ALANA CHANNELL

*** ******* ***** *******, ** ****0

901-***-**** adlgaf@r.postjobfree.com LinkedIn

PROFESSIONAL SUMMARY

Young professional with over six years of experience in healthcare. Retaining

extensive knowledge of health insurance benefits, costs, and the processing of medical claims

Excellent reputation for communicating effectively, and improving customer satisfaction. Seeking opportunities to establish, design, and implement quality improvements in healthcare and wellness.

EDUCATION

December 2017

UNIVERSITY OF MEMPHIS; MEMPHIS, TENNESSEE

Bachelor of Science: Health Studies with a concentration in Healthcare Leadership Minor: Psychology GPA: 3.25

EXPERIENCE

December 2019-Present

Assistant Benefits Account Manager, Collier Insurance- Memphis, TN

Process client enrollment changes and terminations with carrier representatives and carrier systems across all lines of coverage.

Manage proposal and renewal process and negotiate with carrier representatives directly in order to obtain best carrier offers by product.

Assist client administrative representatives and plan members in understanding benefits and review claims to ensure they are being processed correctly.

Maintain an in depth understanding of client needs and goals and provide quality service resulting in retention.

April 2018-October 2019

Case Development Specialist, Benefit Recovery Group- Memphis, TN

Reviewed and investigated a large volume of files containing medical and insurance information to determine the potential recovery of funds for self-funded ERISA health plans.

Recognized patterns in data to develop new cases, and correctly synchronize relatable claims.

Cooperated and effectively communicated with attorneys, insurance adjusters, and plan members to prevent or resolve any issues in the recovery process.

Led team members in daily tasks, and coordinate training efforts for new employees.

November 2014-April 2018

Business Service Specialist, Campbell Clinic Orthopaedics- Memphis, TN

Coordinated patient and physician schedules to establish office organization, and ensure optimal workflow.

Registered and verified patient information carefully in order to abide by and uphold all policies of health privacy.

Created and reviewed insurance claims to guarantee accuracy before submitting claims for processing.

Monitored medical staff daily and performed managerial duties when needed.

February 2017-October 2017

Receptionist, The Pet Hospitals – Collierville, TN

Organized and scheduled appointments to maximize the efficiency and productivity of the office, while successfully accommodating client requests.

Handled inbound and outbound calls; routed calls to the correct department or staff member if necessary.

Greeted incoming visitors and customers professionally with friendly, knowledgeable assistance.

Collected payments from clients, updated account balances, and organized daily finances for the company.

LICENSES AND CERTIFICATIONS

January 2020

Tennessee Life and Health License

March 2021

HIPAA Certified

SKILLS

Research and investigation

Strategic planning and management

Customer and client relations

Microsoft Office (Proficient in Microsoft products, especially Excel)

Athena-health

SRSHealth (EHR)

ICD-9, ICD-10, and CPT coding

ISO ClaimSearch

BenefitPoint, AMS360, and ImageRight systems

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