Alexsis Madden
Columbus
Summary
Dynamic healthcare professional with proven expertise in team leadership and compliance management at Molina Healthcare. Skilled in optimizing operational efficiency and enhancing member satisfaction. Adept at claims processing and complex problem-solving, consistently achieving departmental goals while ensuring adherence to Medicaid regulations. Committed to delivering exceptional service and driving performance improvements.
Overview
9
9
years of professional experience
Work History
Healthcare Team Lead
Molina Healthcare
04.2022 - 03.2025
- Managed a team of 30 agents, ensuring departmental goals were met while maintaining high member satisfaction and strict Medicaid compliance.
- Provided leadership, guidance, and performance management to enhance operational efficiency and service quality.
- Managed workflow optimization and monitored key performance indicators (KPIs), and implemented strategies to improve productivity.
- Ensured adherence to state Medicaid regulations, reducing compliance risks and maintaining audit readiness.
Medical Billing Specialist
UnitedHealth Group
07.2019 - 03.2022
- Processed and submitted electronic insurance claims to Medicare, Medicaid, and commercial payers.
- Reviewed and corrected billing errors to ensure clean claim submission.
- Posted payments, adjustments, and denials accurately into EPIC system.
- Conducted A/R follow-up on unpaid and underpaid claims.
- Resolved claim rejections and denials through appeals and payer communication.
Development Specialist
Glass Doctor
Columbus
06.2016 - 07.2019
- Identified customer needs and scheduled services via chat, email, and phone, ensuring timely and professional communication.
- Provided exceptional customer support, resolving inquiries efficiently to enhance client satisfaction.
- Maintained accurate service records and scheduling data, optimizing workflow and operational efficiency.
Education
Bachelors in Business Administration - Human Resources Management
Southern New Hampshire University
Manchester, New Hampshire05.2025
High School Diploma -
South High School
Columbus, Ohio06.2016
Skills
- Healthcare Administration
- HIPAA Compliance
- Team Leadership
- Communication
- Claims Processing
- High Volume Billing
- Customer Service
- Project management
- Complex Problem-solving
- Compliance management
- Performance monitoring
- Key performance indicators
Timeline
Healthcare Team Lead
Molina Healthcare
04.2022 - 03.2025
Medical Billing Specialist
UnitedHealth Group
07.2019 - 03.2022
Development Specialist
Glass Doctor
06.2016 - 07.2019
Bachelors in Business Administration - Human Resources Management
Southern New Hampshire University
High School Diploma -
South High School