1. BERNADETTE OWENS, MHA
6600 Olde Savannah Rd  Charlotte, NC 28227  bernadetteowens33@gmail.com  704-907-5261
REIMBURSEMENT MANAGER
SUMMARY OF QUALIFICATIONS
 Patient / Physician Reimbursement & access expertise. Insights to Commercial & Government payer complexities
resolving access barriers
 Provides consultative support to providers on appropriate use of billing and coding and claims submission for Buy & Bill,
Specialty Pharmacy and Retail pharmacy reimbursement models
 Proven success in fast-paced and challenging environments. Quick study in new work processes. Ensure compliance
standards, enhancing standards education
 Exceptional problem solving, interpersonal, communication, and rapport building skills working as a strategic partner with
an overall focus on organizational goals
 Resourceful and self-motivated, independently or as team member with flexibility to adapt to changing priorities; works
well under pressure,thrives on challenges, and multitasks efficiently. Maximize resources to achieve increased
productivity and meet deadlines
PROFESSIONAL EXPERIENCE
SENIOR REIMBURSEMENT SPECIALIST- WEST COAST/ MID WEST TERRITORY 11/2007 – present
AMERISOURCE BERGEN SPECIALTY CONSULTING/ LASH GROUP Charlotte, NC
 Provides customer and client specific reimbursement and access training and assistance to key client
stakeholders
 Works cooperatively with client sales and provider offices to provide reimbursement and subject matter expertise
on product and services
 Collaborates and coordinates with internal program team.
 Collaborates and coordinates with manufacturer stakeholders Provides updates on coverage for local market
stakeholders Collaborates and communicates on activities for awareness Attends relevant key strategic
marketplace meetings and presentations
 Thoroughly researched and effectively communicated regional and national payer policy coverage and market trends for
specialty pharmaceutical therapies, optimizing provider reimbursement and patient access
 Provided comprehensive case management to patients across multiple disease states. Served as a liaison between
providers/patients and the pharmaceutical manufacturer sponsored programs
 Served as a key resource for interpreting denied authorizations and claims, communicated results to the provider and made
recommendations. Completed ad hoc research as requested by providers or clients to responsively address unique questions
or issues, exhibiting remarkable initiative and problem solving skills
 Managed and cultivated professional relationships with specialty healthcare providers, field teams,specialty pharmacies
(SPP) and internal and external partners. Collaborated with payers for claim denials and directly with patients regarding
Buy & Bill drugs – rheumatoid arthritis, oncology
 Possesses comprehensive knowledge of both Government and Commercial payers to resolve complex reimbursement
issues Travels to sites to present program services and further build relationship with sites
REAL ESTATE SALES – 11/2003 – 12/2009
MCGARY & ASSOCIATES Charlotte, NC
 Interviewed clients to determine what kinds of properties they are seeking.
 Presented purchase offers to sellers for consideration after carefully assessing their needs and desires.
 Conferred with escrow companies, lenders, home inspectors, and pest control operators to ensure terms and conditions
of purchase agreements are met before closing dates.
 Prepared documents such as representation contracts, purchase agreements,closing statements,deeds and leases.
 Coordinated property closings, overseeing signing of documents and disbursement of funds. Acted as an intermediary
in negotiations between buyers and sellers
PROVIDER RELATIONS ASSOCIATE – 04/2004 – 11/2007
CIGNA HEALTHCARE Charlotte, NC

2.  Completes accurate and timely claim submissions, collection activities, appeals, payment posting, and/or refunds,
until accounts receivable issues are properly resolved.
 Collects and reviews all patient insurance information to complete the billing, collections, appeal, and/or cash
processes.
 Completes and submits all necessary insurance forms and electronic claims to process claims in a timely manner
 Provides exceptional customer service to internal and external customers
Resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Maintains
frequent phone contact with provider reps, third party customer service reps, pharmacy staff, and case managers
NURSE TECHNICIAN – 09/2002 – 11/2002
PIEDMONT HEALTHCARE SYSTEMS Rock Hill, SC
 Provides patients' personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assisting with
travel to the bathroom; helping with showers and baths.
 Provides for activities of daily living by assisting with serving meals, feeding patients as necessary; ambulating,
turning, and positioning patients; providing fresh water and nourishment between meals.
 Provides adjunct care by administering enemas,douches, non-sterile dressings, surgical preps, ice packs, heat
treatments,and therapeutic baths; applying restraints.
 Maintains patient stability by checking vital signs and weight; testing urine; recording intake and output information.
 Provides patient comfort by utilizing resources and materials; transporting patients; answering patients' call lights and
requests; reporting observations of the patient to nursing supervisor.
 Documents actions by completing forms, reports, logs, and records.
 Maintains work operations by following policies and procedures.
 Protects organization's value by keeping patient information confidential.
 Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures,
federal, state,and local requirements, and JCAHO standards.
 Updates job knowledge by participating in educational opportunities; reading professional publications; participating
in professional organizations; maintaining licensure.
 Enhances nursing department and hospital reputation by accepting ownership for accomplishing new and different
requests; exploring opportunities to add value to job accomplishments
MEDICAL RECORDCLERK 7/2000 – 8/2002
COLUMBIA UROLOGIAL ASSOCIATES Columbia, SC
 Responsible for organizing and maintaining medical records, medical history and billing records.
 Accurately entered medical and financial information into databases,create and implement filing systems.
 Ensured records are being managed according to industry standards.
 Confirmed with physicians or other medical personnel that the records are complete and correct.
 Filed paperwork in patient charts and created folders for new patients.
 Performed other clerical tasks such as answering phones, faxing, and patient check in and out.

NURSE TECHNICIAN 07/1997 – 07/2000
THE REGIONAL MEDICAL CENTER Orangeburg, SC
 Provides patients' personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assisting with
travel to the bathroom; helping with showers and baths.
 Provides for activities of daily living by assisting with serving meals, feeding patients as necessary; ambulating,
turning, and positioning patients; providing fresh water and nourishment between meals.
 Provides adjunct care by administering enemas,douches, non-sterile dressings, surgical preps, ice packs, heat
treatments, and therapeutic baths; applying restraints.
 Maintains patient stability by checking vital signs and weight; testing urine; recording intake and output information.
 Provides patient comfort by utilizing resources and materials; transporting patients; answering patients' call lights and
requests; reporting observations of the patient to nursing supervisor.
 Documents actions by completing forms, reports, logs, and records.
 Maintains work operations by following policies and procedures.
 Protects organization's value by keeping patient information confidential.
 Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures,
federal, state,and local requirements, and JCAHO standards.

3.  Updates job knowledge by participating in educational opportunities; reading professional publications; participating
in professional organizations; maintaining licensure.
 Enhances nursing department and hospital reputation by accepting ownership for accomplishing new and different
requests; exploring opportunities to add value to job accomplishments
NURSE TECHNICIAN 05/1997 – 07/1997
CALHOUN CONVALESCENT CENTER St. Matthews,SC
 Provides patients' personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves;
assisting with travel to the bathroom; helping with showers and baths.
 Provides for activities of daily living by assisting with serving meals, feeding patients as necessary;
ambulating, turning, and positioning patients; providing fresh water and nourishment between meals
EDUCATION
ASHFORD UNIVERSITY San Diego, CA
MASTERS OF HEALTHCARE ADMINISTRATION 2016
BELMONT ABBEY COLLEGE Charlotte, NC
BACHELORS OF SCIENCE: BUSINESS ADMINISTRATION 2014