Jatisa Alexander
Phenix City
Summary
Reliable Customer Service Representative with extensive track record in demanding sales and account management environments. Strong presenter, communicator and problem solver working effectively and productively with diverse customers and individual needs.
Overview
4
4
years of professional experience
Work History
Prior Authorization Specialist-PBM Chat CSR
ICONMA Management LLC
11.2023 - 07.2024
- Utilizing multiple software systems to complete Medicare PA, Medicare appeals case reviews
- Meeting mandated for productivity and quality standards
- Providing resolution to beneficiary or provider via direct communication and professional correspondence
- Acquiring and maintaining basic knowledge of relevant and changing Med D guidance
- Assisted patient chating in about medicare coverage and cost
- Interacted with 2 chats at a time , keep all chats active by responding promtly
- Verfity 4 pieces of Hippa
Quality Reviewer/ BVS
Talent, OR
10.2023 - 03.2024
- Review benefits verified by BVS to ensure accuracy before Faxing to the provider
- Ensure complete and accurate patient setup in patient plus
- Perform full Benefits Verification on patients, including contacting payers to investigate and verify the terms and benefits of patient's insurance policies as well as patient cost
- Provide thorough and accurate information to the provider regarding patient's benefit information for Prior Authorizations pertaining to Commercial and Medicare claims
- Comply with federal regulations, including HIPPA provisions
- Credentialing assists to review, process and prepare new agents to pass or fail in the hiring process
CSR II/Chat Agent
Anthem
Midland
10.2020 - 10.2023
- Assisted members in chat using the Live Person Chatbot, Iteracted with 2-4 chats at a time, Required to service all chats while mutitask by looking up claims, benefits, and updating information while making sure I keep all chats active
- Provide primary customer care support to internal and external customers
- Updated account information to maintain customer Records
- Contacting multiple providers obtaining additional information to process coverage requests specific to Medicare and other Specialty drugs and services
- Following all compliance and research criteria to close and complete all calls and cases for patients
- Kept accurate records of all interactions, including customer names, addresses, phone numbers and any information providered
Technical Support/Billing Specialist
Kelly, Apple
Columbus
- Resolve billing payments and assistance
- Submit service tickets for equipment and maintenance requests
- Provided highlevel technical support by resolving inquiries by phone, e-mail and web
CSR I
TSYS
Columbus
- Resolve billing inquiries with cardholder accounts for incoming and outbound calls
- Provide primary customer support to internal and external customers, with forward- thinking strategies focused on resolutions for customers
Receptionist
Doubletree By Hilton
Columbus
- Responsible for check in/out processing as concierge and receptionist
- Payment processing and Record keeping for daily occupancy
Education
High School Diploma -
Central High School
Phenix City, AL05.2010
Skills
- Reliable
- Dedicated
- Typing 35 words per minute
- Customer service
- Proficient in Word
- Proficient in Excel
- Proficient in Microsoft Outlook
- Great oral communication
- Great written communication
- Ability to work independently
- Ability to work in a team setting
- Willing to learn
- Software debugging
- Customer Service Expert
- Technical Support
- HIPAA compliance
- Benefits verification
Timeline
Prior Authorization Specialist-PBM Chat CSR
ICONMA Management LLC
11.2023 - 07.2024
Quality Reviewer/ BVS
Talent, OR
10.2023 - 03.2024
CSR II/Chat Agent
Anthem
10.2020 - 10.2023
Technical Support/Billing Specialist
Kelly, Apple
CSR I
TSYS
Receptionist
Doubletree By Hilton
High School Diploma -
Central High School
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