Raena Willis
Huntsville
Summary
Detail-oriented claims analyst with a strong focus on achieving results and optimizing claims review processes while ensuring strict compliance with industry regulations. Recognized for exceptional teamwork and adaptability, consistently addressing the dynamic needs of the organization. Expertise in data analysis and problem-solving enhances decision-making capabilities, contributing to overall operational efficiency. Committed to delivering high-quality outcomes in fast-paced environments.
Overview
4
4
years of professional experience
Work History
Resolution Team Lead
Alorica
08.2023 - Current
- Showcase capacity to make well timed and informed decisions
- Assisting agents on how to best help our members
- De-escalate situations
- Maintain stats by meeting multiple on point goals
- Start prior authorizations
- Implemented process improvements that enhanced workflow and productivity.
- Monitored performance metrics, providing feedback for continuous improvement.
- Resolved customer inquiries and issues, ensuring high satisfaction levels.
Patient care advocate
Alorica
01.2023 - 08.2023
- Help with adjusting claims
- Notify and assist patients with prescriptions
- Assist with denials and appeals
- Making live updates with sensitive data
- Resolved problems with communication and billing to foster seamless services.
- Multitasking to resolve patient concerns
- Dispense EOB's monthly and SOBA's upon request
- Empathize
- Entering data to best update patients in our system
- Assisted patients with navigating healthcare systems and accessing necessary resources.
- Coordinated communication between patients, healthcare providers, and insurance companies to resolve issues.
- Developed educational materials to inform patients about available support services and resources.
- Analyzed feedback to identify areas for process improvement, enhancing operational efficiency in patient care advocacy.
Front End Associate
Walmart
01.2022 - 09.2022
- Money management
- Communication skills
- Lead experience
- Inventory
Education
High School Diploma -
American National Phlebotomy School
01.2024
High School Diploma -
Spring High
Spring, TX01.2021
Skills
- Goal oriented
- Attention to detail
- Staff management
- Customer service
- Decision-making
- Complex Problem-solving
- Conflict resolution
Accounts receivable experience
Experienced in accounts receivable operations with a strong track record in processing refunds, issuing courtesy credits, and assisting with credit card reversals. Eager to further expand my expertise in receivables while contributing to efficient financial processes and exceptional customer service.
Timeline
Resolution Team Lead
Alorica
08.2023 - Current
Patient care advocate
Alorica
01.2023 - 08.2023
Front End Associate
Walmart
01.2022 - 09.2022
High School Diploma -
American National Phlebotomy School
High School Diploma -
Spring High