Summary
Overview
Work History
Education
Skills
Explanation of Education
Custom
References
Timeline
Generic

Terri Brown

McKinney,TX

Summary

Highly accomplished Reimbursement Field Manager of Market Access with 20+ years of experience in the healthcare industry. Adept at developing and implementing strategies to navigate complex reimbursement processes and optimize market access for pharmaceutical products. Skilled in fostering relationships with key stakeholders, including payers, providers, and distributors, to drive revenue growth and market share. Proven track record of successful reimbursement negotiations and ensuring compliance with regulatory requirements. Strong leadership and communication abilities, with a demonstrated ability to lead cross-functional teams to achieve company objectives. Looking to leverage my expertise in reimbursement and market access to drive business success for a dynamic organization.

Overview

26
26
years of professional experience

Work History

Reimbursement Field Manager Market Access/Key Account Manager

ImpediMed
Carlsbad, CA
10.2021 - Current
  • Drive optimal business performance by managing defined accounts in oncology within specific geographic regions, while fostering strong relationships with stakeholders for collaborative success.
  • Achieve territory objectives by executing collaborative strategic plans and strengthening partnerships with internal and external stakeholders.
  • Facilitate efficient field reimbursement services and case assistance programs by ensuring comprehensive understanding of reimbursement processes.
  • Successfully handled a diverse range of 50+ accounts nationwide.
  • Streamline reimbursement processes by developing and implementing robust strategies.
  • Created comprehensive training programs for new hires as well as existing employees to improve skillsets across the department.
  • Created PowerPoint presentations for internal use or client presentations related to finance topics.
  • Prepared presentations for executive-level audiences summarizing findings from research activities.
  • Deliver professional speaker programs detailing trends in healthcare, medical billing and coding practices, and practice management administration in physician office and hospital settings.
  • Drafted medical appeals, to reverse claim denials on behalf of acute outpatient sites of care.
  • Insured prompt payment of denied and underpaid health insurance claims, resulting in excess of $10,000 monthly revenue.
  • Reviewing appropriate billing and coding for products.
  • Assisting with resolving reimbursement issues Coordinating with client's patient support services programs representatives.
  • Educating physician office staff on the use of the client's patient assistance and reimbursement support services including web-based provider programs.
  • Developed comprehensive training programs, enhancing workforce skills and capabilities.
  • Reduced turnaround time for projects with improved resource allocation strategies.
  • Augmented team performance by reporting to management and providing insights and solutions.
  • Ensured prompt provision of patient care by obtaining prior authorizations/determinations for patient care services.
  • Maintained database integrity by documenting case status and outcomes and track sales activities and manage client information.
  • Analyzed key account data to identify trends and create action plans for improvement.
  • Guaranteed smooth onboarding and customer satisfaction by administering key cases for newly acquired accounts.
  • Forged strong relationships with clients and addressed concerns promptly by conducting regular meetings.
  • Managed multiple key account relationships simultaneously, ensuring that all accounts remained profitable.
  • Review multiple payer medical policy for coverage.
  • Successfully managed the preparation and submission of Predetermination and appeals at various levels.
  • Investigating claim denials.
  • Managed the preparation and submission of Post Claim and all Level of appeals.
  • Researched prospective clients to determine fit within the organization's strategy.
  • Engaged in direct communication with clients via phone calls, emails, video conferences.
  • Provided regular feedback on performance metrics and progress against objectives to senior management team members.
  • Successfully managed relationships with key accounts in the healthcare industry to drive reimbursement strategies and market access initiatives.
  • Developed and implemented comprehensive reimbursement plans to maximize coverage and reimbursement of products.

Sr. Lead Labor Manager

Kaiser Permanente
Sacramento, CA
07.1998 - 12.2017
  • Created reports tracking labor cost information, overtime hours worked, and daily production numbers.
  • Collaborated with other departments to improve processes related to labor management.
  • Coordinated disciplinary actions when appropriate per company guidelines.
  • Implemented corrective action plans when necessary to address unacceptable behavior or performance issues.
  • Advised management on matters related to administration of contracts and employee discipline and grievance procedures.
  • Developed and implemented processes to ensure efficiency and accuracy.
  • Demonstrated expertise in Prior Authorizations, Predeterminations, Appeals & TAR.
  • Managed and supervised the PAP & MFAP programs for patients requiring assistance.
  • Conducted regular performance evaluations to ensure employee growth and development.
  • Implemented team feedback to recommend corrective action to senior leadership.
  • Negotiated collective bargaining agreements.
  • Completed in-depth investigations into issues pertaining to discipline and grievance management and recommended strategies.
  • Managed a team of 14 labor specialists to analyze workforce trends, identify areas for improvement, and drive efficiencies.

Education

High School Diploma -

Foothill High School
Sacramento, CA

Some College (No Degree) -

Sacramento City College
Sacramento, CA

Skills

  • Effective Communication
  • Project Management
  • Claim investigation and research
  • Medical Policy
  • Microsoft Suite
  • HCPCS and CPT coding guidelines
  • Medicare Part A, B, C, D and Commercial payers
  • Strong Presentation Skills
  • Project Management
  • Territory Management (Multiple State Coverage)

Explanation of Education

  • Participated in various hands-on projects and case studies that allowed me to apply theoretical knowledge to real-world business scenarios. Developed skills in problem-solving, critical thinking, and project management through group collaborations and presentations. Received high marks for my ability to analyze complex business problems and develop innovative solutions. Completed hands on work experience with companies in the engineering and medical industry, where I gained practical experience in areas such as medical billing, revenue cycle, some market research, data analysis, and customer relations. Assisted in multiple projects & received positive feedback from supervisors for my strong work ethic and ability to adapt to new challenges quickly.

Custom

  • Pursued a Associates degree in Business Administration and Sociology from Sacramento City College, unable to complete but developed a comprehensive understanding of business operations, management principles, and sociological concepts. Coursework included financial accounting, market analysis, organizational behavior, and social research methods. Engaged in interdisciplinary studies, integrating business strategies with social theories to analyze the impact of economic decisions on societal structures. Conducted research projects that explored the intersection of business practices and social inequalities, highlighting the importance of ethical decision-making and corporate social responsibility.

References

References available upon request.

Timeline

Reimbursement Field Manager Market Access/Key Account Manager

ImpediMed
10.2021 - Current

Sr. Lead Labor Manager

Kaiser Permanente
07.1998 - 12.2017

High School Diploma -

Foothill High School

Some College (No Degree) -

Sacramento City College
Terri Brown