BRIANA BOSEMAN
Murfreesboro
Summary
Customer-focused professional with experience in high-volume, policy-driven environments, specializing in case review, issue resolution, and compliance. Proven ability to communicate clearly, handle escalations, and maintain accuracy under pressure in remote settings. Strong background in healthcare operations and insurance processing, with a focus on efficiency and customer experience.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Policy & Compliance Specialist
TikTok
Nashville
01.2022 - 01.2025
- Reviewed high-volume user content to ensure compliance with platform policy and safety standards.
- Handled escalated and emergency-response cases involving sensitive content.
- Collaborated across teams to identify trends, address policy gaps, and support workflow improvements.
- Assisted in onboarding and training new moderators to improve performance and accuracy.
- Developed training materials for staff on compliance procedures.
- Monitored industry regulations and trends affecting company operations.
- Provided guidance on data privacy regulations impacting user content policies.
- Provided support to department by assisting with special assignments and projects.
- Participated in meetings between senior leadership teams to discuss any potential violations or concerns about regulatory issues.
- Led training sessions for staff on compliance practices and regulatory requirements.
Transportation Specialist
Amazon Relay
Phoenix
01.2021 - 01.2022
- Coordinated freight operations, routing, and issue resolution between drivers, vendors, and internal teams.
- Utilized logistics tools to track and troubleshoot delivery issues in real time.
- Ensured delivery accuracy by correcting data inconsistencies and escalating urgent needs promptly.
- Maintained calm, professional communication under deadlines and high-pressure situations.
- Utilized transportation management systems for tracking shipments and performance metrics.
- Worked with providers such as freight carriers to resolve delivery problems and make schedule adjustments.
Certified Pharmacy Technician
Accredo
Nashville
01.2019 - 01.2021
- Performed detailed adjudication of complex prescriptions across rare and specialty disease states, ensuring full compliance with Medicare and commercial payer documentation requirements.
- Verified physician orders and resolved prescription discrepancies to support accurate billing and reimbursement.
- Worked with pharmacists and insurance providers to troubleshoot coverage issues, minimizing claim denials and delays.
- Partnered with patient services to coordinate medication shipments and align billing outcomes with therapy timelines.
- Maintained meticulous records for internal audits and federal regulatory documentation.
- Specialty Pharmacy
- Educated patients on medication usage, side effects, and storage requirements.
- Worked with insurance companies to process claims, resolve problems and obtain payments.
- Transmitted claims to insurance companies for payment and reconciled EOBs.
- Participated in continuing education and training to stay current with pharmacy practices and technology.
Pharmacy Technician
Walgreens
Nashville
01.2017 - 01.2019
- Processed 200+ prescriptions daily, managing real-time adjudication and insurance claims across Medicaid, Medicare Part D, and commercial plans.
- Navigated complex prior authorization workflows and resolved claim rejections, securing medication access and minimizing patient delays.
- Provided education and onboarding support for new technicians regarding pharmacy workflows and claim processing tools.
- Identified cost barriers and supported access through alternative coverage options.
- Ensured operational compliance with DEA, HIPAA, and Medicare regulations while maintaining high accuracy under pressure.
- Managed inventory counts, ordering, and medication organization.
Education
Bachelor of Science - Biochemistry
Middle Tennessee State University
Murfreesboro, TNReal Estate Pre-Licensing -
Continual Learning Institute
Nashville, TNChemistry -
University of Tennessee at Chattanooga
Chattanooga, TNHigh School Diploma -
Martin Luther King Academic Magnet High School
Nashville, TNSkills
- Medical Bill Processing & Adjudication
- Medicare & Insurance Compliance (Part D & Commercial)
- Patient Account Reconciliation
- Claims Verification & Prior Authorization Support
- Data Entry Accuracy & Error Resolution
- HIPAA & Regulatory Documentation
- Customer Communication (Phone/Email)
- CRM & Healthcare Software Adaptability
- Statistical Thinking & Problem Solving
Certification
- PTCB Certified Pharmacy Technician (CPhT), Active
- PTCB National Certification, Active
- Adult & Pediatric First Aid/CPR/AED, Inactive
References
Available upon request.
Timeline
Policy & Compliance Specialist
TikTok
01.2022 - 01.2025
Transportation Specialist
Amazon Relay
01.2021 - 01.2022
Certified Pharmacy Technician
Accredo
01.2019 - 01.2021
Pharmacy Technician
Walgreens
01.2017 - 01.2019
Bachelor of Science - Biochemistry
Middle Tennessee State University
Real Estate Pre-Licensing -
Continual Learning Institute
Chemistry -
University of Tennessee at Chattanooga
High School Diploma -
Martin Luther King Academic Magnet High School