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Microsoft Office Customer Service

Location:
Mount Joy, PA, 17552
Posted:
January 14, 2018

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Resume:

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

717-***-****

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

717-***-****

Sharon.winger15@gmail.

com

Elizabethtown, PA

PROFESSIONAL

DEVELOPMENT

Jennifer Dudeck

Lead, Rebate Analyst

Unisys

570-***-****

Timothy Zuch, RPh

Owner, Sloan’s Pharmacy

717-***-****

Charlotte Ehrhart

Pharmacy Technician

Middletown Pharmacy

717-***-****

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

717-***-****

Sharon.winger15@gmail.

com

Elizabethtown, PA

REFERENCES



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