Aleshia Alexander
Jackson,MS
Summary
Dynamic Insurance Representative with extensive experience at Acclara, excelling in claims processing and billing dispute resolution. Proven ability to enhance customer satisfaction through effective communication and critical thinking. Skilled in utilizing Microsoft Office and CRM software to streamline operations and achieve timely collections on outstanding accounts.
Overview
15
15
years of professional experience
Work History
Insurance Representative
Acclara
Remote
04.2024 - 01.2025
- Provided support to other departments within the organization as needed.
- Expedited payments by verifying accuracy and currency of vendor information.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Developed and implemented policies to resolve outstanding balances.
- Reconciled payments received from insurance companies with expected amounts due.
- Verified patient eligibility for coverage prior to submitting claims for payment.
- Identified and corrected payment problems involving patients or third-party payers.
- Submitted claims to insurance companies.
- Maintained accounting ledgers by verifying and posting account transactions.
Billing AR Follow-up Specialist
Trustcare Health Urgent Care
Ridgeland, MS
04.2017 - 10.2024
- Contacted insurance companies to check status of claim payments.
- Wrote appeal letters to insurance companies for denial of claims.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Accepted and processed customer payments and applied toward account balances.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Customer Service Representative
Medical Transportation Management
Ridgeland, MS
06.2015 - 02.2017
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Fielded customer complaints and queries, fast-tracking for problem resolution.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Maintain safety and convenience scheduled trip for Medicaid recipients
- Prepare service reports by collection and analyzing customers information
- Called facilities to inform ride for Beneficiary (social workers, case managers etc.).
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Developed strong customer relationships to encourage repeat business.
Workers' Compensation Claims Representative
RiverOaks Hospital Central Billing Office
Jackson, MS
10.2012 - 01.2015
- Administered workers' compensation program covering injured employees.
- Determined liability, compensability and benefits due on each claim.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Communicated with reinsurance brokers to obtain claim information for processing.
Quality Assurance Representative/Customer Service Representative
LogistiCare Solutions LLC.
Jackson, MS
05.2010 - 01.2012
- Works with customers, subcontractors and Logisticare staff to ensure quality service
- Initiates corrective actions towards complaints made by members (Medicaid Recipient)
- Resolve issues, if necessary, any situations may escalate to the regional manager for resolution, which may include liquidated damages being assessed
- Supported development and implementation of improved quality control initiatives and processes.
- Monitored completed work and provided feedback to improve team member performance.
- Dispatched to Members and none volunteer drives
- Assist with the coordination of public transportation
- Responsible for administering the volunteer driver/gas reimbursement program
- Communicated delays and early arrivals to management.
- Identified and troubleshot logistical issues and delays, communicating issues to managers and customers.
- Created daily and weekly delivery window reports utilizing transport data.
- Maintain a good rapport with transportation providers, Utilize correct coding and documentation procedures
- Meet company standards for average handle times, quality scores, and trip accuracy.
Education
High School Diploma -
Bailey High School
Jackson05.1996
Some College (No Degree) -
Jackson State University
Jackson, MSSkills
- Research
- Customer service
- Multitasking
- Billing discrepancies
- Excel, EPIC, Availability
- Billing dispute resolution
- Credit and collections
- Bill processing
- Statement issuing
- Decision-making
- Critical thinking
- Microsoft Office
- Claims processing
- Insurance verification
- Billing follow-up
- Data entry
- Customer follow-up
- Health insurance
- CRM software
- Customer account review
- Claim processing
References
References available upon request.
Timeline
Insurance Representative
Acclara
04.2024 - 01.2025
Billing AR Follow-up Specialist
Trustcare Health Urgent Care
04.2017 - 10.2024
Customer Service Representative
Medical Transportation Management
06.2015 - 02.2017
Workers' Compensation Claims Representative
RiverOaks Hospital Central Billing Office
10.2012 - 01.2015
Quality Assurance Representative/Customer Service Representative
LogistiCare Solutions LLC.
05.2010 - 01.2012
High School Diploma -
Bailey High School
Some College (No Degree) -
Jackson State University
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