Brian Spratt
Manchester,NH
Summary
Veteran Pharmacy Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Senior Billing Manager
Cue Health
2023.06 - Current
- Reviewed historical records, past operational data and forecasting information to identify and capitalize on system enhancement opportunities.
- Evaluated and negotiated contracts to procure claim processing terms with PBM's.
- Analyzed business processes to identify cost savings and operational efficiencies.
- Identified and procured a CNP payment system to process/reconcile insurance and customer payments.
- Worked closely with legal and compliance to ensure that all pharmacy adheres to all State and Federal regulations.
- Coordinated with pharmacy team daily to ensure all prescriptions were processed, completed and shipped.
Pharmacy Billing Manager
Amazon/Pillpack Pharmacy
2015.02 - 2023.03
- Performed testing for billing modules, enhancing new functionality and process improvements.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
- Conducted performance reviews and implemented improvement plans.
- Reviewed billing problems, researched issues, and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Managed monthly billing process to complete billings and returns to meet company productivity goals.
- Complied with established internal controls and policies.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
- Developed strategic plans for day-to-day billing department operations.
- Analyzed business processes to identify cost savings and operational efficiencies.
Billing Specialist
Omnicare
1999.08 - 2015.01
- Responded to customer concerns and questions on daily basis.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Worked with multiple departments to check proper billing information.
- Researched and resolved billing discrepancies to enable accurate billing.
- Adjudicated pharmacy claims in accordance with federal and local regulations.
- Identified payment trends and adjusted billing processes accordingly to retain customers.
- Reviewed and reconciled customer accounts to manage accuracy of payments.
- Developed and maintained billing procedures to make timely payments.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
Education
No Degree - Business Management
Notre Dame College, Manchester NH, 03104
Manchester, NHHigh School Diploma -
Trinity High School, Manchester, NH 03104
Manchester, NH06.1989
Skills
- Program Improvements
- Process Improvement
- Compliance Requirements
- Project Leadership
- Customer Satisfaction
- Billing Review
- Report Preparation
- Procedure Optimization
- Excellent Team Leadership
- Cost Control and Reduction
- Coordinate Training
- Time Management
- Verbal and written communication
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Senior Billing Manager
Cue Health
2023.06 - Current
Pharmacy Billing Manager
Amazon/Pillpack Pharmacy
2015.02 - 2023.03
Billing Specialist
Omnicare
1999.08 - 2015.01
No Degree - Business Management
Notre Dame College, Manchester NH, 03104
High School Diploma -
Trinity High School, Manchester, NH 03104
- CPhT - Certified Pharmacy Technician
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