Alaina Timmons
Sumter
Summary
Detail-oriented healthcare administrative professional with over 10+ years of experience in patient access, care review processing, eligibility verification, and customer support. Proven ability to manage high-volume data entry, maintain HIPAA compliance, and deliver accurate, timely service in remote and fast-paced healthcare environments. Strong communicator skilled in patient advocacy, insurance verification, and workflow optimization.
Overview
13
13
years of professional experience
Work History
Patient Access Intake Specialist
Cencora
11.2025 - Current
- Processed patient information with accuracy and attention to detail.
- Assisted patients in completing intake forms and verifying insurance eligibility.
- Coordinated communication between patients and healthcare providers for efficient service delivery.
- Managed appointment scheduling to optimize patient flow and reduce wait times.
- Maintained up-to-date knowledge of insurance policies and procedures for effective assistance.
- Ensured compliance with HIPAA regulations by safeguarding sensitive patient information at all times.
- Reduced errors in billing information by carefully reviewing documents before submission to insurance carriers.
- Coordinated with medical professionals to ensure accurate insurance verification and authorization.
- Maintained accurate and up-to-date client records.
- Enhanced data accuracy by meticulously updating patient records in the electronic health record system.
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
Care Review Processor I
Molina Healthcare
09.2021 - 06.2025
- Reduced potential errors in patient treatment plans by meticulously verifying the accuracy of clinical coding used for billing purposes.
- Verified member eligibility, benefits, and coordination of benefits.
- Communicated with physician offices to obtain missing documentation per Medical Director requirements.
- Provided clerical and data support to Care Review teams.
- Monitors and resolves errors in assigned work queues.
- Data entry and file management, logging information from faxes, checking documents for accuracy and completeness, and maintaining electronic records.
- Navigates multiple computer systems while staying organized and focused.
- Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
- Verifies and correctly assigns insurance coverages based on eligibility responses.
Customer Care & Collections Representative
Alorica
02.2013 - 09.2021
- Managed high-volume collections calls efficiently, ensuring timely follow-ups and resolutions.
- Resolved customer inquiries and disputes effectively, maintaining professional relationships.
- Utilized collection software to track payments and monitor account statuses accurately.
- Developed strategies for reducing delinquency rates through proactive communication and negotiation techniques.
- Improved collections efficiency by implementing strategic negotiation techniques and customer service skills.
- Handled 60-80 outbound and inbound calls daily with goal of collecting owed debt.
- Demonstrated exceptional problem-solving abilities in addressing complex collection scenarios, leading to successful resolutions.
- Processed payments and applied to customer balances.
- Responded to customer inquiries and provided detailed account information.
- Entered client details and notes into system for interdepartmental access and review.
Education
Associate of Science - Associate of Applied Science – Health Information
Miller Motte Technical College
North Charleston07-2011
Skills
- Patient confidentiality
- Documentation accuracy
- Insurance verification
- Medical terminology
- Medical Record Review
- Accurately enters and updates customer and document data
- Works independently while following clear guideline
- Customer service
- Problem-solving
- Detail-oriented
- Insurance verifying
- Communicates with internal teams using email/chat tools
- Service Quality Improvement
- Claims Processing
- Eligibility Verification
- Authorization Management
- Knowledge of Insurance Policies
- Coordination of Benefits
- Clerical and filing support
- 50 WPM typing speed
- Quality control
- Administrative and office support
- Database search and data entry skills
- Payment collection
- Billing procedures
- Claims & Insurance Knowledge
Timeline
Patient Access Intake Specialist
Cencora
11.2025 - Current
Care Review Processor I
Molina Healthcare
09.2021 - 06.2025
Customer Care & Collections Representative
Alorica
02.2013 - 09.2021
Associate of Science - Associate of Applied Science – Health Information
Miller Motte Technical College