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Field Reimbursement Manager Resume
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| Desired Industry: Healthcare |
SpiderID: 84283 |
| Desired Job Location: Franklin, Tennessee |
Date Posted: 8/10/2023 |
| Type of Position: Full-Time Permanent |
Availability Date: One month |
| Desired Wage: 125000 |
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U.S. Work Authorization: Yes |
| Job Level: Management (Manager, Director) |
Willing to Travel: Yes, Less Than 25% |
| Highest Degree Attained: Masters |
Willing to Relocate: Yes |
Objective:
Forward-thinking, strategic, and multifaceted professional, with diverse experience in both clinical and business aspects of healthcare industry; currently pursuing a career in the area of field reimbursement management. Knowledgeable of private and public third-party payer structure and processes; patient assistance programs, and reimbursement landscape. Adept at developing innovative strategies aligned with marketing and business plans to provide medical services and patient access. Armed with outstanding communication skills in analyzing and communicating medical terminology to patients and larger audience. Highly effective at navigating across multiple functions to deliver excellent patient care and health outcomes.
Experience:
The Allergy, Asthma & Sinus Center, Nashville, TN
Advanced Practice Nurse Oct 2021–Present
• Reviewed patients’ medical history to provide appropriate therapy based on past conditions
• Documented necessary information including prescription refills, and clinical billings using eCLinicalWorks
• Assessed and diagnosed asthmatic, allergies, and respiratory conditions, infectious disease illnesses, and immunologic conditions and created allergic immunotherapy treatments
• Prescribed and managed appropriate medications and therapies and associated follow-up treatment plans; biologic specialty medications and immunoglobulin replacement therapies.
• Maximized the use of medical data for patient outcomes and overall patient satisfaction
• Prescribed proper medication for patients with varying allergic conditions asthmatic conditions and immunologic conditions
• Applied knowledge of pharmacokinetics, pharmacodynamics, dosing, and routes of administration to ensure provider and patient understand how to implement therapy at the right time in the right patient
Centennial Medical Center/TriStar HCA, Nashville, TN
Registered Nurse Feb 2016–Sep 2021
• Utilized Meditech electronic health record (EHR) charting system in tracking patients’ records
• Clearly conveyed diagnoses, prognoses, and treatments to patients as well as the indication and importance of complex medical interventions
Earlier Career
Pfizer Pharmaceuticals, West Palm Beach, FL
Regional Hospital Sales Representative Feb 1991–Dec 2001
• Displayed exceptional ability to present complex clinical data to a variety of healthcare providers
• Established close relationships with patients, medical staff, and community groups
• Served as public speaker, educator, and facilitator, effective at educating clients regarding medical interventions and services toward optimum results
• Built partnerships with several large, regional-based hospitals, teaching institutions, and VA centers in Southeastern USA
Merck Pharmaceuticals, West Palm Beach, FL
Pharmaceutical Territory Sales Manager Jan 1996–Dec 1996
• Scrutinized medical studies and specialty medical journal articles to extract core information for improved patient outcomes
• Acted as territory representative for different practices including primary care, internal medicine, neurology, psychiatry, rheumatology, pulmonology, allergy/immunology, general surgery, infectious disease and cardiology in the southeastern United States
Growth Development and Impacts
• Consistently achieved and exceeded target sales quota for Pfizer products
• Provided significant contribution in increasing market share market penetration annually
• Accomplished Bronze ($3M), Gold($5M), and Platinum ($7M) in annual target sales
• Established solid reputation for earning various accolades throughout tenure, including:
― 2020 Disease Attacking the Immune System (DAISY) Award
― 2016 TriStar Centennial Medical Center Innovators Award for Quality and Patient Safety
― Pfizer District Representative of the Year Award (3)
― Pfizer “Be the Best You Can Be” District and Regional Sales Contest Winner
― Merck “Close the Gap” Award
Education:
Master of Science in Nursing Aug 2020
Middle Tennessee State University, Murfreesboro, TN
Bachelor of Science in Nursing Dec 2015
Union University, Hendersonville, TX
Bachelor of Science in Communication May 1990
University of Florida, Gainesville, FL
Affiliations:
American Association of Nurse Practitioners |American Nurse Association |American Nurse Foundation
Tennessee Society of Allergy, Asthma and Immunology |Tennessee Nurse Association
Skills:
Family Nurse Practitioner
Nurse Practitioner
Registered Nurse
Charting
Patient Care
Therapy
American Red Cross
Pediatric
Office Medical
Primary Care
Cardiology
Meditech
Electronic Health Records
Additional Information:
Licenses and Certifications
Registered Nurse, State of Tennessee: 2016, Active | Valid Until: February 28 2025
Registered Advanced Practice Nurse, State of Tennessee: 2020, Active | Valid Until: February 28 2025
Family Nurse Practitioner-Board Certified, American Association of Nurse Practitioners: 2020, Active | Valid Until: October 14 2025
Basic Life Support (BLS) Certification, American Heart Association: Valid Until: Dec 2024
National Provider Identifier (NPI)
Training
Meditech Software Training
eClinicalWorks Software Training
Clinical Rotations
Family Practice Clinical Rotation | 240 Hours – Sterling Primary Care, Nashville, TN
Pediatric Clinical Rotation | 120 Hours – Heritage Medical Center, Brentwood, TN
Women’s Health OB/GYN Clinical Rotation | 120 Hours – Women’s Health Center, Lebanon, TN
Family Practice Clinical Practicum | 200 Hours – TriStar Family Practice at the Crossings, Antioch, TN
Interventional Cardiology Clinical Rotation | 40 Hours – TriStar StoneCrest Medical Center, Smyrna, TN
Candidate Contact Information:
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