Alejandra Salazar
San Antonio,TX
Summary
Payer Account Manager with extensive expertise and years of practical experience in electronic business communication. Dedicated to enhancing the success, productivity, and quality of payer partnerships. Possessing a comprehensive understanding of EDI standards, protocols, and integration methodologies, I have effectively navigated complex systems to facilitate seamless data exchange among various entities.
Overview
10
10
years of professional experience
Work History
Payer Account Manager
Office Ally
San Antonio, TX
12.2023 - Current
- Collaborated with internal teams, development staff, and payer partners to ensure seamless and efficient transaction processing, optimizing workflows, and adhering to industry standards.This cross-team coordination resulted in accurate, timely delivery of EDI transactions, while minimizing errors and downtime.
- Managed multiple client accounts concurrently, ensuring the successful execution of projects within set deadlines. Maintained a strong focus on prioritization and resource management to deliver services on time and exceed client expectations.
- Led efforts to address and resolve critical issues, managing complex challenges and urgent matters with precision and efficiency. Ensured prompt, effective resolutions that met payer partners' needs while mitigating potential operational impacts.
- Cultivated and strengthened relationships with payer partner accounts by consistently and proactively addressing their concerns and delivering tailored solutions. This client-centric approach helped maintain high satisfaction levels and foster long-term partnerships.
- Conducted in-depth analysis of payer partner data to assess operational performance, uncover inefficiencies, and identify opportunities for growth. Leveraged data-driven insights to recommend strategic improvements that aligned with payer partners' objectives and enhanced overall efficiency.
- Developed and presented detailed level of effort proposals for both existing and new payer partners. These proposals outlined tailored service offerings, cost structures, and value-added benefits helping secure new agreements and expand current partnerships.
Multi-Function Training Specialist
Office Ally
San Antonio, TX
05.2014 - 12.2023
- Designed and facilitated training courses aligning new learning development and solutions to the organization's strategic goals, mission, and vision.
- Ability to assess training needs, design engaging content, and deliver impactful training sessions has resulted in improved employee performance and increased productivity.
- Expert within the healthcare industry responsible for investigating and analyzing medical claims submissions that have been rejected or denied by insurance companies by delving into the specifics of the rejected claims, understanding the reasons for denial, and conducting comprehensive research to identify errors, discrepancies, or missing information that led to the rejection.
- Mediate and resolve disputes related to claims and ERAs, aiming for solutions that satisfy all parties involved, ensuring that information is conveyed accurately and timely.
Education
Bachelor of Science - Business Administration
UTSA
San Antonio, TX05-2022
Skills
- Skilled in troubleshooting and resolving issues related to ANSI X12 transactions, ensuring seamless data exchange and minimizing disruptions in electronic communications
Timeline
Payer Account Manager
Office Ally
12.2023 - Current
Multi-Function Training Specialist
Office Ally
05.2014 - 12.2023
Bachelor of Science - Business Administration
UTSA
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