Tamara Matthewss
Tallahassee,FL
Summary
Detail-oriented Pharmacy Benefits Manager with proven skills in pharmacy benefit analysis, billing accuracy, and customer relationship management. Committed to optimizing medication management processes and enhancing member satisfaction.
Overview
9
9
years of professional experience
Work History
Pharmacy Benefits Manager SR
UHG, United Health Group
Tampa, Florida
07.2023 - 05.2026
- Collaborated with healthcare providers to optimize medication management processes.
- Analyzed pharmacy benefit plans, enhancing cost efficiency and member satisfaction.
- Developed training materials on pharmacy benefit systems for staff education.
- Monitored medication pricing trends to inform reimbursement rate adjustments.
- Coordinated communications among pharmacies, insurers, employers, and members regarding plan design changes.
- Reduced healthcare costs by facilitating insurance programs with low annual rates.
- Led training sessions for employees to clarify benefits choices and options.
Billing Coordinator
ADT Security Systems
Jacksonville, Florida
09.2019 - 06.2023
- Managed monthly billing cycles, ensuring accuracy and compliance with company policies.
- Coordinated with internal teams to update billing information and customer accounts.
- Completed documentation and reports of financial information, supporting timely decision-making.
- Performed collections activities by contacting customers via phone or email regarding outstanding balances due on their accounts.
- Researched customer account information to respond to inquiries and resolve disputes.
- Ensured compliance with company policies related to invoice generation and processing.
- Processed invoices, credit memos and other financial documents.
- Developed positive relationships with customers through effective communication, enhancing customer satisfaction.
Inbound Call Center Representative
Automated Health Systems Inc.
Huntsville, Alabama
02.2017 - 07.2019
- Handled inbound calls, ensuring clients received accurate and timely information.
- Aligned call center scripts with consumer inquiries, delivering precise and relevant answers.
- Met or exceeded call speed, accuracy and volume benchmarks on a consistent basis.
- Executed follow-up calls to customers, providing additional assistance and clarifying inquiry topics.
- Researched required information using available resources.
- Adhered to all company policies and procedures when dealing with customers.
Education
Associate of Arts -
MDCC
Moorhead, MS05-2015
Skills
- Claims processing
- Pharmacy network management
- Benefits administration
- Pharmacy benefit analysis
- Problem-solving
- Billing accuracy assurance
- Financial reporting
- Customer relationship management
- Problem solving
- Attention to detail
Timeline
Pharmacy Benefits Manager SR
UHG, United Health Group
07.2023 - 05.2026
Billing Coordinator
ADT Security Systems
09.2019 - 06.2023
Inbound Call Center Representative
Automated Health Systems Inc.
02.2017 - 07.2019
Associate of Arts -
MDCC