing