Anaylst

Angel Lackey

Phone: 513-***-**** Email: ********@*****.***

Profile

An experienced professional with strong analytical, interpersonal and time management skills. Ability to solve complex problems and make data-based decisions. Seeking a part-time position in a growing organization which will allow me to contribute to my fullest potential.

PROFESSIONAL EXPERIENCE

2015-2015 Cincinnati Children’s Hospital Medical Center

Representative I – Emergency Services

Provide support for all aspects of customer service related to the emergency department for infants, children and adolescents.

Effectively communicate relevant information with patients and staff

Intake and register patients into the EPIC system

Identify patient needs and collaborate with staff to fulfill those needs

Verify insurance eligibility through the passport system and collect insurance copays

Admit patients into appropriate hospital specialty units

Maintain and document physician calls needed to appropriate parties

2013-2015 Omnicare, Inc.

Billing Audit Analyst, Billing

Responsible for creating and managing audit programs in billing operations (Intake, Census, Adjudication and Customer Service).

Build and manage audit program for 4 billing functions

Conduct operational audits at pharmacy and billing center locations to assess the effectiveness of controls and recommend improvement strategies to increase quality

Execute testing based on audit objectives and document findings

Manage input for weekly dashboard for upper management

Create LOA, Bed Hold, and Third Party Audit Vendors policies for billing

Create and manage reporting for MBR (Management Billing Report)

Create and manage Credit Memo Response Monitor

Build and manage SCC compliance monitor and report inquiries and findings

2013-2013 Horseshoe Casino-Cincinnati

Casino Marketing Coordinator

Excels in a key hybrid position serving as an essential “go to” person for local and national casino marketing teams by collating and disseminating accurate event and performance data, while providing support to upper management.

Develops and executes events for the Executive Engagement program, increasing gaming action from VVIP players by partnering them with their own property executive in a fun and memorable way.

Coordinates employee events that boost morale and productivity.

Provides timely support for team member requests such as paid time off, schedule and payroll adjustments.

Fluent with casino marketing tools including SMART, LMS, CMS, EMS and Timeworks.

Routinely depended upon to support the casino host team by booking VIP hotel rooms, limousines and airfare

2012-2013 Horseshoe Casino-Cincinnati

Dealer, Table Games

Operated Table games of chance by dispensing the appropriate number of cards

or chips to player. Distribute winnings or collect players’ money or chips while maintaining the protection of the game. May compare the house’s hand against player’s hands.

Conducted gambling games such as Roulette, Black Jack, and poker following all rules and regulations.

Paid winnings and collect losing bets as established rules and procedures of specific game.

Exchanged currency- paper money for playing chips

Enforced game protection

Extended great customer service to guests

Wellpoint

2010– 2012 Business Analyst II, Group Services

Responsible for implementing new clients into Wellpoint systems for claim adjudication and managing existing clientchangesand corrections to benefit group structure.

Managed workflow stability output of 23 benefits during Open Enrollment season, forecasting upcoming new and renewal activity.

Resolved and researched claim adjudication issues, tracking conflicts and communicating solutions scope to stakeholders.

Translated business needs of mapping documents to IT for client implementation and claim adjudication.

Utilized Macros to input massive information into Wellpoint systems.

Performed work audits of requirements for team members

2009 – 2010 Business Analyst II, Pharmacy Benefit Management (PBM)

Responsible for implementing and managing Medicare pharmacy benefits and other programs associated; Leading problem resolution of Medicare business.

Created discount program for senior citizens for lower values of medication with generic brands (Select Generic Program).

Managed, researched and resolved benefit conflicts. Created new solution scope if necessary.

Implemented and controlled maintenance of Medicare Part B supplementary benefits

Rebuilt multi-layer accumulators for new year migration.

Built new co-pay tiers under CMS regulations for Medicare business.

Implemented benefit builder requirements for ProPBM mapping for Medicare business.

Trained fellow employees on new system usage and performed audits of work.

2007-2009 Business Analyst I, Pharmacy Benefit Management (PBM)

Responsible for implementing and daily maintenance of commercial pharmacy benefits.

Built commercial pharmacy benefits from novice clients

Supported new year implementations, various duties assigned

Corrected conflict issues, reported resolution to stakeholder

2006-2007 Pharmacy Assistant, NextRx

Responsible for assisting licensed pharmacists with filling prescriptions and

preparing them for shipment.

Established and maintain patient profiles and insurance claim forms

Dispensed and package prescription drug orders to be reviewed by pharmacists.

Walgreens Pharmacy

2002-2005 Pharmacy Technician

Responsible for assisting licensed Pharmacist with administrative duties in running

a pharmacy.

Established and maintain patient profiles, prepare insurance claim forms, and stock and take inventory of prescription

Maintained inventory and inform the supervisor of stock needs so that the pharmacy does not run out of the vital medications that customers need

Dispensed and packaged prescription drug orders for review by pharmacist

Communicated with hospitals and doctor’s offices to acquire refills

2002-2007 Contributed 75% of cost of college education through work study, internships and other job opportunities:

Walgreens – Pharmacy Technician, University of Cincinnati-Work Study,HR Internship, Cornerstone- Customer Service Representative, Kroger- Cashier

EDUCATION

2002-2007 Bachelor of Arts in Organizational Leadership, University of Cincinnati

AFFILIATION

2014-2014 NPC Kentucky Muscle, 1stPlace Novice, 4thPlace Open (Nationally Qualified)

2012-2012 NPC Body Building Competition, Monster Mash-2nd Place

2006-present Vice President, Praise Dance Team, St. James Church

2009-present Van driver, St. James Church

2011-2011 Volunteer, St. Vincent DePaul Charitable Pharmacy

2011- 2012 SNPHA, University of Cincinnati College of Pharmacy

2006-2010 Deans List, University of Cincinnati

2002-2006 Scholarship recipient, Cincinnati Scholarship Foundation

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