Alexis Martin
Summary
Accounts Receivable Specialist with 8+ years of progressive experience across claims processing, quality audit, and Medicare AR operations. Strong knowledge of Cigna systems and workflows, with a consistent focus on accuracy and timely resolution.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Medicare Accounts Receivable Specialist
Cigna-HCSC
01.2023 - Current
- Conduct a root cause analysis for claim and payment-related errors.
- Resolve open and unresolved claims, and accounts receivable issues.
- Provide current and appropriate education to providers as it relates to Medicare and internal policy updates.
- Exceed service level agreements.
Quality Review & Audit Lead
Cigna Healthcare
10.2020 - 01.2023
- Lead quality reviews and audits, ensuring accurate and timely claim submissions.
- Offer guidance and coaching to junior team members to increase productivity.
- Identify and recommend process improvements for enhanced efficiency.
Claims Senior Representative
Cigna Healthcare
03.2017 - 10.2020
- Manage dedicated account claims for NFL and HCA accounts.
- Determine proper claim adjudication steps according to department procedures.
- Process claims in line with policy provisions.
- Participate in special claims projects.
- Process a wide range of claim types, including, but not limited to, office visits, outpatient hospital, inpatient hospital, behavioral health, dental, oncology, and home health.
Clerical and Imaging Representative
Chattanooga Imaging
06.2016 - 11.2016
- Effectively verify insurance and billing information for patients during check-in process.
- Assist patients in understanding their insurance coverage and details while providing exceptional customer service.
- Schedule patient procedures and collaborate with medical team to organize and maintain accurate patient records.
- Proficiently prepare patient images and medical records to facilitate radiologist presentations at Tumor Board conferences, ensuring timely and accurate dissemination of crucial information.
Customer Service Specialist
Blue Cross Blue Shield of TN
08.2010 - 06.2016
- Deliver comprehensive education to customers and providers, explaining current plan specifics and available options.
- Consistently excel in delivering exceptional customer service to members, brokers, and providers.
- Effectively communicate claim and reimbursement information to both members and health care providers.
Education
Associate of Business Administration - Business
Chattanooga State Community College
Chattanooga, TNHigh School Diploma -
Hixson High School
HixsonSkills
- Claims processing expertise
- Root cause analysis
- Provider education and guidance
- Process improvement
- Cross-functional collaboration
- Service excellence and resolution
Certification
- Certified Professional Coder (CPC)-AAPC
Timeline
Medicare Accounts Receivable Specialist
Cigna-HCSC
01.2023 - Current
Quality Review & Audit Lead
Cigna Healthcare
10.2020 - 01.2023
Claims Senior Representative
Cigna Healthcare
03.2017 - 10.2020
Clerical and Imaging Representative
Chattanooga Imaging
06.2016 - 11.2016
Customer Service Specialist
Blue Cross Blue Shield of TN
08.2010 - 06.2016
Associate of Business Administration - Business
Chattanooga State Community College
High School Diploma -
Hixson High School