BRITTANY BAGLEY

-Ensures consistent and accurate reporting by enforcing approval protocol for department processes; monitoring and approving worksheets for changes and corrections;

-meeting with internal and external stakeholders to address workload issues;

-performing quality checks and accuracy assessments on work completed by team; ensuring adherence with business process controls and company policies and procedures;

-maintaining department compliance by working with internal and external auditors to educate and confirm their processes meet control requirements and guidelines; and identifying process deviations indicating possible fraud or control gaps.
-Assists management with development of team and execution of strategies; identifying and collaborating with management on issues impacting workload or team;

-ensuring uninterrupted team functioning by coordinating work flow; setting priorities for work tasks; resolving questions and concerns within the team of responsibility; coordinating cross- training of associates;

• AmerisourceBergen is an American drug wholesale company that provide drug distribution and consulting related to medical business operations and patient services., Documenting and initiating prior authorization process and claims appeals
• Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options
• Identifying any coverage restrictions and details on how to expedite patient access
• Reporting any reimbursement trends or delays to management.
• Researched and evaluated new benefits programs to select cost-effective providers and coverage levels.
• Observed strict procedures to maintain data and plan participant confidentiality.

• Manages processes and identifying best practices for efficiency and effectiveness
• Ensure process changes meet guidelines and delivers training on processes, procedures, and systems to associates
• Monitor and measuring performance to ensure established quality standards and production;
• Facilitate internal and external customer meetings; and ensuring issue resolution through communication and follow-up with customers and stakeholders to improve efficiency and customer service
• Ensures compliance with policies
• Conduct audits to ensure data accuracy and adherence to policies and procedures
• Generate and reviewing reports (for example, transactional, exception, performance reports); and coordinating month-end reporting to ensure compliance with service level agreements (SLA's)
• Provides supervision and development opportunities for associates by hiring and training; mentoring; assigning duties; providing recognition; and ensuring diversity awareness.

• Workflow coordinator role is responsible for performing analysis on highly complex process calculations and transactions for the Store Back Office function
• This includes, but is not limited to, completing complex research for reimbursement or recoupment of funds, researching and reconciling low to medium complexity general ledger accounts, coordinating documentation retrievals for compliance and audit requests, and performing advanced quality analytics
• Addresses technical equipment issues (for example, problems caused by the check import system or with the Xerox printer) by making minor adjustments or fixes; seeking assistance for more substantial issues; and implementing manual processes or back-up plan if equipment issues cannot be resolved
• Completes work assignments and priorities in check processing by using policies, data, and resources; collaborating with managers, co-workers, customers, and other business partners; identifying priorities, deadlines, and expectations; carrying out tasks; communicating progress and information; determining and recommending ways to address improvement opportunities; and adapting to and learning from change, difficulties, and feedback