Open to opportunities

Shadai Terry

@shadaiterry

Healthcare claims analyst at ConnectiveRx resolving 100+ pharmacy claims daily and investigating discrepancies through adjudication.

United States

Message

What I'm looking for

I’m building my Excel, SQL, Power BI, and statistics skills to support data-driven claims and adjudication work.

At ConnectiveRx, I analyze and resolve 100+ pharmacy claims daily, tracing rejections to issues such as patient demographics, insurance changes, NDC and coverage codes, or system discrepancies.

I verify Medicare enrollment and third-party payer coverage, then work with pharmacies and patients to resolve claim discrepancies. I also validate records across healthcare systems and document case findings and outcomes.

At Prime Enterprise, the consulting company I founded and operated, I advised entrepreneurs on business formation, entity selection, regulatory requirements, and growth strategy. I also prepared and reviewed formation documents for missing or inaccurate information.

I’m building my analytical and reporting skills through a certification path in Excel, SQL, Power BI, and statistics. I also founded WigFit, a beauty and tech accessibility platform concept for virtual wig try-ons and connecting users with insurance-covered options.

Experience

Work history, roles, and key accomplishments

Current

Patient Support Specialist

Current

ConnectiveRx

Jul 2024 - Present (2 years 2 months)

Analyze and resolve 100+ pharmacy claims daily, determining root cause and corrective action to support successful claim adjudication. Verify Medicare Part A/B enrollment and Part D status to determine program eligibility, and screen for third-party payer coverage.

Claims Analysis Adjudication Root Cause Investigation Medicare Eligibility Payer Verification NDC Verification Data Validation HIPAA compliance Rx Nova CAPS OneCRM Five9 Salesforce

Business Consultant & Founder

Prime Enterprise

Jan 2022 - Dec 2025 (3 years 11 months)

Founded and operated a business consulting company advising entrepreneurs on business formation, entity selection, regulatory requirements, and growth strategy. Analyzed client goals and circumstances to guide decisions on business structure, credit, banking, and funding strategy.

Business Consulting Business Formation Entity selection and structuring Regulatory Compliance Growth Strategy Documentation Review

Corporate Communications Receptionist

Tao Group Hospitality

Jan 2021 - Dec 2023 (2 years 11 months)

Supported executive leadership across multiple restaurant brands, coordinating communications, meetings, and operational priorities. Served as liaison among leadership, clients, vendors, and production teams.

Executive Support Communication Skills Coordination Liaison Meeting Coordination

Administrative Assistant

State of Connecticut, Department of Developmental Services

Jan 2014 - Dec 2017 (3 years 11 months)

Coordinated care for individuals with developmental disabilities, managing medical appointments, healthcare documentation, insurance information, and provider communication. Verified insurance coverage and maintained accurate client records to support timely care and regulatory compliance.

Healthcare Coordination Insurance Verification Documentation Regulatory Compliance Team Leadership