Alexis Jones

Omnisys | Remote

• Processed and resolved pharmacy claim denials for Medicare and insurance reimbursement, ensuring accurate and timely payments.
• Collaborated with pharmacies, insurance providers, and internal teams to effectively resolve claim issues, enhancing overall claims management.
• Investigated billing discrepancies and identified solutions to expedite payment processes.
• Maintain detailed documentation and ensure compliance with healthcare regulations.
• Manage high-volume workloads while maintaining accuracy and productivity

• Supported pharmacies in prescription processing and claims resolution, ensuring timely service delivery.
• Addressed customer inquiries via phone and email, enhancing overall satisfaction and trust.
• Assisted pharmacies with prescription processing and claims-related issues.
• Fostered strong customer relationships through effective communication and resolution of complex issues.
• Demonstrated strong performance and adaptability, leading to promotion into the Denials Department. (Xifin)

• Developed and implemented engaging educational activities that enhanced student participation and learning.
• Fostered positive relationships with students, parents, and staff.
• Organized classroom environments to support learning and development.
• Organized classroom environments to optimize student engagement and support individual learning needs.

• Encouraged students to persevere with challenging tasks, fostering resilience and readiness for advanced learning opportunities.
• Encouraged students to persevere with challenging tasks, preparing them for advanced learning opportunities.
• Built relationships with students and parents to enhance student engagement and support learning outcomes.
• Organized materials and classroom spaces to boost teaching efficiency and success.
• Organized materials and classroom spaces to create conducive learning environments that facilitate effective teaching.