PENNY LYNN ADAMS

Home Address: ***** *** ******, ***** **, Yucaipa, Ca. 92399

Cell: 909-***-****

E-mail: adfogc@r.postjobfree.com

QUALIFICATIONS SUMMARY

25+ years of leadership experience with varying degree of responsibilities.

35+ years experience in healthcare focusing in pharmaceuticals.

10+ years billing and collections, audit, training and process improvement projects.

EMPLOYMENT HISTORY/EXPERIENCE:

BRM Partners / PMKM – QHI / PGBB SPRx, Ontario, California

Reimbursement Specialist – March 2019 – Present

Direct responsibilities included:

Preforms billing, collections, scanning, filling and audit function on assigned payers.

Create and submit SAR’s and TAR’s and any other Prior Authorizations as needed.

Trained as back up to the following, Patient Intake, Patient Services, Cash Applications.

Assists in all areas of department to maintain even workflow efficiencies.

Maintain A/R under 45 days within guide line set by the Director of Reimbursement .

Apple One / State of California Bar Exams / Ontario, California

Proctor February 2019 – Present

Direct responsibilities include:

Administer exams for the BAR examination

Organize, coordinate and distribution of exams to participants.

Proper collection of documentation to insure the integrity of the process.

Western San Bernardino County Bar Association / Rancho Cucamonga, California

Administrative Assistant January 2018 – November 2018

Direct responsibilities include:

Administrative assistant intern position in office setting.

Assists with routine clerical and organizational tasks as assigned.

Organize, coordinate and distribution of the monthly newsletter.

Coordinate and assists with the planning of special events, under the direction of the Executive Director.

Coordinate relationships and/or activities with external members.

EMPLOYMENT HISTORY/EXPERIENCE CONTINUED: Penny Lynn Adams

Walgreens / Yucaipa, California

Designated Hitter – June 2017 to November 2017

Direct responsibilities included:

Pharmacy technicians that are trained to provide customer service and coverage in all areas of the store

Cosmetics, photo, inventory control and as front end cashier

Back up to pharmacy staff with greeting, data entry of new patient and prescription, assisting, with all needs in the pharmacy area as needed.

Community Healthcare Services / NCHS-Holdings, Loma Linda, California

Lead Pharmacy Technician - August 2016 – February 2010

Direct responsibilities included:

Set-up of new pharmacy specializing in Hemophilia, Hepatitis, and additional Immune therapies.

CPR+ System was selected to use in all areas of pharmacy. Including patient medical records, inventory, reimbursement, finance.

Lead technician, with responsibility to train all additional staff.

Maintain inventory levels for daily dispensing.

Facilitated the daily work flow based on priority.

Responsible for setting up daily orders/shipments.

Weekly reports submitted to each state the pharmacy dispensed to.

Quarterly reports submitted to California State Medicaid for high dollar usage of Hemophilia medications.

Instrumental in pharmacy’s accreditation approval from ACHS

Caremark CVS Specialty / Redlands, California

Home Patient Representative / Pharmacy Technician / Auditor /Collector

August 1997 - March 2009

Direct responsibilities included:

Home Patient Representative, made initial contact to all new patients receiving the Copaxone therapy introduction to our company and services, scheduled first shipment.

Verification of all patient related data to insure accuracy

Maintain inventory levels for daily dispensing.

Back up pharmacy technician in dispensing/ shipping area as needed

Submitted prior authorizations and TAR’S.

Verified Medicaid coverages, third party billing; HFCA1500 and EOB’s.

EMPLOYMENT HISTORY/EXPERIENCE CONTINUED: Penny Lynn Adam

Caremark CVS Specialty / Redlands, California

Payor and/ Auditor /Collector

August 1997 - March 2009

Direct responsibilities included:

Responsibilities to collect and review all data on payer audits.

Review payments made to claims based on contractual agreements with payers.

Specializing in under and over payments, prepare all documentation for review by senior management. Refunds issued or claim submitted for additional payment based off contract with payer.

Collection of underpayments, by submitting corrected or additional documentation to payer for correct processing of claims.

Responsible for all training of additional staff.

All employment experience prior to 1997 furnished upon request.

EDUCATION HISTORY:

State Of California / Pharmacy Technician Licensure April 1, 1993 – August 31, 2020

Redlands Sr. High School Graduated 1979

Crafton Hills College, Criminal Justice 1982

ADDITIONAL EXPERIENCE:

Board of Directors Trustee / Redlands Bicycle Classic 1992 to Present

Organizing committee member, assists in the responsibility of the planning of the event.

Moved to Sponsorship in 2017, assistant to Director of Sponsorship.

Chief Race Marshal /Volunteer Coordinator, Redlands Bicycle Classic 1992- 2017

Responsibilities to recruit and train over 400 volunteers for an International Pro Cycling event.

In 2018 joined the Sponsorship Team; I assist in acquiring new sponsors for our event as well nurturing current sponsors

Officials Liaison, Responsible for the comfort of our Race Officials that arrive on race week. (Approximately 30 officials)

Volunteer Coordinator, Redlands Chamber of Commerce 2012 - Present

Responsibilities to recruit and train over 100 volunteers for various City events.

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