Sylvia Goss

Work History

Field Reimbursement Access Specialist

Cencora

05.2023 - Current

Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client's product
Educate provider office staff and practice managers on logistics needed to support client product, including infrastructure needed to support in-office administration including buy and bill and monitoring of product, and important coverage and payer policy changes within assigned territories
Educate provider office staff with understanding payers' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes
Probe to understand office processes and ability to discern root causes of access or reimbursement issues
Deliver interactive educational presentations at various provider sites of service
Provide information on relevant reimbursement topics related to client's products based on client's approval
Perform other duties as assigned.

Senior Account Manager

Smith and Nephew Biologics

01.2020 - 12.2022

Responsible for the sale of Smith and Nephew Biologic wound care products within an assigned territory
Primary call points are in the acute facilities as well as wound care clinics, Podiatry, dermatology, primary care and home health
Attain territory sales goals utilizing excellent sales skills, territory management skills and customer relationships
Communicate and explain current Pharmaceutical insurance policies
Deliver sales presentations to key customers
In-service appropriate personnel in hospitals, outpatient departments to educate end users on the clinical benefits of specialized wound care products
Awarded Southwest Area Quarterly MVP Q1 2021 and Q4 2021
Currently ranked within the top 50 Biologics Account Managers in the Company
Assigned to Pharmacy Task force 2022.

Site Administrator

DaVita/Optum Medical Group

01.2019 - 01.2020

Responsible for supervising and coordinating the daily operations of the support staff within a Primary Care and Comprehensive Wellness Clinic, with a total of 19 direct reports and 9 Healthcare Providers
Serve as departmental liaison and first line of contact with patients, staff and Providers
Manage efficient patient flow, appropriate use of supplies and other office functions
Generate and maintain a variety of statistical reports
Assist the Director of Clinical Operations with preparation of clinic budget and manage all administrative functions of the clinic
Provide guidance and training for assigned staff responsible for admitting, registering, scheduling and verifying patient insurance policies
Ensure positive patient experience as measured by Press Ganey
Manage monthly P&L
Increase patient office visits through collaboration with Payor plans and close monitoring of wait lists and provider schedules
Deliver sales presentations to key customers
In-service appropriate personnel in hospitals, outpatient departments to educate end users on the clinical benefits of specialized wound care products
Lead monthly comprehensive wellness group visits
Ensure clinic followed correct Pharmacy guidelines.

Sales and Operations General Manager

APRIA HEALTHCARE

01.2014 - 01.2019

Sell home respiratory services and medical equipment
Coordinate timely delivery orders and set up appointments
Execute various sales strategies to meet revenue and profitability goals
Establish strong relationships with assigned accounts to ensure positive customer experience
Drive new business development and referral sales
Primary call points in Primary Care, Sleep Medicine, Acute facilities, Cardiology, Pulmonology, Oncology, and Home Health
Conducted training through group in-services on product usage
Communicated and explained current Medicare guidelines regarding pricing and private insurance procedures
Promoted to Area Sales Manager in 2009 and Market Leader in 2014
Achieved 100% of sales quota consistently as both Sales Representative and Sales Manager
Recognized as Circle of Excellence Winner for Sales, 2007.

Market Leader

APRIA HEALTHCARE

01.2014 - 01.2015

Received fast-track promotion (from Area Management role) to provide strategic direction and management of daily operational performance with full market accountability
Developed key focus product starts budget and maintained full P&L oversight, including revenue and operating income
Executed sales strategy and growth initiatives that include driving sales through key accounts and leading sales team to achieve projected targets
Maximized non-exclusive contract penetration/pull-through from key accounts by collaborating with Regional Account Managers to better understand networks and business needs in order to generate continual business
Attended sales call with sales reps, coaching reps to achieve optimal performance and sales goals
Monitors KPIs and implements corrective measures and improvements as needed to maximize revenue and bottom-line profitability
Managed customer inquiries and complaints to achieve retention and satisfaction
Drove Apria sales execution model, including quality territory plan development and call cycles, sales representative routing, prioritization/time management, call volume management, execution of sales growth initiatives, and overall performance
Ensured complete compliance to company processes, standards, policies, and procedures
Maintained operational procedural compliance with federal, state, local, and JCAHO requirements
Oversaw hiring, training, coaching, developing, performance evaluations, and disciplinary/corrective actions regarding subordinate staff.

Area Sales Manager

APRIA HEALTHCARE

01.2009 - 01.2014

Executed sales strategy and growth initiatives to maximize sales through key accounts and managing sales team to meet/exceed projected targets
Maximized non-exclusive contract penetration/pull-through from key accounts by collaborating with Regional Vice Presidents
Attended sales call with sales reps, coaching reps to achieve optimal performance and sales goals
Monitors KPIs and implements corrective measures and improvements as needed to maximize revenue and bottom-line profitability
Maintained lines of communication and coached sales team on how to provide top-tier service and deepen relations to ensure contract terms of service
Managed customer inquiries and complaints to achieve retention and satisfaction
Secured $8M contract with local health plan provider
Played key role in City of Albuquerque achieving top sales ranking company-wide for 2 consecutive years.

Department Manager

NORDSTROM

01.1996 - 01.2001

Managed 10 sales associates in women's clothing department
Led department teams to achieve projected sales targets
Planned and coordinated in-store promotional events to attract customers and maximize sales
Nominated for Nordstrom Cup, 2001.

Summary

Overview

Work History

Field Reimbursement Access Specialist

Senior Account Manager

Site Administrator

Sales and Operations General Manager

Market Leader

Area Sales Manager

Department Manager

Education

Bachelor of Arts - English

Skills

Timeline

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