Glendaye T. Quinn
Albany
Summary
To obtain a position where I can utilize my skills and experience to contribute to the growth and success of the organization
Overview
25
25
years of professional experience
Work History
Data Administrator IV – Quality Assurance
Health Research, Inc.
04.2012 - Current
- Current Pharmacy Intervention unit supervisor
- Monitor monthly spending on formulary medications
- Troubleshoot rejected pharmacy claims
- Review and complete weekly and monthly reports
- Assist with pharmaceutical audits
- Monitor RX Hotline Calls and Report processing
- Trained new and incoming staff on pharmacy database usage and data entry protocols
- Co-Managed Quality Assurance unit
- Developed and implemented quality assurance metrics for newly created quality assurnace unit
- Ensure unit guidelines are being met and quality service is provided to customers
- Conducted regular data audits to maintain data integrity and accuracy.
- Compile monthly data report findings
Senior Eligibility Determination Specialist
Health Research, Inc.
01.2020 - 01.2023
- Organize and oversee daily workload of Client Services unit
- Perform continuous quality assurance reviews to ensure compliance with established guidelines and adherence to protocols.
- Prepare and complete monthly/weekly reports
- Perform final review and determination of applications submitted to the program
- Provide staff supervision to multiple employees
- Train & assist in the ongoing education of new and existing staff
- Staff and program improvement plans
- Medical claims processing
Eligibility Determination Specialist 1
Health Research, Inc.
01.2018 - 01.2020
- Assign, review and approve new applications and supporting documentation
- Complete complex pharmacy intervention request submitted by providers and pharmacies
- Train incoming Pharmacy Intervention staff
- Monitor phone calls during training sessions
- Performance tracking
- Aid as necessary to Eligibility Determination Specialist and supervisory staff
Administrative Aide
Health Research, Inc.
01.2018 - 12.2018
- Grant transaction processing: Purchase request, contract budgets, vouchers, personnel material and other grant related transactions
- Tracking equipment purchases and grant deliverables.
- Answer office main line and triage calls
- Draft correspondence and prepare reports
- Preliminary review of transactions for completeness and accuracy
- Respond to inquiries
- Additional responsibilities as allocated
Eligibility Determination Clerk
Health Research, Inc.
01.2016 - 01.2018
- Preliminary assessment of applicant eligibility for Program services
- Customer Service for high volume program hotline
- Knowledge of Uninsured Care Program and other related information (i.e.: Medicaid, Medicare, New York State of Health, HMO’s and Home Care Affiliates)
- Problem solving for participants calling in with immediate account issues
- Review of applications in accordance with established criteria and procedures to determine eligibility
- Request additional information as necessary to further determine program eligibility
- Provide reimbursement for health insurance premiums
Office Clerk
Health Research, Inc.
01.2012 - 01.2016
- Provide day-to-day support to office staff
- Process daily incoming mail and faxes.
- Organize and maintain filing
- Process returned mail
- Mailing of insurance cards and informational documentation to program participants
- Additional responsibilities as allocated
Rebate Accounting Clerk
NYS Department of Health
06.2009 - 04.2012
- Receptionist for Medicaid operations including answering program hotline
- Audit Rebates from pharmaceutical companies
- Created rebate instruction manual for new hires in Power Point.
- Provide day-to-day support to supervisor and all staff.
- Duties included database creation for NYS Department of Health Systems in Microsoft Access
- Keep Excel logs updated for all terminated companies and products in the Federal Rebate Program
- Utilize Microsoft Word, Excel, PowerPoint and Access
- Other related duties as assigned
Administrative Assistant
NYS Department of Economic Development
03.2004 - 03.2006
- Provide administrative support to supervisor and staff
- Answering multi-line phones daily and forward to appropriate staff
- Administrative assignments including heavy data entry
- Schedule meetings, maintain numerous filing system
- Order supplies
- Maintain daily schedule
Office Clerk
NYS Office of the State Comptroller’s Office
06.2001 - 03.2004
- Front desk receptionist
- Various clerical duties as needed
- Kept track of timecards received
- Organized direct deposit statements for distribution
- Organized health benefits packages for employees
Education
Criminal Justice -
Hudson Valley Community College
05.2009
Skills
- MS Office Suite
- EMedNY
- Database management
- Medical claims billing
- Pharmacy claims billing
- Data Analysis
- Data recording and reporting
- HIV/AIDs education & Support
References
Available upon request
Skills And Experiences
- MS Office Suite – Proficient in Word, Excel, Access, Power Point, Windows operating system
- Adobe
- EMedNY
- Medical Claims Billing
- Data Analysis
- HIV/AIDS data recording and reporting
- HIV/AIDs education & Support
Timeline
Senior Eligibility Determination Specialist
Health Research, Inc.
01.2020 - 01.2023
Eligibility Determination Specialist 1
Health Research, Inc.
01.2018 - 01.2020
Administrative Aide
Health Research, Inc.
01.2018 - 12.2018
Eligibility Determination Clerk
Health Research, Inc.
01.2016 - 01.2018
Data Administrator IV – Quality Assurance
Health Research, Inc.
04.2012 - Current
Office Clerk
Health Research, Inc.
01.2012 - 01.2016
Rebate Accounting Clerk
NYS Department of Health
06.2009 - 04.2012
Administrative Assistant
NYS Department of Economic Development
03.2004 - 03.2006
Office Clerk
NYS Office of the State Comptroller’s Office
06.2001 - 03.2004
Criminal Justice -
Hudson Valley Community College