Alexuis Crank
Healthy Connections
Chester,SC
1
Certification
9
years of professional experience
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Work History
Eligibility Specialist
1 Year 2 Months- Evaluated financial documents to accurately assess income levels, assets, expenses, and other relevant factors impacting client eligibility status.
- Assisted clients with accurate eligibility form, application and document completion.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Managed high caseloads efficiently, prioritizing tasks effectively and utilizing time-management skills to meet deadlines consistently.
- Analyze eligibility and verification data for 100+ cases monthly to determine program qualification and compliance.
Claims Analyst
4 Years 10 Months- Analyzed transaction data to identify fraudulent patterns and anomalies.
- Conducted thorough investigations into suspected fraud cases, ensuring compliance with regulatory standards.
- Implemented advanced analytical tools to improve accuracy in fraud identification and prevention efforts.
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
- Led efforts to recover funds lost due to fraudulent activities, liaising with affected parties for optimal resolution.
Benefits Verification Specialist
3 Years 1 Month- Conducted thorough benefits verifications to ensure accurate patient eligibility and coverage.
- Collaborated with healthcare providers to resolve discrepancies in insurance information.
- Implemented process improvements that enhanced verification accuracy and reduced turnaround times.
- Maintained HIPAA compliance while delivering high-quality customer service in a fast-paced environment.
- Assisted patients, providers, pharmacies, and payers with prior authorizations, claims support, and coordination of benefits.
- Analyzed complex benefit scenarios to identify discrepancies and resolved issues proactively.
Education
High School Diploma
Skills
Effective communication skills
Microsoft office
Telephone etiquette
Application processing
Eligibility determination
Teamwork and collaboration
Customer service
Problem-solving
Attention to detail
Critical thinking
Active listening
Fraud prevention
Data analysis
Accuracy and precision
Healthcare regulations
Policy interpretation
Certification
HIPAA Privacy & Security Training • Fraud Prevention & Detection Training • Legacy Leadership Development Certificate • Ready to Work Certificate
Languages
English
Full Professional
Timeline
Eligibility Specialist
Healthy Connections
06.2025 - CurrentRead More
Claims Analyst
TTEC
07.2020 - 05.2025Read More
Benefits Verification Specialist
AmerisourceBergen
06.2017 - 07.2020Read More
Chester Senior HighSchool
High School Diploma
Read More