Jyotsna Sirikonda
Pharmacy Operations & Billing Support Specialist @Cvs Pharmacy
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WORK HISTORY
Pharmacy Operations & Billing Support Specialist @Cvs Pharmacy
Contributed to prescription claim processing accuracy by validating medication selection, NDC alignment, and insurance billing requirements. Resolved in resolving claim rejections related to prior authorization, formulary restrictions, and coverage limitations to support timely reimbursement. Collaborated with pharmacists and insurers to facilitate accurate claim adjudication and reduce processing delays. Maintained DEA and HIPAA compliance while handling controlled substances and protected health information. Conducted inventory audits and reconciliations to prevent billing discrepancies and support revenue accuracy. Addressed in resolving insurance claim issues arising from medication substitutions and payer coverage constraints.
EDUCATION
Vaagdevi College Of Pharmacy - India (Jawaharlal Nehru Technological University, Hyderabad)
Doctor of Pharmacy - PharmD, Pharmacology and Toxicology
Sacred Heart University
Master's degree, Health Informatics
ABOUT JYOTSNA SIRIKONDA
evenue Cycle Denials & Claims Analyst with 5+ years of experience in medical billing, denial management, AR follow-up, and reimbursement accuracy across hospital, insurance, and pharmacy settings.Currently with CVS Pharmacy, I support pharmacy claim adjudication, resolve insurance rejections, and ensure billing compliance. I previously gained claims operations experience at Elevance Health and hospital-based revenue cycle expertise at Yashoda Hospitals.With a Pharm.D and an MS in Healthcare Informatics from Sacred Heart University, I combine clinical knowledge with analytics to reduce denials, improve first-pass claim accuracy, and strengthen revenue integrity.Open to opportunities in Revenue Cycle, Denial Management, and Claims Operations.
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