The Lash Group Work Values

Daily Duties at The Lash Group:

• Developed process flows for benefit verification, eligibility, enrollment, and revenue reconciliation; resulting in the identification of Medicare and Medicaid eligible patients. • Worked with Pharmacy Benefit Managers such as Express Scripts, Humana, and CVS Caremark to streamline a consistent work flow for MS One to One; Implemented standard procedure of checking pharmacy benefits prior to sending prescriptions to Specialty Pharmacy Providers • Helped to reconstruct Prior Authorization process to include initiation of Prior Authorization by Third Party carriers. • Reviewed and interpreted pharmacy benefit and patient insurance benefit information; Provided consultation and counseling to Healthcare Providers and staff for the resolution of complex issues related to patient pharmacy benefits • Responded to Area Business Managers and physicians regarding availability of Aubagio product, MS One to One services and Nursing Support. • Managed relationship with Specialty Pharmacy Providers such as Prime Therapeutics, Rightsource, CVS Caremark, and Accredo to determine shipment timeline for Aubagio medication; revamped shipment process for MS One to One to expedite patient shipments.

What they like about The Lash Group:

Organizations with strong, centralized leadership are particularly attractive to you. You require a work environment with leadership that aggressively seeks to expand and grow the business and does so in a visible and decisive manner. In general you prefer to work in an environment in which there is a strong link between leadership, its actions, and a strong set of company-wide values.

Tags

Legal Writing, Medicaid, Medicare, Compliance, Negotiation, Contract Management, Subject Matter Expert, Insurance, Defense Litigation, Legal Consulting, Benefit Administration, Legal Analyst, Statutory Interpretation, Federal Interpretation, Regulatory Analysis, Risk Management, Training, Technical Writing, Communication, Project Management, Healthcare Administration, HIPPA, Affordable Care Act, CMS, government agency, Claims Processing, ICD-9, ICD-10, Program Management, Billing and Coding, Microsoft Word, Microsoft Excel

Skills

Communication , Technical Writing, Legal Writing, Project Management, Negotiation, Insurance Verification , Legal Analysis, Public Speaking, Microsoft Word, Microsoft Excel, Medicaid and Medicare, Affordable Care Act, HIPPA, Healthcare Administration , Contract Management, Regulatory Affairs, CMS, Claims and Processing, Risk Management, Conflict Resolution , Program Management, Training Skills , Healthcare Compliance, Legal Consulting

These are some of the questions we asked our climbers about their experiences with The Lash Group: