Looking for new opporunities

1. Kwaku Fordjour, M.H.A, P.M
● Laurel, MD 20707 ● (240) 755-2988 ● kfordjour@live.com
High-performing and forward-thinking professionalwith over 3+ experience in leadership, mentoring, inspiring, and
developing programs in the essence ofimproving the lives of people in our various communities. Established
leadership, problem-solving, and communicating skills through leadership seminars, student organization programs,
rigorous classwork projects, and in the workforce settings. Awarded by Alpha Chi Honor Society for an outstanding
academic performance in graduate school, a distinguished student recognition limited only to the top 10 percent of
an institution.
KEY ACCOMPLISHMENTS:
 Demonstrated working independently to resolve critical issues orwith very minimal supervision on
multiple tasks while keeping up with rapid changes of priorities without loss of efficiency.
 Proven record to deliver exceptional written and oral communication skills through speeches,presentations
and work-related reports.
 Possessesoutstanding inter-personal, dependability, and team-working skills which allows me get along
well with my teammates.
 Possessesstrong computerand organizational skills, as well as excellent attention to details.
 Exceptionally demonstrated the ability to exercise good judgment in quickly dealing with difficult
situations and unexpected challenges.
 Substantially increased prior-authorization and appeal approval rate from 70 to 95%.
 Proven record to learn quickly, work in a fast-paced environment, and multi-task effectively to achieve a
maximum level of operating effectiveness.
 Saved the U.S Federal Government roughly over $1 million on repayments through Education Debt
Reduction Program (EDRP) within 12 weeks of internship.
 Competency in MS Word and Excel to generate, analyze, and maintain reports.
 Increased customer service satisfactory rate to from 50 to 95% in a period of six months.
PROFESSIONAL EXPERIENCE:
Sr. Reimbursement Consultant, 10/2015 – Present
AmerisourceBergen- Lash Group, Rockville, MD
Manage and resolve high volume nationwide caseloads.
Conduct insurance verifications and identify clinical requirements prior to and for duration of services.
Manage and oversee all aspects ofthe prior authorization and appeal requests.
Enroll patients into our co-pay assistance programs to cut down insurers out-of-pocket expenses.
Review prescription orders in queue for quality assurance and consent approvalfor processing.
Manage and oversee all aspects ofthe Patient Assistance Program (PAP); a sponsored manufacturer
program providing high-cost medication to eligible patients at no cost.
Identify potential financial risks and recognize trends.
Communicate with patients,providers, and insurance companies to assist in bringing resolution.
Research contracts and conduct pricing agreements with payors.
Train newly hired employees on the programs in accordance to Standard Operating Procedure (SOP).
Operation Manager, 04/2014 – Present
True Care Medical Transportation LLC, Woodbridge, VA
Responsible for the day-to-day operations.
Conduct internal audits.
Manage Human Resource full cycle phase.
Manage all employees’ performance chart and provide directions and feedback.
Oversee the vehicle monitoring system.
Supervise the training department to ensure development of new associates
Oversee inventory, purchasing,and supplies.
Review project proposals and consent approval.
Control financial costs to meet organization budget and revenue.

2. Enforce organizational procedures and policies.
Administrative Intern, 06/2015 – 08/2015
U.S Department of Veterans Affairs, Little Rock, AR
Performed data entry using the EDRP database.
Performed technical review on all EDRP applications packages for eligibility, accuracy, and
completeness.
Performed data analysis to identify changes that impact EDRP processes,eligibility, and funding.
Maintained a tracking systemthat includes applications submission,approval, denial, award amounts,
and the current running balance for each region and facility funds available.
Tracked and reported Federal Budgets for Education Debt Reduction Program (EDRP) to the Program
Director as requested.
Maintained regional employees contact information in the SharePoint database.
Responsible for ordering office supplies for the department.
Maintained all the award summaries in the Education Database.
Case Manager, 01/2013 – 06/2015
Community Support Services, Gaithersburg, MD
Responsible for property management while staying within budget.
Completed client intake assessments.
Responsible for coordinating activities underbudget.
Responsible for client medication reminders for residents.
Billing & Data Entry.
Responsible for financial organizing.
Responsible for collecting rent from residents.
Coordinated transportation.
Student Counselor Intern, 09/2012 – 12/2012
TRIO Upward Bound, Princess Anne, MD
Transported students to theirvarious homes after schooltutoring sessions.
Assisted teachers with all duties, including teaching classes in instructors’absence.
Chaperoned field trips.
Mentored and Tutored High School students in English, Science, and Mathematics.
Prepared low-income and/orfirst generation students forpost-secondary education.
Assisted and supervised seminar classes on Saturday tutoring sessions.
Prepared clerical office work during the academic year.
EDUCATION:
Graduate Certificate, Information Technology
Walden University
Expected graduation March, 2018
Graduate Certificate, Project Management
Walden University
GPA 3.66/4.0 Graduated
Master of Arts, Healthcare Administration
Washington Adventist University
GPA: 3.91/4.0 Graduated
Bachelor of Science, Rehabilitation Services
University of Maryland Eastern Shore
GPA: 3.24/4.0 Graduated
CERTIFICATIONS:

3. Community Support Service, Case Management – Present
U.S Dept. of Veterans Affairs, VA Privacy and Information Security Awareness and Rules of Behavior.
Chapman Cares Inc., First Aid; AED; CPR – Present
AWARDS:
Washington Adventist University, Deans list from Fall 2013 – Fall 2015
University of Maryland Eastern Shore, Awarded on April 2011 for Academic Excellence
PROFESSIONAL MEMBERSHIP:
Member, American College of Healthcare Executives (ACHE) – February 2015 – Present
Member, Alpha Chi National Honors Society (ACNHS), 2015 – March 2015 – Present