Customer Service Human Services
Resume:
Cassaundra Alexander
Rochester Hills, MI *****
**********@*****.***
Professional Summary
Worked fully remote, utilizing Microsoft Team remote tools to Collaborate by Zoom, Texting, Video, Conferencing and Screen Sharing. Managed updating and storing files. Timely delivery of official notices of appeal rights and reconsideration decisions.
Willing to relocate to: Республика Ингушетия
Work Experience
Customer Service Representative-SCA
Acentra Health-McLean, VA
April 2025 to Present
Completing calls to Medicare Advantage Beneficiaries Monitor and make calls in my queue.
Reporting appeal decisions to Beneficiaries
Document calls made to the internal queue Medicare Codes Utilize Scripts to communicate with beneficiaries
Escalating issues as defined in procedure
Measure the workflow by uploading files in a Case Tracker Read an adhere to company's HIPA Laws
Utilizing PRS and EBoard
Medicare Medicaid Eligibility Specialists
Centauri Health Solutions-Phoenix, AZ
December 2024 to Present
To assist United Healthcare in renewing their members Medicaid by screening the individual, verifying demographic, active coverage, income, household members, noting the account, faxing authorization forms and renewal application to the counties. Complied with HIPPA Compliances Eligibility Specialists
Michigan Department of Health and Human Services-Lansing, MI April 2016 to December 2023
Answering inbound calls, interviewing clients, collecting information, creating cases and updating cases. Requested verifications, meeting deadlines, utilized time management, collaborated with management, managed reported, wrote hearing packets and attended hearing, Assisted clients in applying and becoming eligible in the State Programs
Professional Educator
Pontiac Board of Education-Pontiac, MI
January 1998 to January 2001
Creating lessons, graded students, co-teaching, collaborated with teams and parents, used electronic devices to bring learning to the students. Kept students information stored in a safe electronic system, attended hearings, meetings and conferences. I managed a large classroom of students. Complied with HIPPA requirements
Admitting Officer
Trinity Health-Pontiac, MI
January 1996 to January 2000
Collected patients Demographics, stored information in a computer, used ICD-Coding, admitted and discharged patients from computer system, followed HIPPA Compliances. pre-registered patients for outpatient procedures and used medical terminology. Meicare Medicaid
Centauri Health Solutions
Education
Master's degree in Education
Ashford University
September 2010 to October 2012
Bachelor of Science in Human Services
Oakland University
January 2000 to May 2004
1 year Certificate Program at MedCerts in Medical Billing & Coding Associate's degree
Master's degree in Human Services and Education
Bachelor's degree in Human Services
Bachelor's degree
High school diploma or GED
Bachelor of Arts in Human Services
Skills
• Maintaining patient confidentiality (10+ years)
• Medical records (3 years)
• ICD-9
• Google Docs
• Clinic
• Patient interaction (8 years)
• Pre-Registration (8 years)
• Analysis skills
• Microsoft Word (10+ years)
• Patient Financial Responsibility
• Warm calling (8 years)
• Communication skills (10+ years)
• Data entry (10+ years)
• Healthcare management
• Working with people with disabilities
• Records management (10+ years)
• SharePoint (7 years)
• Government and Insurance Plans
• Multi-line phone systems
• Word processing (10+ years)
• Outdoor work
• Organizational management
• Allscripts
• Documentation review (10+ years)
• Procedure Coding using CPT & HCPCS
• Expense management
• Claim follow up
• Leadership
• EMR systems
• ICD-10 (3 years)
• Medical office experience (8 years)
• Document management (10+ years)
• Customer service (4 years)
• Administrative experience
• Constant Contact
• Medical terminology (10+ years)
• Utilization review
• CPB
• Organizational skills (10+ years)
• Case management (7 years)
• Microsoft Excel (10+ years)
• Hospital experience (8 years)
• Patient charting
• Negotiation
• CPT coding (8 years)
• Emergency Room Front desk and back desk (8 years)
• Call center (10+ years)
• Client services
• Payment Processing
• Dermatology
• Written communication (10+ years)
• Diagnostic Coding using ICD-10-CM
• Orthopedics
• Windows (10+ years)
• Meditech
• Conflict management
• Medical billing (3 years)
• Medicaid Screener and Renewal Process (8 years)
• Multitasking (10+ years)
• Supervising experience (10+ years)
• Computer literacy
• FDA regulations
• Office management (10+ years)
• Phone triage (8 years)
• Microsoft Outlook (10+ years)
• Collections (2 years)
• Phone etiquette (10+ years)
• Accounts receivable
• Google Suite (10+ years)
• MailChimp
• Revenue cycle management
• Time management (10+ years)
• Insurance verification (7 years)
• Customer support (10+ years)
• Telecommunication (5 years)
• Grammar Experience (10+ years)
• Modifiers and Encouter Forms
• Outbound calling (10+ years)
• CMS-1500 $HIPPA 837P Claims Format
• Typing (10+ years)
• Writing skills (10+ years)
• Medicare (3 years)
• HCPCS (3 years)
• Management (10+ years)
• Inpatient/Outpatient Using ICD-9 Medical Coding (8 years)
• Microsoft Powerpoint (10+ years)
• Computer skills (10+ years)
• Workday
• Microsoft Office (10+ years)
• Proofreading
• HIPAA, OHSA and CMS Compliances (10+ years)
• Appointment scheduling
• Office experience (8 years)
Languages
• English
Certifications and Licenses
CDL C and B
April 2028
MEDICAL CODING AND BILLING
February 2022 to February 2026
MEDICAL CODING AND BILLING
Certified Medical Assistant
Top Secret Clearance
AHIMA
Certified Professional Coder
RHIA
Certified Coding Associate
School Bus Endorsement
CDL B
ROT
Medical Coding Certification
Non-CDL Class C
ICD-10 Certification
Teaching Certification
Air Brake Endorsement
Epic Certification
RHIT
Driver's License
Chauffeur's Permit
Passenger Endorsement
Medical Billing Certification
Certified Coding Specialist
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