Joenn Encinas

Detail-oriented healthcare professional with 7+ years of experience in medical billing, insurance verification, eligibility determination, prior authorizations, referrals, and claims resolution within pharmacy and healthcare environments. Experienced in working with commercial insurance, Medi-Cal, and provider offices to obtain approvals, resolve claim denials, and support patient access to care. Bilingual in English and Spanish with strong customer service, communication, and revenue cycle experience.

Packager/Warehouse Associate (per-diem basis) - FedEx

(2026-04)

Marketing/Biller - Colorado Medical Pharmacy - Glendale, CA

(2025-07 - 2026-03)

• Performed insurance eligibility verification and benefit validation for patients prior to medication processing.
• Managed prior authorizations by coordinating with insurance companies and provider offices to obtain timely approvals.
• Submitted supporting clinical documentation and communicated with physicians to resolve authorization requirements.
• Investigated claim rejections and billing discrepancies to ensure accurate reimbursement.
• Coordinated patients and insurance carriers regarding coverage and claim status.

Sales Executive - DosePacker Inc.

(2024-03 - 2025-06)

• Managed compliance packaging workflows to ensure the accurate and timely distribution of multi-dose blister packs for long-term care facilities.
• Utilized proprietary pharmacy software to review patient profiles, manage data entry, and track medication order statuses.
• Collaborated with cross-functional hybrid teams to resolve order discrepancies and streamline communication between remote support and pharmacy sites.
• Provided high-tier technical and operational support to partner pharmacies, troubleshooting software issues and ensuring system uptime.
• Maintained strict quality control standards, auditing medication records to prevent dispensing errors and ensure HIPAA compliance.
• Utilized pharmacy systems to review patient insurance information and support medication authorization workflows.
• Coordinated with pharmacy teams to resolve insurance-related issues affecting prescription fulfillment.

Long Term Care Biller - The Medicine Shoppe Pharmacy - Riverside, CA

(2021-05 - 2024-03)

• Processed high-volume billing claims for long-term care residents, ensuring adherence to Medi-Cal and private insurance regulations.
• Researched and resolved denied claims or complex billing discrepancies to maintain healthy accounts receivable.
• Provided transparent communication with patients, families, and facility administrators to ensure trust and rapport regarding financial accounts.
• Verified insurance eligibility and benefits while resolving denied or rejected claims to maintain reimbursement timelines.

Pharmacy Tech - Inland Behavioral and Health Services Inc - San Bernadino, CA

(2019-07 - 2022-08)

• Prepared and administered medications under the direction of a pharmacist, strictly following safety protocols and physician instructions.
• Interviewed patients to obtain medical information and measure vital signs, weight, and height for accurate record-keeping.
• Maintained a clean and sterilized environment, including the proper disposal of contaminated supplies and organization of medical equipment.

Assistant Manager - T-Mobile - Rialto, CA

(2018-01 - 2019-09)

• Met personal and team sales targets and call handling quotas while managing day-to-day retail operations.
• Handled complex customer complaints, providing appropriate solutions and alternatives within time limits to ensure brand loyalty.
• Mentored and trained staff in communication procedures, guidelines, and sales policies to improve overall store performance.

Vocational Nursing - Nursing - American Career College (2026-10)

Pharmacy Tech - Pharmacy - Jurupa Adult school (2017-10)