Lindsay Reed

About Lindsay Reed

A healthcare professional with 20 years of experience in both retail pharmacy and pharmacy benefit managementAn expert in Medicare Part D Operations including Explanation of Benefit (EOB), Plan Finder Files, Prescription Drug Events (PDE), Coordination of Benefits (COB), Financial Information Reporting (FIR)Skilled in online provider directory reviews and metric reportingSignificant experience managing projects

Experience

1. Consultant

   Genesis10

   Sep 2022 — Present

   Rejected claims analysis• Created desk level procedure for other analysts resulting in more efficient rejected claim review• Developed requirements to automate the rejected claims analysis process

Education

• Elgin Community College

  Associate's Degree, Science

  1998 — 2002

Skills

• Data Analysis
• Proficient in Microsoft Excel
• Strategic Planning
• Problem Analysis, Use of Judgment and Ability to Solve Problems Efficiently
• Proficient in Rxclaim Adjudication System
• Strong Organizational Skills
• Customer Service
• Post Payment Claims Processing
• Proficient in Microsoft Visio
• Proficient in Rxtrack Reporting System
• Sharepoint
• Training
• Proficient in Ultraedit
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Process Improvement
• Solid Background in Medicare Products
• Detail Oriented
• Familiar with Healthcare Rules and Regulations
• Access
• Proficient in Microsoft Access
• Quality Assurance
• Ultraedit
• Planning and Organization
• Continuous Process Improvement
• Regulatory Compliance
• Project Management
• Ms Office Proficient
• Pre-Processing of Claims
• Proficient in Notepad++
• Notepad++
• Proficient in Pharmacy Benefit System (Pbs) Adjudication System
• Problem Solving
• Proficient in Filezilla
• Healthcare
• Business Process Improvement
• Employee Benefits
• Proficient in Microsoft Word
• Filezilla
• Management
• Team Building