Cotiviti

Solve problems by identifying errors and overpayments for our healthcare clients using multiple computer software systems.

Generate new ideas for claim concepts and recovery opportunities.

Meet audit team goals and quality measures.

Serve clients by responding to questions or inquiries.

Payment Accuracy Specialist

The Hartford

• Served as the internal help desk for Policy Center (ComPAS), CUE (Middle Market Quoting) and NewCo (Personal Lines).

• Took first-level calls and chats from agents and internal users looking for assistance in ICON, EBC, TREO, Policy Center, CUE and NewCo.

• Troubleshoot error messages, provide navigation help and provide workarounds to customers on known issues.

• Provide documentation using My Tech Express for proper reporting and trending of issues.

• Work in tandem with agents, internal customers and the application teams to ensure that New Business, Midterm and Renewal transactions can be processed smoothly.

• Recognized and awarded for my work in helping to secure a $22K policy for the company on my 8th day out of training.

Associate Client Technician

Express Care Pharmacy

• Works closely with 500+ healthcare facility clients as a liaison between them and our pharmacies
to maintain and nurture client relationships.

• Identifies client’s needs and provides assistance, including but not limited to remote and on-site
IT and EMAR software support, training classes for EMAR go-lives and training refreshers,
providing and setting up IT equipment, producing weekly and as needed reports to ensure state
regulations compliance, and assisting with finding ways to improve client’s daily workflows.

• Works with software vendors, pharmacies, and the healthcare facilities to setup new interfaces.

• Proactively monitors, diagnoses, and fixes interface errors to ensure smooth daily workflow and
patient care compliance for both our pharmacies and clients.

• Continual review of pharmacy database to keep the information up-to-date and accurate for the
pharmacies, EMAR vendors, and healthcare facilities to reduce software communication errors.

• Responsible for providing first-line support and resolutions for IT and software issues reported by
users via emails, phone calls and help desk tickets.

Accomplishments:
• Wrote and formatted the Express Care Pharmacy company’s training manual.
• Promoted to Express Care Pharmacy team leader within one year of employment.
• Reduced interface communication errors by over 60%

Client Technology Analyst

•	Performed prescription data-entry via QS/1 and DocuTrack.
•	Billed and resolved medication insurance claims, rejections, and prior authorizations.
•	Communicated with other medical professionals via phone, text, fax, and email to gather data and ensure prescription and pharmacy database information accuracy.
•	Managed the data-entry, insurance billing, and recordkeeping for schedule ll narcotics.
•	Accepted, documented, and processed verbal prescription orders from doctor offices.
•	Produced and managed spreadsheets, files, records, and daily, weekly, monthly, and as needed reports for the data-entry department and our clients using Microsoft Excel and Word.
•	Supervised daily operations of my team as well as trained and developed 15+ new associates.

Long Term Care Pharmacy Data Entry Team Leader 

PCA Pharmacy

•	Efficiently handled and resolved pharmacy-related issues for the company and facilities/patients.
•	Clarified prescription orders with doctor offices via fax and phone.
•	Performed prescription data-entry via QS/1 and DocuTrack.

Long Term Care and Skilled Nursing Pharmacy Support Representative

Phoebe Pharmacy

•	Filled unit-dose prescriptions via Talyst medication packaging machines.
•	Made urgent medication deliveries to nursing homes.

Long Term Care Pharmacy Technician

Good Shepherd Rehabilitation Network

Performed data entry of patient data.

Filled and delivered medication orders to rehabilitation and disabled long-term care patients.

Packaged unit dose medications, compounded and reconstituted medications, and prepared oral syringes for the pediatrics unit.

Maintained inventory of medications and pharmacy supplies within the pharmacy as well as budgeted monthly expenditures.

Maintained inventory of automated medication dispensing machines for the nursing staff.

Hospital Pharmacy Technician

CVS Pharmacy

Customer service, data entry, insurance medication billing, filled prescriptions, operate cash register 

Oversaw associates daily work tasks and trained new employees

Inventory Specialist (maintained stock and filed weekly analysis reports)

Assisted in managing pharmacy when needed including schedule creation and holding staff meetings

Pharmacy Lead Technician

City of Reading, PA

Received non-emergency phone calls for the Reading police department as well as emergency 911 phone calls for the city of Reading.

Dispatched police officers to the scenes of required service.

Recorded and organized case folders and paperwork for expired driver's licenses, towed vehicles, other traffic violations, and restraining orders.

Police Dispatcher

Kutztown Folk Festival

The job required greeting visitors and supplying them with Festival programs, supervising the children’s wall painting mural, and making and selling desserts at a dessert stand.

Festival Worker

Crystal Cave

The job required management and maintenance of the mini golf course, as well as the janitor maintenance of the entire tourist attraction grounds.

Maintenance worker

Self-motivated, organized, and dependable professional with an A.S. in computer programming and a B.S. in psychology. Combined with 15+ years of experience in the pharmaceutical field and 3+ years of experience in software support and data quality assurance, I am in an excellent position to serve clients in a healthcare technology setting. Experience working with QS/1, DocuTrack, QuickMAR, PointClickCare, ACCUflo, Eldermark, Residex, S.M.A.R.T. eMAR/Tabula Pro, and ECP Assisted Living Software. Detail-oriented, resourceful, and proactive with proficient analytical problem-solving skills.

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