ALYSSA CRAWFORD
Plano,TX
Summary
Highly successful Administrator with a talent for motivating teams and streamlining operations. Known for analytical problem solving and persuasive communication, excelling at thinking outside the box to find creative solutions. With over 10 years of diverse healthcare experience, including data entry, customer service, and leadership development, has a proven track record of leading teams to success. Task-driven individual with a primary focus on exceeding expectations and constantly seeking ways to improve processes, accuracy, and efficiency.
Overview
10
10
years of professional experience
Work History
Installation Administrator
United Healthcare
REMOTE
05.2023 - Current
- Audit Provider contracts and payment appendices and non-par provider against Source of Truth for adherence to quality measurer and reporting standards
- Work independently on complex requests and help team members solve complex rate configuration problems using knowledge of platform limitations/requirements.
- Facilitated smooth transitions between internal departments during the course of a given project, fostering effective communication among all stakeholders involved in the installation process.
- Followed established auditing processes to meet internal and regulatory requirements.
- Streamlined the provider installation process for improved efficiency and reduced errors.
- Managed program errors with analytical approach focused on troubleshooting, diagnosing and resolving each problem.
- Managed multiple provider installation projects simultaneously, ensuring timely completion and optimal results.
- Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
Provider Installation Specialist
Optum
Telecommute
09.2021 - 04.2023
- Assist with setting up plan structure and billing, eligibility collection and database loading
- Audit work of others to identify and process/coordinate correction of loading errors
- Proactively identifies non-standard request and potential problems; investigates and provide solutions using defined processes, expertise, and judgement.
- Developed customized solutions for providers to address their unique installation needs, resulting in higher satisfaction rates among network members.
- Prioritized complex workload effectively to meet deadlines without sacrificing quality or attention to detail.
- Contributed to a positive work environment by collaborating closely with colleagues at various levels within our organization.
Resolution Support Specialist
United Health Group
Telecommute
10.2016 - 08.2021
- Assist advocates in resolving complex issues for our members
- Maintained detailed documentation of support interactions, ensuring valuable insights are preserved for future reference and analysis.
- Identified and resolved anticipated Provider issues to prevent future calls
- Acted as a liaison between clients and development teams, ensuring timely communication during critical incidents.
- Maintain proficiency in all technical applications (technical skills and system knowledge).
Customer Service Advocate
United Health Group
Richardson, TX
09.2015 - 10.2016
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Assist member with initiating prescription and medical Prior Authorizations.
- Enhanced customer satisfaction by promptly addressing and resolving inquiries and issues.
- Managed a high volume of medical claims by prioritizing tasks based on due dates and urgency, preventing delays in processing.
Customer Service Representative
Prime Therapeutics
Irving, TX
05.2015 - 07.2015
- Process prescription refills and renewal for members
- Explain and discuss Prior authorizations with members
- Process prescription claims
- Explain medical benefits to members.
Customer Service Professional
State Farm
Richardson, TX
08.2014 - 04.2015
- Filed home and auto insurance claims
- Assisted customer in general concerns
- Scheduled appointments
- Assisted Insurance agents with messages left by insured.
Education
Bachelor of Arts - Healthcare Administration
Capella University
Minneapolis, MN06.2026
High School Diploma -
Mesquite High School
Mesquite, TX06.2012
Skills
- Exceptional communication skills
- Detail-oriented
- Creative problem solver
- Self Starter
- MS Windows proficient
- MS Excel Proficient
- Quick learner
- Articulate and well-spoken
- Team Player
- Flexible
- Accurate
- Pleasant demeanor
Timeline
Installation Administrator
United Healthcare
05.2023 - Current
Provider Installation Specialist
Optum
09.2021 - 04.2023
Resolution Support Specialist
United Health Group
10.2016 - 08.2021
Customer Service Advocate
United Health Group
09.2015 - 10.2016
Customer Service Representative
Prime Therapeutics
05.2015 - 07.2015
Customer Service Professional
State Farm
08.2014 - 04.2015
Bachelor of Arts - Healthcare Administration
Capella University
High School Diploma -
Mesquite High School