Amy Novak
Forked River,NJ
Summary
- Proactive, self-motivated individual with a strong ability to build genuine rapport and establish authentic business relationships through superior knowledge and customer service throughout the specialty prescription process with an end result of positive physician/patient experiences
- Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
- Detail-oriented and methodical, offering 17 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
- Successful at efficiently handling client inquiries, billing, and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence.
- Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.
- Quality-driven with proven record of excellent job performance. Manages projects at each stage with diligent and attentive approach, carefully checking details, and testing assumptions. Skilled in training junior and senior personnel in principles and practices.
Overview
18
18
years of professional experience
Work History
Field Reimbursement Manager
McKesson
Remote, NJ
2022.07 - Current
- Successfully demonstrates on a daily basis a deep understanding of the customers and clients, their process, and key stakeholder roles to pull through manufacturer support programs
- Deep knowledge of the reimbursement model inclusive of commercial, PBM, and government payers throughout the prescription life cycle.
- Provide assistance with PA, FE, and appeals to provide patient affordability solutions in an effort to create a positive patient experience.
- Proactively identify and resolve potential issues through proper channels.
- Strong analytical skills to use internal processes and collaboration to identify, prioritize, and address access and affordability for patient and remove barriers when needed.
- Cultivated interpersonal skills by building positive relationships with others.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
Billing Specialist
Walgreens Specialty
Toms River, NJ
08.2015 - 07.2022
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Responsible for prior authorizations and appeals, and finding financial assistance for patients through grants and foundations
- Worked closely with doctors offices and drug reps to ensure patients get their medication at affordable prices
- Experienced with ICD10 coding and insurance billing
- Assisted with obtaining URAC and ACHC accreditation.
- Responsible for training our new staff who are not experienced with specialty pharmacies, the Asembia platform, or hospital environments.
- Won Walgreens' "Champion of Champions" award in 2018 for my excellence in Local Specialty and Customer Care
Senior Certified Pharmacy Technician
Walgreens
Bricktown, NJ
09.2005 - 08.2015
- .
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Restocked automated medication dispensing equipment.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Reviewed and verified customer information and insurance provider information.
Education
Associate of Arts - History
Ocean County College
Toms River, NJBachelor of Science - Biology
Kean University
03.2022 - Current
Skills
- Experience working in complex market channels
- Knowledge of compliance protocols for adverse events, HIPAA, transfer of diligence, and timely follow up
- Task oriented with attention to detail, planning, and knowledge of local payer laws and regulations
- Medicaid
- Medical Billing
- Insurance Verification
- Certified Pharmacy Technician in New Jersey
- PTCB certified
- Medical Terminology
- ICD-10
- HIPAA
- Customer Service
- Medical Administration
Timeline
Field Reimbursement Manager
McKesson
2022.07 - Current
Bachelor of Science - Biology
Kean University
03.2022 - Current
Billing Specialist
Walgreens Specialty
08.2015 - 07.2022
Senior Certified Pharmacy Technician
Walgreens
09.2005 - 08.2015
Associate of Arts - History
Ocean County College