ALANNAH SAMUEL
Taylors
Summary
Psychology undergraduate with a strong academic foundation in behavioral science, psychological assessment, social behavior, criminology, and research-based analysis. Experienced in applying psychological principles to real-world settings including healthcare, insurance, advocacy, and compliance. Known for critical thinking, ethical judgment, written communication, and the ability to translate complex concepts into practical outcomes. Results-driven healthcare and insurance professional with 10+ years of experience in claims processing, patient advocacy, and account management within high-volume, regulated environments. Currently pursuing a Bachelor of Science in Psychology with focused coursework in abnormal psychology, psychological assessment, criminology, and social behavior. Recognized leadership, mentoring, compliance expertise, and the ability to translate complex policy and behavioral concepts into effective client and patient support. Seeking roles that integrate psychology, healthcare operations, claims, compliance, or advocacy, with long-term goals aligned toward forensic and applied psychology.
Experienced with patient financial assistance and insurance navigation. Utilizes knowledge of billing systems to resolve financial discrepancies and support patient needs. Track record of effective communication and problem-solving in high-pressure situations.
Professional advocate with strong background in healthcare finance, delivering results-driven solutions. Skilled in navigating insurance claims, patient billing, and financial counseling. Valued team player known for adaptability, effective communication, and problem-solving. Proven ability to support patients through complex financial processes while ensuring compliance and accuracy.
Overview
16
16
years of professional experience
Work History
Patient Financial Advocate
Accredo Specialty Pharmacy
South Carolina
07.2018 - 01.2026
- Manage 80–100 claims daily while maintaining strict compliance with payer and regulatory guidelines.
- Improved claims processing accuracy to 95%+ through implementation of quality-control audits and double-check protocols.
- Reduced overall claims processing time by approximately 30% by streamlining workflows and optimizing review procedures.
- Decreased claim denial rates by 20%+ through proactive coverage review and corrective action strategies.
- Serve as a subject-matter expert for complex claims, providing guidance to peers and leadership.
- Train and mentor new hires on claims systems, policies, and best practices, improving onboarding efficiency and team productivity.
- Educate patients on insurance benefits, coverage determinations, and financial responsibilities using empathetic, clear communication.
- Maintain strict HIPAA compliance while handling sensitive patient and financial information.
- Collaborate cross-functional with providers, payers, and internal teams to resolve escalations and ensure timely reimbursement.
Member Advocate
Disabled Veteran Solutions
01.2016 - 06.2018
- Served as primary advocate and liaison for members, providing education on benefits, eligibility, and services.
- Applied empathy, cultural sensitivity, and active listening to support diverse populations with complex needs.
- Coordinated with clinical, customer service, and case management teams to resolve member issues and improve outcomes.
- Documented cases accurately in CRM systems while ensuring HIPAA compliance.
- Identified trends in member concerns and contributed to service improvement initiatives.
- Mentored new hires and reinforced a member-first, advocacy-focused culture.
Remarketing Specialist
Global Lending Services
Mauldin, SC
07.2012 - 12.2015
- Managed post-repossession asset recovery operations, including valuation, auction coordination, and compliance documentation.
- Utilized analytical tools (NADA, MMR) to determine pricing strategies and maximize recovery value.
- Ensured adherence to post-repossession of legal and documentation requirements.
- Maintained accurate inventory and reporting records with strong attention to detail.
Account Manager
RTO National
Greenville, SC
03.2010 - 05.2012
- Oversaw account collections, customer outreach, and payment scheduling while maintaining strong client relationships.
- Consistently meet or exceed performance goals in a metric-driven environment.
- Trained new hires on customer service standards and payment systems.
Education
Bachelor of Science - Psychology
South College
Knoxville, TNSkills
- Healthcare & Insurance Claims Processing
- Patient & Member Advocacy
- Psychological & Behavioral Assessment Foundations
- Compliance (HIPAA, Payer Guidelines, Regulatory Standards)
- Claims Accuracy, Auditing & Quality Assurance
- Crisis De-escalation & Conflict Resolution
- Data Analysis & Trend Identification
- Documentation & Records Management
- Leadership, Training & Mentorship
- Client & Stakeholder Communication
- Medical Terminology & Insurance Verification
- Case Management & Eligibility Determination
- Behavioral Observation & Analysis
- Psychological Assessment Fundamentals
- Research Interpretation & Data Literacy
- Statistical Analysis (Statistics with A grade)
- Critical Thinking & Ethical Reasoning
- Written Communication & Research Composition
- Oral & Professional Communication
- Cultural Competency & Diversity Awareness
- Computer & Information Literacy
- Academic Writing & APA Formatting
- College Algebra & Applied Statistics
- Professional Development & Career Readiness
- Spanish I (Conversational Foundations)
- Medical billing expertise
- Healthcare industry
- Financial counseling
- Cross-cultural sensitivity
- Customer service
- HIPAA compliance
- Verbal and written communication
- Claims processing
- Patient registration
- Insurance verification
- Medical terminology
- Data entry proficiency
- Conflict resolution
- Project management
- Filing and data archiving
- Payment collection
- Issue research
- Teamwork
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Punctual and hardworking
- Problem-solving abilities
- Calm and effective under pressure
- Reliability
- Excellent communication
- Critical thinking
- Registration and scheduling
- Organizational skills
- Caring and empathetic
- Active listening
- Decision-making
- Adaptability and flexibility
- Patient education
- Documenting and recording information
- Patient confidentiality and data security
- Communicating to patients and families
- Documentation skills
- Outbound calling
- Technical troubleshooting
- Interpersonal skills
ACADEMIC HIGHLIGHTS
- Earned A grades in English Composition, Sociology, Statistics, Cultural Diversity, and Critical Thinking
- Completed advanced coursework in psychological testing and measurement
- Demonstrated resilience through retaken coursework with improved outcomes
- Strong interdisciplinary background integrating psychology, sociology, biology, and communication
CAREER INTERESTS
- Behavioral Health & Mental Health Support
- Forensic & Applied Psychology
- Healthcare Administration & Patient Advocacy
- Claims, Compliance, & Quality Assurance
- Research Support & Psychological Assessment Roles
ADDITIONAL HIGHLIGHTS
- Strong foundation in psychological assessment principles and behavioral analysis
- Proven leadership in high-stakes, regulated healthcare environments
- Excellent written and verbal communication skills
- Experienced in data-driven decision-making and process improvement
RELEVANT PSYCHOLOGY & SOCIAL SCIENCE COURSEWORK
- Abnormal Psychology
- Psychological Tests & Measurements
- Psychology of Criminology
- Social Psychology
- Psychology of Personality
- Human Growth & Development
- Psychology of the Family
- Industrial/Organizational Psychology
- Positive Psychology
- Geriatric Psychology
- Cultural Diversity
- General Psychology
Timeline
Patient Financial Advocate
Accredo Specialty Pharmacy
07.2018 - 01.2026
Member Advocate
Disabled Veteran Solutions
01.2016 - 06.2018
Remarketing Specialist
Global Lending Services
07.2012 - 12.2015
Account Manager
RTO National
03.2010 - 05.2012
Bachelor of Science - Psychology
South College