Nancy Castaneda

Experience

• 

  Net-Rx

  Jan 2014 - Jan 2023

  ● Analyze pharmacy dispensing data post-PBM submission for audit prevention, claim accuracy, and maximize pharmacy profits on a bi-monthly basis for over 25 pharmacy accounts.● Review contracts to determine correct PBM reimbursement.● Provide a comprehensive report with audit results for pharmacy review and hold calls to discuss ways to resolve issues that were found. Provide claims billing support.● Assist over 175 pharmacy accounts with reconciliation support, including DIR Fee identification, aged claim review, check chasing, and 835 files set up.● Follow HIPAA guidelines, reporting HIPAA violations to prevent future issues.● Write knowledge-based articles for publishing on LinkedIn and other social media sources.● Collaborate on a yearlong product development team. Show less

  • Senior Account Analyst

    May 2022 - Jan 2023

  • Account Analyst

    Mar 2018 - May 2022

  • Account Representative

    Oct 2015 - Mar 2018

  • Reconciliation Analyst

    Jan 2014 - Oct 2015
• 

  FRSecure

  Jan 2023 - now

  Operations Project Manager