Tiffany Brown Email & Phone Number

Etters, Pa

I enhanced financial visibility and streamlined cash management by leading the development of comprehensive reporting for Accounts Receivable and Payable, focusing on cash receipts, liabilities, and unclaimed property. To ensure timely application of unapplied cash balances, I implemented automated quarterly processing, which significantly improved efficiency.I enriched the efficiency of our monthly processes by automating unsuccessful reversal procedures and training team members in database management and notification protocols. This not only saved time but also empowered the team to manage processes more effectively. Additionally, I streamlined the monthly Borrowing Base Calculation processes for AR securitization by redesigning procedures and optimizing workflows, making the entire process smoother.My efforts contributed over $600 million to company revenue, accounting for 70% of the total, through the implementation of advanced Accounts Receivable reporting for cash receipts. I also reduced manual workload and increased accuracy by automating the generation and distribution of invoices to third parties. This automation minimized errors and ensured timely payments.Furthermore, I improved the accuracy of financial reporting by developing automated reconciliation procedures for unmatched prescription claims. I also recovered $2 million in aged prescription claim funds by automating the Unclaimed Property process, while ensuring compliance.

Etters, Pa

I ensured compliance with government standards and accurate medication dispensing by maintaining a clean and precise prescriber file. To enhance data quality, I implemented an automated process that deactivated approximately 5,000 unused or invalid doctor profiles each week. I stayed ahead of regulatory requirements by proactively researching and updating our procedures to align with evolving government standards.I improved our monitoring and reporting capabilities for pharmacy billing transactions by collaborating closely with third-party claims processors. This collaboration significantly enhanced our accuracy in handling claims. Additionally, I automated the removal of roughly 30,000 inactive or invalid licenses, which greatly improved the accuracy of our doctor records.To strengthen our regulatory controls for prescribing controlled substances, I automated restrictions on inactive or invalid identifiers, ensuring that only valid prescribers could authorize medications. I also increased efficiency in prescription processing by coordinating the development of third-party pre/post-adjudication edits, which streamlined our operations.One of my key achievements was facilitating a seamless transition to a third-party vendor's cloud platform. I strategically coordinated with the internal IT department during the system migration, ensuring that everything went smoothly. To further optimize our system functionality, I evaluated and implemented new system edits and enhancements, which contributed to improved overall performance.

Etters, Pa

I achieved high data integrity by thoroughly analyzing discrepancies and implementing effective processes for ongoing data maintenance. This attention to detail significantly enhanced claims processing as I regularly reviewed issue log tickets related to doctor file updates, providing the necessary overrides for any rejected claims.To optimize project efficiency, I assigned temporary employees to targeted initiatives as needed, ensuring that resources were effectively allocated. I also improved reporting accuracy and insights by generating comprehensive daily and weekly doctor file reports, which provided valuable information for decision-making.One of my notable accomplishments was the successful upload of over 1.5 million valid doctor identifiers. I accomplished this through the development and management of streamlined data processes, which not only boosted our data integrity but also enhanced our operational efficiency.

Etters, Pa

I enhanced operational oversight by generating detailed weekly control and daily flash reports, which provided clear visibility into our processes. To optimize audit management efficiency, I effectively assigned incoming audits to Audit Coordinators, ensuring a smooth workflow and timely responses.I ensured compliance and accuracy by rigorously reviewing audit findings and submitting corrective documentation for any identified errors. This proactive approach significantly strengthened our appeal success rates, as I consistently collected and submitted additional supporting documentation to bolster our cases.I achieved a remarkable reduction in audit expenses, exceeding 80%, through precise and thorough completion of audit disputes. Additionally, I scaled our audit processing capacity by managing and supporting a weekly volume increase from 400 to over 1,000 audits, demonstrating our team’s ability to adapt and grow.I maintained strategic compliance by staying informed about third-party agency rules and regulations relevant to audit disputes, which allowed us to navigate the complexities of compliance effectively.

Etters, Pa

I improved audit tracking and management by creating new entries in the audit database, which streamlined our processes and made it easier to monitor progress. To enhance communication, I sent daily notices of upcoming onsite audits to nearly twenty pharmacy locations, ensuring everyone was informed and prepared.I facilitated desk audits by efficiently sending documentation requests to pharmacies, making the process smoother and more organized. Additionally, I strengthened staff training initiatives by consulting with Pharmacy District Managers, which helped improve overall team performance and knowledge.To ensure accurate submissions to third-party insurance agencies, I collected and organized all necessary documentation, which not only improved our compliance but also increased insurance payments by over 20% through the streamlining of audit procedures. This focus on efficiency and organization had a significant positive impact on our financial outcomes.