Summary
Overview
Work History
Education
Skills
Timeline
Generic

Linda Lawson

Powell,TN

Summary

Efficient Reimbursement Specialist with solid background proactively managing claims and preventing insurance issues. Competent in keeping records accurate and current and proactively managing account problems. Excellent customer relations skills combined with analytical approach to handling routine and complex delays.

Overview

44
44
years of professional experience

Work History

Drug Authorization and Reimbursement Specialist

Southeastern Retina Association
07.2000 - 10.2023

Managed all reimbursement details necessary for all patients receiving professionally administered medications


Enroll patients with Genentech Access Solutions and Regenron for Eylea benefit investigation with current insurance.


Developed a strong understanding of insurance criteria regarding professionally administered medication.


Requested and maintained active authorizations as needed


Enrolled patients in copay assistance programs as needed.


Developed understanding of criteria involved with all copay foundations


Identified & enrolled patients that qualified for Free Drug Programs available within the Pharmetucial companies.


Maintained accurate treatment details for Physicians and clinical staff that was practiced on a daily basis


Educated clinical staff on treatment guidelines regarding covered diagnosis and specific insurance guidelines


Demonstrate strong leadership skills to Medical Professionals, administration and all other employees





Quality Control Specialist

Levi Strauss & Company
10.1979 - 10.2000
  • Acted as liason with vendors to assure Levi quality standards are maintained
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Created and maintained several databases to track statistical data.
  • Reported approved and rejected merchandise logs to management and vendors

Private Insurance Representative

Wyatt Insurance Services
01.2000 - 07.2000
  • Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
  • Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere.
  • Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
  • Communicated with clients and customers to gather, provide and share updated information on products and services.

Education

No Degree - General Business

Phillissipi Community College
Knoxville, TN
05.1984

High School Diploma -

Horace Maynard HIgh School
Maynardville, TN
05.1978

Skills

  • Claims Processing
  • Administrative Writing
  • Copay Collection
  • Bookkeeping
  • Detailed and accurate Communication
  • Extremely focused on details

Timeline

Drug Authorization and Reimbursement Specialist

Southeastern Retina Association
07.2000 - 10.2023

Private Insurance Representative

Wyatt Insurance Services
01.2000 - 07.2000

Quality Control Specialist

Levi Strauss & Company
10.1979 - 10.2000

No Degree - General Business

Phillissipi Community College

High School Diploma -

Horace Maynard HIgh School
Linda Lawson