Keeara Sterling
Beaumont
Summary
Senior Pharmacy Benefits Analyst with over 5 years of experience in PBM invoice processing, pharmacy claims reconciliation, and group-level billing oversight. Expert in validating vendor invoices against claims data and contract terms to ensure financial accuracy, compliance, and cost control. Proven ability to manage multiple client groups across recurring billing cycles, while supporting audits, resolving discrepancies, and strengthening pharmacy benefit operations.
Overview
5
5
years of professional experience
Work History
Pharmacy Benefits Analyst
ScriptCare LTD
Beaumont
09.2020 - Current
- Reconciled PBM invoices against pharmacy claims data, eligibility files, and contract terms to identify discrepancies, overcharges, and billing errors.
- Reviewed and validated pharmacy benefit claims, including formulary adherence, pricing guarantees, rebates, and utilization metrics.
- Maintained detailed tracking of group-level billing, ensuring compliance with client-specific benefit designs and service agreements.
- Resolved invoice and claims variances through coordination with PBMs, internal finance teams, and pharmacy operations.
- Supported audits and financial reviews by preparing documentation, variance explanations, and historical billing analysis.
- Ensured compliance with HIPAA, payer guidelines, and contractual PBM requirements.
Education
Certified Pharmacy Technician Program
Lamar Institute of Technology
Beaumont, TX12-2021
High School Diploma -
Beaumont United High
Beaumont, TX05-2019
Skills
- PBM invoice processing and reconciliation
- Pharmacy Claims Analyst
- Revenue Cycle Management
- Group Billing Management
- Healthcare Finance & Analytics
- HIPAA Compliance
Timeline
Pharmacy Benefits Analyst
ScriptCare LTD
09.2020 - Current
Certified Pharmacy Technician Program
Lamar Institute of Technology
High School Diploma -
Beaumont United High