PROFESSIONAL

SUMMARY

SKILLS

EXPERIENCE

ALEXIS BEASLEY 484-***-****

a l ad28a0@r.postjobfree.com

Reading, PA 19606

Dedicated professional with demonstrated strengths in customer service, time management and trend tracking. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with strong background cultivating positive relationships and exceeding goals. Eligibility Determination Medical Billing Document Filing Appointment Scheduling Customer Service Medicaid

HIPAA Compliance Epic Systems Data Extraction

Microsoft Office Microsoft Word Microsoft Excel

CRM Software

Patient Service Representative (Remote)

Greenlight Connections, Sep 2023 - Current

• Inbound Phone Queue/General Program Inquires

• Work with variety of diabetes medications

• Determination for support programs (Copay, PAP, Medicaid, etc.)

• Pharmacy triage and coordination

Order processing for wholesale orders

Other follow-up activities (missing info, prior authorization, etc.)

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• Intakes and reports adverse events as directed.

• Researches and resolves any claim denials or underpayment of claims. Effectively utilizes various means for collecting information using approved methods, which could include phone, fax, mail, and online methods.

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Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

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Reports any trends or delays to program management (e.g. billing denials, claim denials,

pricing errors, payments, etc.).

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Ensures all program correspondence and communication (phone, fax, mail, etc) meets

quality standards.

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Works with patient, provider and or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.

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Admissions Outreach Coordinator (Remote) Part-Time Martinsburg College, Aug 2023 - Nov 2023

EDUCATION

Perform online marketing activities and follow guidelines that are established by Martinsburg College.

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Must be comfortable managing social media accounts, maintaining regular activity on accounts, and networking online.

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Communicate with prospective students through social networking platforms, email, and text messages.

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• Document all activities, engagement, and progress within CRM.

• Work towards established goals.

Service Coordinator

Liberty Community Connections, Jul 2023 - Oct 2023 Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation.

Identify, coordinate, and assist participants in gaining access to needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.

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Provides information to participants and facilitates access to, locating, coordinating, and monitoring needed services and supports for Participants.

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Informs participants about available LTSS required needs assessments, the PCSP process, service alternatives and service delivery options.

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Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing processes.

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Collects additional necessary information, including participant preferences, strengths, and goals to inform the development of the PCSP.

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Conducts reevaluation of level of care annually or more frequently as needed in accordance with CHC requirements.

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Completes required quarterly visits. Due to nature of pop-up visits and/or triggering events, driving to multiple consumers' homes in multiple counties at any given time could occur during business hours.

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• Completes required monthly contacts.

Works with the participant to complete activities necessary to maintain LTSS eligibility.

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Advocate for continuity of services, system flexibility and integration, proper utilization of facilities and resources, accessibility and participant rights.

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• Participate in any Department identified activities related to quality oversight. Behavioral Health Technician ll (Remote)

Asun Star, Jul 2021 - Jun 2023

• Implementing interventions from a support plan

• Working with individuals on ADLS's and behaviors

• Tracking data

• Working with Intellectual disability population

Bachelor of Science (B.S.): Rehabilitation and Human Servicea Penn State Berks University, May 2020

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