Attention to Detail
Budgeting
Team Leadership
Project Planning
Accountability
Improving Efficiency
Customer Service
Highly Organized
Time Management
DRUG REBATE ANALYST
Change Healthcare/July 2016 - present
My extensive history with PA Medicaid and Drug Rebate Program was an asset in being hired as the only remote employee. While transitioning the program from Unisys, to Change Healthcare, my knowledge was crucial to understanding the data provided.
Contacts billing and dispensing providers to verify amounts of medication dispensed
Document all ingoing and outgoing communications
Implement new reporting and recording techniques
Closed 60% of open disputes in first calendar year
Collect and update accounts receivable from manufacturing companies
Monitor disputes from assigned manufacturing companies
Write and revise standard quality control operating procedures
Fluent with HCPCS coding (ICD 9/10 codes)
Quality Check quarterly invoices
DRUG REBATE ANALYST
Unisys/October 2008-June 2016
Resolved manufacturer issues with over invoiced amounts by contacting providers, documenting information acquired regarding products and amounts dispensed, and adjusting the invoices as needed. Worked extensively with Excel and Word maintaining records daily. Created and ran invoicing procedures.
Executed the additional program to collect rebates on Managed Care claims, collecting $1 billion the first year
Upon resigning from my full time position at Unisys I was re-hired as a consultant for 30 days
Assisted in establishing documentation protocols
Revised and wrote the training manual, adding new sections as new programs implemented
Essential in transition of contract to Change Healthcare
Reconciled accounts receivable with Comptroller’s office
quarterly
Microsoft Office Suite
Wordpress
Medical Assistance
Requirements
HIPAA
CMS guidelines for Drug
Rebate
Crystal Reports
SQL
Access
21 years’ experience in the healthcare industry has given me excellent verbal and non-verbal communication skills as well as a proficiency in Microsoft Office. I have been a leader in all my jobs, eager to learn and acquire additional knowledge and skills. I have planned large scale events to fund raise, and small-scale events to promote team building. I have familiarity with application systems, and a working knowledge of the DDR, OPA, NPPES, eFacts and others. SHARON WINGER
PROFESSIONAL PROFILE
Sharon.winger15@gmail.
com
Elizabethtown, PA
SKILLS EXPERIENCE
TECHNICAL SKILLS
Pharmacy Technician
Certification
2005-2007
Consultant
August 2016
PHARMACY COORDINATOR
Department of Human Services/September 2006-October 2008 Avysion Healthcare Services, contractor
Advocated for recipients to receive Non-Preferred medications if the medical directors would deny a prior authorization. I felt it was important to understand the reasoning of why a request was denied enabling my explanation to be as detailed as possible.
Approved prior authorizations for non-preferred medications
Reviewed chart notes received from providers for prior authorization
Assisted in implementing Fax to Desktop program that allowed providers to fax in requests instead of calling into department
Kept records of transactions, recording details of inquiries and actions taken
Conferred with recipients via telephone to provide information and direction as needed
Certified Pharmacy Technician, Lead
Middletown CKC Pharmacy/September 2004-September 2006 Obtained my Certification with on the job training. Mixed pharmaceutical preparations per written prescriptions, maintained equipment and work areas and trained new employees on proper procedures and protocols. Excellent oral communication and ability to adapt to new situations was needed to assist customers, multiple pharmacists, and fellow employees.
Received written prescriptions or refill requests
Entered prescription information into computer
Established/maintained patient profiles
Submitted prescriptions and researched rejections tables as needed
Responsible for Inventory Management process
Arranged Over the Counter area’s “impulse” buy sections SHARON WINGER
EXPERIENCE continued
Sharon.winger15@gmail.
com
Elizabethtown, PA
PROFESSIONAL
DEVELOPMENT
Jennifer Dudeck
Lead, Rebate Analyst
Unisys
Timothy Zuch, RPh
Owner, Sloan’s Pharmacy
Charlotte Ehrhart
Pharmacy Technician
Middletown Pharmacy
COORDINATOR
DUB N RUB/June 2007-June 2013
Organized a car show to raise money for American Cancer Society. I coordinated the event from start to finish: gathering donations from businesses, brokering deals with possible sponsors, sourcing shirt vendors and food trucks, and advertising the event.
Recruited volunteers
Contacted local businesses to garner sponsors and donation items for the raffle
Starting out with 60 cars in 2007, and finishing with over 300 cars in 2013
Raised approximately $17,000 over 6 years for American Cancer Society
Requires incredible persuasiveness, business savvy, analytical and organizational skills are mandatory to pull a car show together by yourself COORDINATOR
BRING YOUR OWN BOOBIES & BEER/February 2012-September 2013 Organized a BYOB dinner to raise money for American Cancer Society. I coordinated the event from start to finish: gathering donations from local businesses, advertising, brokering a deal with a local restaurant, and selling tickets
Sourced a local business that would host the event, and provide food
Garnered donations from local businesses for a raffle
Raised approximately $3,000 over 2 dates
Substantial interpersonal verbal and non-verbal skills necessary to entreat businesses to be a part of the project
SHARON WINGER
PHILANTHROPY
Sharon.winger15@gmail.
com
Elizabethtown, PA
REFERENCES