Lawrence Calvin Tolbert Jr
Sales, Account, & Field Reimbursement Management
Memphis, Tennessee, United States,TN
Summary
Dedicated Account Manager promoting dynamic client management, issue resolution and relationship-building skills. Proven history of increasing revenue while bringing in new clients. Dedicated Pharmaceutical Sales Representative & Field Reimbursement Manager successful at handling numerous clients and difficult individuals and circumstances. Focused on attending to various customer needs with history achieving and exceeding expectations. Expert salesperson and team leader. Creative and engaging Account Manager bringing 20+ years of dynamic and diverse management, in field reimbursement, pharmaceutical sales, specialty pharmacy, and reimbursement experience. Recognized for essential business acumen and focus through budgetary and deadline adherence, innovative sales techniques and concept solutions. Visionary leader dedicated to aligning organizational business goals with quality work to achieve consistent success.
Overview
20
20
years of professional experience
Work History
Practice & Key Account Manager/ FRM
Aimmune Therapeutics/ Nestle' Health Sciences
Brisbane, CA
01.2020 - 10.2022
- Oversaw multiple accounts and worked diligently to meet and exceed performance goals.
- Built and maintained productive relationships with customers and internal partners.
- Acted as main point of contact in matters relating to client concerns and needs.
- Developed successful customer relationships and quickly resolved service requests to increase sales.
- Renewed existing accounts by cementing trusting relationships with customers.
- De-escalated customer interactions by providing alternative tactics to solving problems and satisfying customer needs.
- Developed thorough understanding of products and service offerings to better upsell and cross-sell to clients.
- Scheduled appointments with medical professionals to sell specific products.
- Educated customers on product features and technical details to highlight benefits.
- Educated clients on product benefits and provided demonstrations.
- Achieved territory, individual and company goals for call metrics, sample distribution, market share and sales.
- Traveled to various locations to sell medications.
- Liaised with vendors to coordinate delivery schedules and promote customer satisfaction.
- Built strong, professional relationships through identification of client needs, which increased overall sales and opportunities.
- Streamlined department's workflows by assessing billing and collections processes and making appropriate changes.
- Maintained confidentiality and integrity of patient data.
- Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.
Reimbursement Administrator
Benevere Specialty Pharmacy/ CVS Health
Collierville, TN
02.2014 - 11.2019
- Manage patient accounts to ensure correct and timely delivery of medication and correct bill pay.
- Create patient account records.
- Verify insurance benefits through insurance companies.
- Collect outstanding balances from insurer and insured.
- Correct and clean up bad debt.
- Ok clearance of shipments with pharmacists.
- Answered telephones to take messages or redirect calls to appropriate colleagues.
- Verified technical reimbursement questions for providers, billing and coding staff.
- Determined medical necessity, using individual insurance carrier regulations.
- Streamlined department's workflows by assessing billing and collections processes and making appropriate changes.
- Provided personnel development by holding weekly staff meetings and team building activities.
- Researched rejections, investigating problems to appeal claims.
- Drafted documents based on payer guidelines and submitted to necessary parties.
- Identified opportunities for coverage access to address reimbursement barriers.
- Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.
- Worked with billing department to reduce contract implementation errors.
- Wrote appeal letters to insurance companies for denial of claims.
Patient Account Representative
Nova Factor, Medco Health, & Accredo Health Group
Memphis, TN
03.2003 - 11.2013
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
- Reviewed flagged items daily and resolved issues.
- Resolved inquiries from patients, families and external payers.
- Applied organizational policies and complied with regulations for patient privacy.
- Submitted electronic bills following facility and legal compliance standards.
- Processed refunds, disbursements and payments.
- Reached out to patients once insurance was billed in order to obtain payments due.
- Created letters, invoices and other documents with diverse computer programs such as Microsoft Word, RxHome, and AS400.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Answered customer questions regarding account discrepancies or problems.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Advised delinquent customers on strategies for debt repayment.
Education
Bachelor of Science - Business/ Sports Management
Arkansas State University
Jonesboro, AR12.2000
Skills
- Developer and updater of SOP for Reimbursement Policies and Procedures
- Conflict Resolution
- Researcher of intricate insurance details and policies (Medicaid, Medicare, Commercial, etc)
- Professional communicator, Realistic Goal setting, and Training Programs
- Listening and successfully adhering to the needs and concerns of patients
- Benefits Verification, Customer Service, CVS delivery, Financial Assistance Researcher, Registered Pharmacy Technician
- Account Management
- Strategic Account Planning
- CRM Software
- Verbal and Written Communication
- Customer Service
- Problem-Solving
- Relationship Building
- Opportunities Identification
- Business Development
- Documentation and Reporting
- Upsell Opportunities
- Time Management
- Pharmaceutical Sales
- Product Knowledge
- Expense Management
- Attention to Detail
- Customer Communication
- Account Development
- Expense Reports
- Billing and Collections Procedures
- Analytics Skills
- Reimbursement Management
- Issue Resolution
- Team Assistance and Oversight
- Electronic and Paper Claim Submission
- Computer Skills
- Microsoft Office
- People Skills
- Good Work Ethic
- Team Building
- Reliable & Trustworthy
- Critical Thinking
- Customer Relationships
- Budget Management
- Business Growth Opportunities
- Interpersonal Skills
- Account Planning
- Customer Relationship Management
- Team Member Motivation
- Preventive Healthcare
- Staff Training and Development
- Google AdWords
- Salesforce Software
- Networking Events
- Territory Management
- Cold Calling
- Policyholder Communication
- Insurance Coverage Verification
- Policy Changes
- Documentation Skills
- HIPAA Compliance
- Group Presentations
- Medicare Compliance
- Customer Account Review
- Insurance Eligibility
- Billing Inquiries
- Key account management
- Managing accounts
- Key relationship management
Affiliations
Member of the Leadership Team for the Diversity, Equity, and Inclusion Team for the group Kaleidoscope
Omega Psi Phi Fraternity Incorporated
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Practice & Key Account Manager/ FRM
Aimmune Therapeutics/ Nestle' Health Sciences
01.2020 - 10.2022
Reimbursement Administrator
Benevere Specialty Pharmacy/ CVS Health
02.2014 - 11.2019
Patient Account Representative
Nova Factor, Medco Health, & Accredo Health Group
03.2003 - 11.2013
Bachelor of Science - Business/ Sports Management
Arkansas State University
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