Misty Royse

Experience

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  Rave

  Feb 1996 - Feb 1997

  Sales Manager

  Manager of retail junior's clothing store.

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  Providence Health & Services Home Infusion Pharmacy

  Feb 1997 - Feb 2011

  Clinical IV Pharmacy Technician

  Maintained a 50+ patient workload under a 2 Pharmacist Team for Patients with IV lines who have nutritional needs, antibiotics, pain meds, chemotherapy, etc.

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  Clark College

  Sept 2008 - Mar 2009

  Pharmacy Technician Internship Site Coordinator

  Visited each Pharmacy Technician Student at their Internship sites twice quarterly, set Students up at their sites, taught class once weekly to keep students up to date on form submission for certification, help with resume building, interview techniques, etc.

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  Lions VisionGift

  Mar 2011 - Feb 2012

  Per Diem Eye Tissue Recovery Technician

  Retrieve eye tissue (whole globe and insitu corneal removal) for transplant, research and training.

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  Net-Rx

  Feb 2012 - May 2023

  I assist independent Pharmacy Owners and their Staff in obtaining the best reimbursements possible by monitoring claim submission data, and finding areas which could use corrections and possibly resubmssions. I manage our Strategic Accounts which consist of high volume Pharmacies, multiple NCPDP locations, and groups with various concerns needing addressed.I find ways to help reduce purchasing costs, to increase profitability.I reach out to PBMs to request price adjustments, discuss contract reimbursements, and advocate on behalf of Pharmacies when necessary.Reviewing 835 (electronic remits/EOBs) data from PBMs to ensure the claims are paid appropriately per their adjudicated amounts is a daily task.Running business analytics on claim data is routine, and necessary to successfully assisting my Accounts with their needs.Daily communication with my Accounts is integral to my job. We communicate via email, phone, webinars, and meetings/conference calls regularly.I get the opportunity to travel to my Accounts across country whenever a need arises, or a Pharmacy requests a visit.I am a one-stop Analyst whom can assist the Pharmacies in nearly every aspect of claim data submissions, reimbursements, reconciliation, account receivables, reimbursement contracts, dispense system management, cycle-fill management, purchasing contracts, et al. Show less

  • Sales Account Manager

    Feb 2020 - May 2023

  • National Team Lead

    Nov 2019 - Feb 2020

  • Strategic Account Lead

    Jul 2016 - Nov 2019

  • Senior Account Analyst

    Aug 2014 - Jul 2016

  • Account Analyst

    Feb 2012 - Aug 2014
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  Too Big For My Car

  Oct 2017 - Feb 2018

  Dispatcher

  I ran dispatch software to get delivery drivers to their pick-up and delivery destinations over the weekends. I spoke with customers requesting pick-up of items, as well as vendors whom sold the items.

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  Altruix

  May 2023 - now

  Director of Revenue Cycle Management
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  Clark College

  Oct 2023 - now

  Advisory Board Member - Pharmacy Technician Certification Program