Data Entry Medical

DIONE C. BROWN

913-***-**** * ***********@*****.***

OBJECTIVE

Leverage 10+ years of various pharmaceutical experiences and 5+ years of leadership and management experience

SKILLS

Client/Customer focused

Detail oriented

Flexible/Adapt easily to change

Analytical/Result oriented

Dedicated/Self Motivated

Multi-tasking

Critical thinker

Effective communicator

SUMMARY OF RELEVANT EXPERIENCE

Ten plus years of insurance and billing in the medical field with progressive leadership experience

Strong pharmacy background driven by data and analytics to identify opportunities for quality and efficiency improvement

Extensive experience collaborating with various levels within multi-functional teams to achieve internal and external objectives

Experience using several billing/accounting applications and systems Windows, Microsoft Word Office Word, Excel, Powerpoint, SAGE-AccPac

Diverse background in pharmacy which includes inpatient/hospital, account management and long term care (LTC)

Well versed in medical terminology and communicating with medical, non-medical professionals and clients/members

EDUCATION & CERTIFICATIONS

Bachelor of Science in Business Administration/ Human Resource Management

Associates of Science in Business Administration/ Human Resource Management

Registered Pharmacy Technician (Georgia)

Master of Business Administration, MBA (Enroll in 2019) DIONE C. BROWN

913-***-**** * ***********@*****.***

RELEVANT EXPERIENCE

Veritiv Atlanta, GA

Pricing Analyst (Contract) 12/18 - Current

Manage purchases and invoices for several blue-chip accounts

Audit invoices and pricing for accuracy before order deployment

Negotiate prices for customized products

Maintain and update account holder information in the database Encompass Lawrenceville, GA

Accounting Clerk (Contract) 10/18 - 11/18

Responsible for daily invoicing, ticketing, triage routing request and setting up deliveries

Accurately entered products and prices according to vendor contract information in the system

Collaborated closely with the accounting department, accounting and warehouse supervisor to assist with workflow

AlixaRx Norcross, GA

Billing Supervisor 05/16 - 08/18

Exception Handler 03/16 - 05/16

Responsible for the day to day operations of the billing department overseeing 12 direct reports servicing 40+ facilities/32 DEA licensed pharmacy automated dispensing units in the Southeast region of the US

Accountable for the entire billing process to include adjudication, identifying gaps/discrepancies and accounts receivable.

Prepared and presented reports to leadership and customers outlining findings and opportunities for improvement in billing processes and best practices.

Analyzed and audited third party claims for accuracy and correct submission codes ex. DAW, day supply, SCC etc. to ensure proper reimbursement.

Completed third-party PBM audits to include drug utilization reviews and claim/pricing discrepancies.

Reviewed and validated purchase invoices to ensure accuracy and updated pricing accordingly.

Communicated with medical providers on the preferred medications and drug pricing on formularies while completing prior authorizations.

Conducted new hire interviews, processed new hire paperwork including background checks, completed evaluations, created schedules, completed payroll and mentored employees. Maintained staffing ratios and successfully reduced overtime by 30% over 3 months.

Worked closely with field staff to ensure each automated dispensing unit was operating within federal and state compliance/policies and resolve any billing/pricing issues Great Oak Pharmacy (Passavant Memorial Homes) Kansas City, MO Lead Billing Specialist/HR Specialist 01/13 - 12/16

Oversaw all accounts receivables and coordination of invoices for patients in long term care facilities.

Manage the intake and discharge processes. Updating residences’ statuses based on census information, worked directly with facility Administrators, families (private pay) along with major insurance companies (private, Medicare B & D and Medicaid) to coordinate insurance coverage and benefit packages.

Worked with insurance companies to complete prior authorizations claims and process referrals for IV or specialized pharmaceutical needs.

Outreached patients to assess medication needs to promote adherence and set up automatic refills via a cycle process

Addressed barriers to patients receiving medications example contact providers to follow up on prior authorizations, recommend alternative therapies (depending on insurance coverage) and arrange for delivery of medications.

Oversaw inventory management and quarterly inventory to ensure system reflects accurate on hand quantities and pricing.

Worked with collection agencies to recoup unpaid AR accounts

Conducted new hire interviews, processed new hire paperwork including background checks and responsible for the on-boarding process.

Assisted Director of Pharmacy with employee evaluations and schedules. Farmers Insurance Co. Kansas City, MO

Underwriter 06/07 - 01/13

Underwrite for home and automobile insurance across the United States

Assisted with home inspections work with the Nations "CLUE" system by updating individual's Motor Vehicle Reports that have discrepancies.

Assisted Human Resource department with potential new hires, worked with the training team and assisted the floor support as a Team Lead.

Served as a mentor for entry level employees

Patient’s First Pharmacy Kansas City, MO

PRN Data Entry/Medical Records 10/06 - 06/07

Medical Records and Data Entry & Billing 09/02 - 10/ 06

Worked within data entry entering the incoming orders, processing claims and filling orders for inpatients of the long-term care health facilities

Responsible for entering and printing health medical records as requested by facility. Columbia Medical Center Baton Rouge, LA

Pharmacy Technician/Report Analyst 06/95 - 10/97

Responsible for creating and analyzing daily reports for the pharmacy

Researched, identified and predicted trends in performance demand levels, staff and inventory and adjusted workflow and supplies accordingly

Managed the overall workflow of the staff to meek key performance indicators

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