Dedicated and hardworking.
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Coordination of Benefits (COB) Analyst with experience using claims systems and established resources to determine correct coverage primacy and identify potential overpayments.
Medicare and commercial claims, applies invoicing rules, and resolves audits while communicating with providers, members, employees, and insurance representatives. Supports recovery efforts by finding ways to improve workflow efficiency and keep cases moving in a timely manner.
Coordination of Benefits (COB) Analyst at The Rawlings Group - renamed Machinify (2021-03 – 2026-08)
Pharmacy Support Lead at The Rawlings Group - renamed Machinify (2018-01 – 2021-03)
Working with different teams to upgrade check and mail imaging systems, creation of pharmacy support manual, training of current and new employees. Communicating with all team managers effectively about ongoing issues, procedure changes or concerns. Attending meetings to help facilitate an open relationship with all areas in the pharmacy department.
Reviewing employees' work and communicating ways to improve efficiency within the support area. Creating team measurable and goal setting with each team member. Work with Pharmacy Production Manager to discuss issues that would impact production for all clients.
Assist with all pharmacy teams for distribution of investigations and running of reports that show productivity of support team members. Completing research for new client implantations and report findings to pharmacy production team manager.
Pharmacy Support Associate at The Rawlings Group Renamed Machinify (2015-06 – 2018-01)
Customer Service Representative at New York and Company located at the Outlet Shoppes of the Bluegrass (2014-07 – 2016-06)
Customer Service Representative – Specializing in Printing Service at The UPS Store Shelbyville (2013-10 – 2016-06)
Bachelor of Arts in Education Minor in English – Midway College (2010-05)