AUJA ALEXANDER
Saint Louis,MO
Summary
Detail-oriented professional with extensive experience in administrative support, data entry, quality assurance, and compliance. Proven ability to streamline workflows, maintain confidentiality (HIPAA compliant), and deliver high-quality results in fast-paced environments. Adept at handling complex tasks with efficiency and precision, making a seamless transition to remote work settings.
Overview
8
8
years of professional experience
Work History
Provider Services Associate II
Evolent Health
Arlington, USA
10.2021 - Current
- Researched and resolved approximately 70 provider inquiries daily with a focus on accuracy and compliance
- Delivered high-quality service in alignment with Magellan's call center standards, ensuring first-call resolution
- Managed sensitive data while maintaining HIPAA compliance and confidentiality
- Produced detailed reports and analyzed trends to improve operational efficiency
Customer Service Representative
Spectrum
Bridgeton, USA
10.2020 - 09.2021
- Maintained exceptional professionalism while resolving complex customer inquiries
- Implemented problem-solving strategies to enhance customer satisfaction and retention
- Consistently achieved performance metrics, including accuracy and resolution time
Network Claims Liaison
Optum
Maryland Heights, USA
03.2017 - 12.2019
- Conducted root cause analysis on rejected claims to prevent recurring issues
- Monitored claim progress and ensured compliance with regulatory timelines
- Liaised between insurance companies and claimants to facilitate prompt resolution
- Generated detailed reports on claim statuses, enhancing transparency and decision-making
Education
Some College Coursework -
Saint Louis Community College
Saint Louis, MOSkills
- Advanced data entry and database management
- Quality assurance and auditing
- Process improvement and workflow optimization
- HIPAA compliance and confidentiality
- Research and report generation
- Effective communication and collaboration
- Task prioritization and multitasking
- Problem-solving and root cause analysis
- Proficiency with Microsoft Office Suite, CRM, and claims software
Timeline
Provider Services Associate II
Evolent Health
10.2021 - Current
Customer Service Representative
Spectrum
10.2020 - 09.2021
Network Claims Liaison
Optum
03.2017 - 12.2019
Some College Coursework -
Saint Louis Community College