Employment History _________________________________________________________________
AMBRO ACCOUNTING AND AUDITING, LLC – Brooklyn, NY; Kissimmee, FL
Owner, 04/2012 – PRESENT
-Professional business services practice that helps drive successful growth of businesses through
accounting (cash/financial reports, payroll, inventory control, medical billing, compliance,
consulting, auditing, bookkeeping, etc.)
AETNA SPECIALTY PHARMACY – Orlando, FL
Government Reimbursement Specialist, 05/2013 – PRESENT
-Handle audits and appeals of all sorts (redeterminations, reconsiderations, reopenings, etc) for all jurisdictions
to ensure accurate payment
COMMUNITY, WALGREENS PHARMACY – New York, NY
Business Manager, 05/2012 – 09/2012
-Oversee daily operations of retail pharmacy including cash reports, banking, scheduling, and payroll.
-Handle submission of medical claims, denial, appeals, and audit; as well as PBM rejections for various different
disease states
BIOSCRIP, INC – New York, NY
Reimbursement Specialist, 11/2010 – 02/2013
-Submit and follow up on medical claims submitted to various different payors.
-Regularly speak to various government and commercial plans regarding denials based on missing/invalid pre-
cert, incorrect payment based on contracted MAC or AWP.
-Obtained patient eligibility to ensure coverage at time of processing.
-Appealed claims as needed and made sure claims were submitted and correctly paid based on network before
timely filing had passed.
-Responsible for handling all commercial and government payer audits at store level
-Oversee electronic claims that were submitted to various PBMs (medco, express scripts, caremark, etc.)
-Resolved all rejections whether it was based on needed PA, coverage terminated, or drug not on formulary.
-Reduced patient and insurance AR by double billing claims as needed, enrolling patients in copay assistance
programs or patient assistance programs for HIV and Oncology patients.
-Manage medicare B claims for diabetic and transplant patients, making sure we have all the required
documentation from doctors that is neededto assure payment.
BIOSCRIP, INC – Bronx, NY
Pharmacy Technician, 09/2009 – 11/2010
-Regularly speak to doctors and insurance to verify the accuracy of patients prescriptions
-Pharmacy Techncian duties, including typing out prescription, dispensing, compounding, and direct all clinical
questions to pharmacist.
METRO SPORTS MEDICINE – New York City, NY ; Brooklyn, NY
Director of Maintenance, 01/2009 – 06/2009
-Oversee the maintenance of multiple physical therapy locations
-Set and record schedule and payroll for 4 employees
Education __________________________________________________________________________
ST JOHN’S UNIVERSITY – Queens, New York
Studied Business Management and Administration
GPA: 3.2/4.0 (2006 – 2007)
POINCIANA HIGH SCHOOL – Kissimmee, Florida
HS Diploma Studied Economics and Law
GPA: 3.4/4.0 (2002 – 2006)