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brianna proctor

@briannaproctor

Pharmacy Specialist at Centene Pharmacy Services who resolved benefit, coverage, authorization, and billing issues to help prevent medication access interruptions.

United States

Message

What I'm looking for

I’m seeking roles in pharmacy operations, claims research, reimbursement support, or provider services where I can use my specialty pharmacy and Medicaid eligibility support experience.

At Centene Pharmacy Services, I resolved pharmacy and medical benefit issues for healthcare providers and medical offices across multiple states, helping prevent interruptions to patient medication access. I worked with pharmacies, insurance plans, and prescriber offices to investigate coverage questions, authorization barriers, and billing discrepancies.

At BeneLynk, I assisted UnitedHealthcare members with Medicaid eligibility verification and Low-Income Subsidy assessments. At CVS Specialty Pharmacy, I coordinated specialty medication deliveries and investigated coverage, authorization, and account discrepancies to support timely prescription fulfillment.

Experience

Work history, roles, and key accomplishments

Pharmacy Specialist (Resolution)

Centene Pharmacy Services

Oct 2021 - Sep 2026 (4 years 11 months)

Resolved pharmacy and medical benefit issues for healthcare providers and medical offices across multiple states, preventing interruptions to patient medication access. Collaborated with pharmacies, insurance plans, and prescriber offices to research coverage questions, authorization barriers, and billing discrepancies.

Pharmacy Benefits and Prescription Drug Coverage Medical Benefit Resolution Insurance Verification Discrepancy Research Authorization Issue Resolution HIPAA compliance Microsoft Office

Customer Service Representative

BeneLynk

Jun 2021 - Oct 2021 (4 months)

Assisted UnitedHealthcare members with Medicaid eligibility verification and Low-Income Subsidy (LIS) assessments. Explained assistance programs and healthcare benefits while documenting interactions accurately and providing empathetic member support.

Medicaid Eligibility LIS Support Customer Service Documentation Healthcare Benefits

Pharmacy Service Representative

CVS Specialty Pharmacy

Aug 2020 - Feb 2021 (6 months)

Coordinated specialty medication deliveries and communicated with patients, insurance companies, medical offices, and third-party vendors. Investigated insurance coverage, prescription authorization, and account discrepancies to support accurate, timely prescription fulfillment.

Specialty Pharmacy Insurance Coverage Prescription Authorization Account Inconsistency Resolution Patient Communication