Radia Rosado
@radiarosado
I reconcile pharmacy payments and maintain accurate enrollment, billing, and compliance records.
What I'm looking for
At IQVIA, I review and verify pharmacy data for network enrollment, maintain provider records, and use Excel reporting to support operations. I also investigate claims, review EOBs, reconcile reimbursement payments, and resolve payment discrepancies.
I've supported accurate payment processing through ACH penny tests, banking verification, payment reissues, refund reviews, escheatment, lockbox payments, and ERA transaction posting. I participate in audits and work within regulatory and company compliance requirements.
Previously, I handled medication-order entry, billing transactions, inventory replenishment, prescription review, and insurance issues at PharmScript. I worked with Frameworks and DocuTrack while following HIPAA and state and federal regulations.
My experience also includes client communication, real estate administration, market research, scheduling, agent onboarding, instructional support, progress documentation, and workplace-skills coaching.
Experience
Work history, roles, and key accomplishments
Reviewed and verified pharmacy data for network enrollment, maintained provider records, and performed data analysis using Excel. Provided customer service and resolved payment discrepancies.
Education
Degrees, certifications, and relevant coursework
U.S. Career Institute
Certificate, Medical Billing and Coding
2024 -
Pursuing a Medical Billing and Coding program to gain expertise in healthcare billing procedures and coding systems.
North Brunswick Township High School
High School Diploma, General Studies
2009 - 2013
Earned a high school diploma, completing secondary education with a focus on foundational academic subjects.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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