Data Entry Management
Resume:
Patricia A. Hughes Email:
*************@*****.***
Home:
*** **** ****** **********, ** 07109
Cellular: 201-***-****
SUMMARY OF QUALIFICATIONS
Over 19 years of industry experience, recognized as a team player adept at providing the highest level of client service
experience. An accomplished track record of consistently developing initiatives to drive organizational change and
performance improvements. A professional with management experience who respects and leverages human capital via
mentoring, motivating, and leading by example. Acted as relationship builder and problem resolution expert with wide
ranging experience as a team leader and analyst.
• Confident, ambitious, and a well versed professional with extensive analyst experience.
• Possesses a solid understanding of operating systems needed to perform duties.
• Self disciplined and well organized, with a focused analytical mindset and an acute attention to detail.
• Results oriented with a determination to accomplish projects in a timely manner with proven results.
• Recognized for tenure, company loyalty and the strong ability to be a successful team leader and self starter.
PROFESSIONAL EXPERIENCE
Medco Health Solutions/Express Scripts Franklin Lakes, NJ
Senior Data Analyst August 2004 – March 2013
Medco Health Solutions was originally founded as National Pharmacies in 1983. Medco served over 65 million people at
the height of its PBM business providing pharmacy services for private and public employers, health plans, labor unions,
government agencies and individuals covered by Medicare Part D. In 2012, Medco Health Solutions merged with Express
Scripts.
Founded in 1986 and never owned by a drug manufacturer, Express Scripts aligns its interests with those of plan sponsors
and their members. This legacy of independence means that the company's programs and original, in depth research on
the pharmacy benefit serve its clients. Express Scripts handles millions of prescriptions each year through home delivery
from the Express Scripts Pharmacy and at retail pharmacies.
Managed and trained a team of 6 employees that entered and tested system data for data network management.
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Credentialed new pharmacies which included verifying DEA information for dispensing medication, verifying
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state licenses, W 9 forms and insurance.
Acted as a liaison for the Network Management Department.
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Mailed contracts and agreements to new pharmacies, reviewed returned agreements for accuracy and then
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forwarded to Network Management for setup.
Maintained pharmacy queues to review applications for pharmacies inquiring about becoming a Medco
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provider. Applications were dispersed to team for processing.
Troubleshooted and tested all pharmacy system enhancements and any network issues to ensure system was
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running correctly and enhancements were functioning properly.
Handled and processed Medicaid Segregation claims, NON –POS paper claims.
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Medco Health Solutions Franklin Lakes, NJ
File Management Specialist August 1998 – August 2004
• Responsible for pharmacy chain and franchise enrollments within 48 hour turnaround.
• Cross trained with the Contracting department and PPO department to achieve maximum data processing
results.
• Acted as a liaison for department with Network Contracting to ensure proper effective dates and information
was loaded for clients.
• Assisted programming department with troubleshooting systemic issues, enhancements and changes.
• Completed all pharmacy chain additions within 48 hour timeframe including quality application cross check to
achieve goal of 99% accuracy.
• Communicated with pharmacies on a regular basis to gather information and to add stores within designated
timeframe.
• Researched and responded to all issues via email responses.
• Trained all temporary employees to enter data into system on as needed basis.
• Performed testing for all system enhancements and was acting project team leader for system mainframe
projects.
• Maintained department statistics and files in Excel.
Medco Health Solutions Franklin Lakes, NJ
Data Entry Lead Operator February 1994 – August 1998
• Supervised a team of data entry operators.
• Responsible for achieving 99% accuracy on prescription claim processing and production for performance
guarantee accounts including: American Airlines, AT&T, Lucent Technologies, Hearst Corporation, BCBS of
South Carolina and the State of Georgia.
• Performed quality reviews on all accounts.
• Demonstrated the data entry system and processes for prospective clients.
• Participated on various committees to improve the achievements of the company: Quality Committee,
Recognition Committee and Partners in Care Committee.
Education
Barringer High School, Newark NJ Diploma June 1971
References Available Upon Request
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