Deborah Besadesky
Plano,TX
Summary
Results-oriented professional with significant experience at CVS Health Corporation, focusing on process improvement and data analysis. Achieved a 25% increase in production rates through enhanced operational efficiency. Skilled in team collaboration and policy implementation, utilizing Lean Six Sigma methodologies to facilitate impactful change.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Senior Coordinator, Process Improvement
CVS Health Corporation
01.2022 - Current
- Drove Voice of the Customer (VoC) initiatives for Medicare Part D and Medallia grievances insights, translating member feedback into specific process and operational improvements.
- Supported continuous improvement initiatives through application of Lean Six Sigma and Kaizen principles, enhancing overall project outcomes.
- Identify and implement process improvements that increased production rates by 25%.
- Monitored and reported trends for internal departments, addressing systemic issues to improve client outcomes.
- Provided expert guidance on PBM plan design to improve client understanding in Medicare Part D and commercial accounts.
Senior Resolution Team Specialist
CVS Health Corporation
07.2021 - 01.2022
- Managed time-sensitive medication access issues, ensuring policy compliance and operational feasibility.
- Ensured HIPAA compliance while leveraging available resources to achieve effective resolutions.
- Trained frontline staff on pharmacy benefits and facilitated successful plan implementation.
- Served as subject matter expert on plan design for various accounts. across Commercial and Med D accounts.
- Ensured grievances were properly documented per internal process and CMS.
Customer Care Representative
CVS Health Corporation
11.2020 - 07.2021
- Provide guidance on prescription drug benefits, coverage rules, plan design, and medication access.
- Handled inquiries from pharmacy benefit plan members and patients, ensuring timely and accurate responses.
- Assisted providers with inquiries on benefit coverage, formulary rules, and authorization status to streamline communication.
- Initiated and routed prior authorization and benefits exception requests to facilitate patient access to medications.
- Ensured all interactions upheld HIPAA and internal compliance standards, protecting PHI and PII while improving the customer journey.
Benefits & Authorization Operations Manager
Topline Billing Solutions, LLC
09.2018 - 11.2020
- Facilitated communication among providers, payers, and clients to expedite prior authorizations, enhancing care delivery.
- Designed and implemented training programs on benefits verifications and prior authorizations, improving staff understanding of coding requirements and payer policies.
- Oversaw documentation and compliance protocols for medical providers nationwide, ensuring accuracy in ICD-10 and CPT coding.
Cardiology Patient Care Coordinator
Baylor Scott & White Texas Cardiac Associates
03.2006 - 03.2007
- Managed specialty cardiology scheduling across multiple cardiologists and satellite office locations, improving patient access to care.
- Coordinated medical record requests and transfers, ensuring chart accuracy in EHR systems for efficient pre-visit cardiology consults.
- Entered CPT and ICD-9-CM coding to enhance charge capture accuracy and support third-party billing workflows for specialty cardiology patients.
- Maintained secure and compliant handling of patient records and coding data, ensuring adherence to payer-required documentation.
- Formerly Texas Cardiac Associates
Office Management Specialist
United Parcel Service, Inc.
09.2002 - 03.2006
- Coordinated office operations, enhancing communications, tracking package documentation, and streamlining logistics workflows.
- Maintained accurate records, reports, and office documentation using UPS systems and Microsoft Office tools to support organizational efficiency.
- Handled confidential information and customer data, ensuring compliance with UPS procedures and standards.
Education
Bachelor’s of Science - Psychology
Capella University
Minneapolis, MN06.2025
Skills
- Data analysis
- Process improvement
- Team collaboration
- Policy implementation
- Verbal and written communication
- Medallia
- NPS
- OSAT
- Microsoft Office Suite
- Lean Six Sigma Green Belt
- Kaizen Continuous Improvement
- Prior Authorizations
- HIPAA
- CPT Coding
- ICD-10 Coding
- Critical Thinking
- Multitasking and organization
- Data entry
- Work Planning and Prioritization
- Schedule coordination
- Medical terminology
- Workflow management
- Updating stakeholders
- Scheduling and calendar management
- Insurance verification
- Problem-solving
- Best practices implementation
- Discretion and confidentiality
- Adaptability and flexibility
- MS office
- Medical billing
- Information collection
- CMS
- JASP
- MARx
- People Safe
- Compass
- LINKS
- Practice Suite
- Rx Claims
- Matter Site
- Thought Spot
- Salesforce
- Operational Data Management (ODM)
Professional References
- MacKinzie Felder, 214-532-5710
- Lacey Carter, 970-430-1340
Certification
Lean SIx Sigma Green Belt GoLeanSixSigma #02505600218 Valid June 07, 2025 - June 07, 2027
Affiliations
Led an undergraduate student study group, 40+ members
Rockwall County Elections Office, Election Poll Worker, Alternate Judge, Presiding Judge, Ballot Board, Deputy Voter Registrar, Precinct Chair, 2020-2024, Coordinated scheduling, onboarding, registration, and documentation. Keeping compliance with Federal and State Election Laws.
Mesquite Soccer Association, Coach, Division Commissioner, Registrar, 6 years
Hospital Volunteer, 1 year, Service in clinical support roles.
Library Assistant, 3 years, Providing literacy support and organizing programs.
PTA Health Officer, 2 years, Planned and implemented health-focused community events including vaccination clinics and blood drives, while managing documentation.
Rockwall County Elections Office, Election Poll Worker, Alternate Judge, Presiding Judge, Ballot Board, Deputy Voter Registrar, Precinct Chair, 2020-2024, Coordinated scheduling, onboarding, registration, and documentation. Keeping compliance with Federal and State Election Laws.
Mesquite Soccer Association, Coach, Division Commissioner, Registrar, 6 years
Hospital Volunteer, 1 year, Service in clinical support roles.
Library Assistant, 3 years, Providing literacy support and organizing programs.
PTA Health Officer, 2 years, Planned and implemented health-focused community events including vaccination clinics and blood drives, while managing documentation.
Timeline
Senior Coordinator, Process Improvement
CVS Health Corporation
01.2022 - Current
Senior Resolution Team Specialist
CVS Health Corporation
07.2021 - 01.2022
Customer Care Representative
CVS Health Corporation
11.2020 - 07.2021
Benefits & Authorization Operations Manager
Topline Billing Solutions, LLC
09.2018 - 11.2020
Cardiology Patient Care Coordinator
Baylor Scott & White Texas Cardiac Associates
03.2006 - 03.2007
Office Management Specialist
United Parcel Service, Inc.
09.2002 - 03.2006
Bachelor’s of Science - Psychology
Capella University