Alexis Robinson
Kansas City,MO
Summary
Seasoned Specialist offering 10+ years of comprehensive experience interpreting and implementing quality assurance standards and investigating customer complaints and non-conformance issues. Practiced and knowledgeable professional possessing excellent problem solving and analytical skills paired with strong knowledge of QA terms, tools and methodologies. Committed to improving overall business processes.
Overview
16
16
years of professional experience
Work History
Application Review Specialist
Synchrony Bank
Kansas City, MO
06.2021 - Current
- Review and decision applications using tool provided, while meeting the allowed SLA ( service- Level Agreement)
- Create a word document with screen shots to support the decision of the application
- made outbound calls, to obtain additional information from the applicant to request supporting documents.
- handle all escalated calls regarding applications decisions.
- perform other duties and/or special projects as assigned.
Account Receivable Specialist
Kindred at Home
Overland Park, KS
06.2017 - 11.2021
- Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables
- Research, resolve, and prepare claims and have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices analyze each agency outstanding monthly accounts receivable process and claims to obtain zero balance
- Clear payment variances, resolving differences and initiation corrective action. Guide/instruct and support agency personnel encompassing all aspects of insurance and non Medicare claims processing
- Prepare input data forms undated computer system. Review and communicate with agencies to educated them about expectations for clean claims
Shift Manager
McDonald's
Overland Park, KS
05.2008 - 05.2020
- Earned management trust by serving as key holder, responsibly opening and closing store
- Worked as A team leader performing cashier duties, product assistance and cleaning while providing excellent Customer service
- Guaranteed positive customer experiences and resolved all customer complaints
Prior Authorization Specialist
CVS Specialty Pharmacy
Lenexa, KS
09.2015 - 06.2017
- Contacted insurance companies to obtain the necessary preauthorizations needed for upcoming tests and procedures
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions
- Interacting with members who may have serious chronic conditions, as well as physician practices, Insurance carriers, health plans, and pharmacy operations team members - Answering inbound and Outbound calls - Routing calls to appropriate department(s)
Fraud Analyst
US Bank National Association
Overland Park, KS
09.2014 - 07.2016
- I was responsible for monitoring customer accounts for fraudulent activities and for receiving inbound Calls from our customers
- Initiates fraud claims, as well as provides information on existing fraud and Dispute claims
- Analyze data to provide meaningful insights. I strong data manipulation and interpretation skills, and be able to quantitatively assess business problems
- Support analyst team with data extractions and manipulation for recurring and ad hoc reporting Develop/select methodologies to derive answers to business problems
- Provide leadership as a mentor to team analysts and cross-functional resources Perform other duties as may be requested by manager
Sr Speciast/Escalation Specialist
GE Capital
Shawnee, KS
10.2010 - 09.2015
- Received escalated leadership calls.
- Assisted clients with IRS's, CD's, debt payments etc.
- Handled higher escalated daily audit cases out of service level agreement.
- Researched, analyzed, and resolved complex customer inquiries.
- Assisted in training new escalation specialists on procedures and processes.
- Maintained a high level of quality assurance throughout the escalation process.
Education
Associate of Arts - Business Administration And Management
Vatterott College - Kansas City
Kansas City, MO09-2016
Skills
- Payment management
- Credit and collections
- Investigative research
- Billing dispute resolution
- Bill processing
- team Leadership
- microsoft office
Timeline
Application Review Specialist
Synchrony Bank
06.2021 - Current
Account Receivable Specialist
Kindred at Home
06.2017 - 11.2021
Prior Authorization Specialist
CVS Specialty Pharmacy
09.2015 - 06.2017
Fraud Analyst
US Bank National Association
09.2014 - 07.2016
Sr Speciast/Escalation Specialist
GE Capital
10.2010 - 09.2015
Shift Manager
McDonald's
05.2008 - 05.2020
Associate of Arts - Business Administration And Management
Vatterott College - Kansas City
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