Tosci Neal
McKinney,TX
Summary
Detail-oriented Data Analyst with expertise in data management and analysis. Skilled in ensuring data accuracy and integrity while efficiently managing large datasets. Experience includes collaboration within teams to achieve measurable outcomes in the pharmaceutical sector, credentialing, and pricing, contributing to overall organizational success.
Overview
9
9
years of professional experience
Work History
Specialty Pharmaceutical Representative
CVS Pharmacy
Dallas, TX
09.2021 - Current
- Educated healthcare professionals on specialty medication benefits and usage.
- Developed strong relationships with key stakeholders to enhance product visibility.
- Submitted prior authorization requests through payer portals, fax systems, and electronic health records.
- Collaborated with cross-functional teams to implement strategic promotional initiatives.
- Expanded customer base by conducting in-depth analyses of competitor products, identifying opportunities for growth, and targeting new clients.
- Reconciled billing discrepancies with regulatory agencies and the finance department.
- Tracked approval status and followed up with insurers to prevent treatment delays.
- Verified insurance coverage and authorization requirements for medications, procedures, and referrals.
- Tracked customer and supply chain details for precise and timely fulfillment.
- Used computer software programs such as MS Office 365 Suite and CRM to facilitate maximum productivity.
Credentialing Specialist
Mid Atlantic Dental Partners
Plano, TX
06.2019 - 04.2021
- Verified licensure, DEA, malpractice, and education documentation for onboarding and recredentialing workflows.
- Coordinated with insurance carriers and internal teams to resolve application issues and expedite approvals.
- Negotiated with insurance companies to expedite credentialing approval, enhancing provider network expansion.
- Maintained credentialing database, updating provider files and tracking expirations to prevent compliance gaps.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
Pricing Specialist
Rexel
Dallas, TX
12.2017 - 04.2019
- Analyzed market and competitor pricing to support margin protection and customer retention.
- Managed pricing requests and maintained accurate quote structures for electrical product lines.
- Partnered with sales teams to resolve pricing discrepancies and accelerate quote turnaround.
- Reviewed exceptions, discounts, and approvals to ensure alignment with pricing policies.
- Updated ERP pricing records and item master data to maintain consistency across systems.
- Developed customized pricing solutions to meet unique client needs, fostering long-term business relationships.
- Achieved increased customer satisfaction by implementing strategic pricing solutions for complex projects.
Education
Bachelor of Business Administration - Project Management
University of North Texas
Denton, TX12.2027
Skills
- Regulatory submissions
- Stakeholder engagement
- Pharmaceutical knowledge
- Client relationship management
- Customer retention
- Planning and coordination
- Time management
- Multitasking
- Adaptability and flexibility
- Teamwork and collaboration
- Reliability
- Physician support
Timeline
Specialty Pharmaceutical Representative
CVS Pharmacy
09.2021 - Current
Credentialing Specialist
Mid Atlantic Dental Partners
06.2019 - 04.2021
Pricing Specialist
Rexel
12.2017 - 04.2019
Bachelor of Business Administration - Project Management
University of North Texas
Experience Highlights
- Administrative Support
- Coordinated and managed multiple priorities and projects
- Provided discreet secretarial services for patients. Scheduled appointments and maintained accurate, up-to-date confidential client files.
- Assisted with general accounting functions.
- Enter and update all pertinent information for up to 100 patients daily.
- Created profiles and periodically send electronically distributed promotional pieces to keep company in the fore front for future business