Alexandra Bradley
Clements,CA
Summary
Skilled in navigating complex systems, problem-solving, and maintaining accurate records. Known for effective collaboration, adaptability, and delivering results in fast-paced environments. Reliable team player with expertise in healthcare regulations, communication, and customer service. Results-driven management professional with proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs.
Overview
12
12
years of professional experience
Work History
Authorization Specialist Manageri
PT Solutions
Remote, CA
01.2021 - Current
- Led and managed a remote team of 60+ authorization specialists and supervisors across the United States.
- Oversaw KPI performance and FTE allocation to optimize productivity, efficiency, and service levels.
- Directed daily operations, workforce planning, and performance management in a multi-state remote environment.
- Led training initiatives for staff on insurance coordination, resulting in improved accuracy and patient satisfaction.
- Coordinated compliance audits to uphold HIPAA standards, safeguarding sensitive patient information throughout the organization
- Managed workflow optimization efforts, significantly reducing processing times for prior authorizations and turn around times.
- Managed and motivated employees to be productive and engaged in work.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Patient Access Representative
PT Solutions
Lodi, CA
05.2019 - 12.2020
- Delivered exceptional customer service by actively listening to patient concerns and providing tailored solutions.
- Coordinated with cross-functional teams to resolve complex patient inquiries, enhancing overall satisfaction and retention.
- Facilitated communication between patients and healthcare providers to ensure accurate information flow throughout services.
- Educated patients on insurance policies, clarifying benefits and minimizing misunderstandings regarding financial responsibilities.
- Managed high-volume inbound communications, efficiently addressing inquiries while maintaining a positive customer experience.
- Trained new staff on patient access procedures, improving team efficiency and service quality.
Patient Access Representative
Lodi Memorial Hospital
Lodi, CA
09.2017 - 05.2019
- Registered high volumes of patients for a broad range of diagnostic and medical testing services in a fast-paced hospital environment.
- Verified insurance eligibility and confirmed medical necessity requirements for scheduled services.
- Created and managed pre-registration accounts for 50+ rehabilitation patients.
- Reviewed insurance benefits, including deductibles, copays, and out-of-pocket maximums.
- Prepared accurate patient cost estimates based on insurance coverage and benefit information.
Traffic Coordinator
Constellation Brands
Lodi, CA
09.2015 - 05.2017
- Managed intake, processing, and tracking of inbound and outbound shipments exceeding 100 loads daily.
- Keeping inventory of all product in the warehouse.
- Making appointments for shipments and creating a schedule for all shipments being received each week.
- Create spreadsheets for all quantities of wine received each week and the quantities that left the warehouse each week.
- Order and distribute office supplies and other work-related items staying within a budget each month.
Recovery Specialist
Performant Recovery Inc.
Lathrop, CA
06.2014 - 09.2015
- Makes outgoing and takes incoming calls to assist and helping people resolve their debt.
- Inputs data into the computer and negotiates payments.
- Must work in a team environment as well as individually.
Education
Medical Coding Certificate - CPC
AAPC Online
OnlineTherapeutic Health Technician
Kaplan College
Salida, CA12-2009
Skills
- Team leadership
- Staff management
- Task delegation/Decision-making
- Project planning/management
- Insurance verification
- Data entry proficiency
- Prior authorization processing
- Microsoft office
- Database management
- Ability to complete task on deadline
- Effective communication skills
- Reliability
- Problem-Solving/Attention to detail
- Medical terminology expertise
Timeline
Authorization Specialist Manageri
PT Solutions
01.2021 - Current
Patient Access Representative
PT Solutions
05.2019 - 12.2020
Patient Access Representative
Lodi Memorial Hospital
09.2017 - 05.2019
Traffic Coordinator
Constellation Brands
09.2015 - 05.2017
Recovery Specialist
Performant Recovery Inc.
06.2014 - 09.2015
Medical Coding Certificate - CPC
AAPC Online
Therapeutic Health Technician
Kaplan College