CIERRA ALEXANDER

Work History

Diversity Systems

04.2022 - 05.2025

Enhanced healthcare service quality by collaborating with medical professionals and providing accurate patient information. Promoted patient well-being through empathetic communication, advocacy, and personalized care planning.
Applied administrative knowledge and courtesy to explain procedures and services to patients. Answered incoming calls, scheduled appointments, and filed medical records. Responded to inquiries by directing calls to appropriate personnel.
Fostered a culture of patient-centered care by consistently prioritizing the unique values, beliefs, and preferences of each individual. Compiled and maintained patient medical records to keep information complete and up-to-date.
Delivered comprehensive case management services that ensured continuity of care across multiple providers while minimizing gaps in service provision.

Blue Cross Blue Shield

12.2021 - 04.2022

Enhanced reimbursement procedures by streamlining the claims submission process and reducing processing time. Improved departmental accuracy through meticulous attention to detail while reviewing claims submissions.
Managed high-volume workloads through effective prioritization and organization, consistently meeting deadlines while maintaining accurate records.
Collaborated closely with medical coders to ensure accurate representation of services provided, resulting in optimized reimbursement potential.
Determine prior authorizations for medications. Submit appeals and denied medication coverage. Contributed to increased team productivity by consistently meeting or exceeding individual processing goals.

RareMed Solutions-Remote

12.2016 - 08.2018

Responded to inquiries from healthcare providers regarding prior authorization requests. Achieved timely reimbursements for clients through diligent follow-ups with insurance carriers. Improved claim processing efficiency by streamlining workflows and implementing best practices.
Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.