Alixia Reid

Katy, TX

M: 407-***-**** adz9gb@r.postjobfree.com

Dedicated, motivated Health Care Professional with 10+ years of experience delivering excellent customer care and data management in healthcare industry settings, including leading adaptation and social service initiatives in response to COVID-19. Proven track record of providing outstanding customer support and education, consulting with clients to identify needs and requirements, and creating solutions that exceed expectations. Comprehensive knowledge of medical terminology, data operations, and records management

supported by years of hands-on experience. Out-of-the-box thinker and creative problem-solver committed to making continuous improvements in process, communication, and customer satisfaction to enable growth.

CORE COMPETENCIES

Program Management

Strategic Planning & Design

Forecasting/Optimization

Customer Education

Process Optimization

Data Analysis

Compliance & Auditing

Stakeholder Management

Standardization

Continuous Improvement

Team Leadership

Client Communication

Data Management

End-User Support

Process Development

Conflict Resolution

Quality Assurance

Customer Support

PROFESSIONAL EXPERIENCE

Data Services Internship FEBRUARY 2023 -APRIL 2023

Houston Health Department: Houston, TX

Data entry lab reports of Covid-19 cases.

Data Transformation.

Analytic Data Visualization using Power BI Dashboards.

Referral Specialist I DECEMBER 2021 - PRESENT

Carelon Medical Benefits Management

Elevance Health: Houston, TX (100% Remote)

Reviews referrals for completeness and follow-up for additional information if necessary. Assigns escalated referrals to senior staff as appropriate.

Assign CPT Codes and ICD-10-CM Codes to all ordered exams.

Contacts physician offices as needed to obtain demographic information or related data. Enters referrals, documents communications, and actions in the system.

APPOINTMENT SCHEDULER JUNE 2021 – NOVEMBER 2021

Kelsey-Seybold Clinic: Houston, TX

Schedule appointments in a prompt and courteous manner utilizing Epic Database. Confirm appointments and handle cancellations in an efficient, courteous, and timely manner.

Provide comprehensive service to facilitate a resolution for any caller request acquired and maintain computer skills to effectively utilize applicable software.

Communicate with physician offices to coordinate patient care.

COVID-19 VACCINATION APPOINTMENT SCHEDULER JANUARY 2021 - MARCH 2021

AppleOne (Contract): Remote

Performed scheduling and database management in support of statewide efforts to coordinate COVID-19 vaccination access for patients aged 65+ and healthcare workers.

Provided patient education, captured demographic information, and created appointments, reminders, and confirmations while communicating with clients via phone, email, and text to support patient success.

CAREER CONSULTANT SPECIALIST JULY 2020 - DECEMBER 2020

Manpower / Career Source of Central Florida (Contract): Remote

Conducted eligibility screening and facilitated the application process between candidates impacted by COVID-19 and prospective employers per “Help Is Here Orange County” guidelines.

Performed data entry and drafted case notes for internal use, using QLess software to manage team calendars and provide customer support via phone and email.

IT SUPPORT – STUDENT INFORMATION AND PROJECTS NOVEMBER 2019 - FEBRUARY 2020

Orange County Public Schools (Contract): Orlando, FL

Resolved issues involving the Skyward system and mobile apps, supporting end-users while collecting actionable information on technology and software errors.

Updated databases daily and reviewed performance reporting to identify and evaluate concerns.

Perform daily audits for duplicate errors.

DOCUMENT CONTROL SPECIALIST FEBRUARY 2019 - NOVEMBER 2019

Charles Schwab (Contract): Orlando, FL

Directed data migration and digital recordkeeping by performing sorting, auditing, and scanning of hard copy files per organizational guidelines.

Determined daily workload, developed performance metrics, and reviewed the accuracy and thoroughness of completed records to create and implement best practices and support process alignment.

PHI COORDINATOR JUNE 2018 - OCTOBER 2018

Bioplus Specialty Pharmacy (Contract): Orlando, FL

Reviewed patient files, case records, and authorizations for compliance with requirements, coordinating electronic transmission and delivery of files and ensuring accuracy and thoroughness of patient portal charts.

Established individual patient records within an automated pharmacy service system.

YSA – HRA RETIREE SPECIALIST CUSTOMER SERVICE REPRESENTATIVE JANUARY 2015 – JUNE 2018

Alight Solutions: Orlando, FL

Provided excellent customer care and support regarding inquiries, claims, and account management processes, coordinating resolution across departments while upholding all HIPAA regulations in a call center environment.

Performed identity verification and applied product knowledge to provide outstanding customer support and education, resolve policy and coverage inquiries, and coordinated delivery of EOB and other policy information.

Processed eligible health claims and communicated with clients while performing review and modification, verifying all credentials and requirements are satisfied and providing support with account troubleshooting.

Facilitated device approval with all stakeholders including doctors and physicians’ offices.

Partnered with cross-functional teams to address complex account and policy issues by initiating downstream workflows, setting up cases, and resolving escalations.

EDUCATION

University of Central Florida; Orlando, FL

Bachelor’s Degree in Health Informatics Information Management

Valencia Community College; Orlando, FL

Associate Degree in General Studies

CERTIFICATIONS

Valencia Community College; Orlando, FL

Business Specialist Certificate

PROFESSIONAL ACTIVITIES

American Health Information Management Association (AHIMA), 2021-Present

Florida Health Information Management Association (FHIMA), 2021-Present

ADDITIONAL CREDENTIALS

Technology & Tools Microsoft Office (Access, Word, Excel, PowerPoint, Outlook)

Honors & Awards Recognized for Outstanding Customer Service – “Help Is Here” Program for Orange County Residents, Career Source of Central Florida

interest: Travel, culture, and entrepreneurship/business development.

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