Healthcare Call Center Specialist with Claims Expertise
Resume:
GERALYN ALEXANDER
****************@*****.*** 317-***-**** Indianapolis, IN 46254
Professional with strong background in healthcare communication and support, equipped to excel in this role. Skilled in patient interaction, problem-solving, and managing high call volumes efficiently. Team player who adapts quickly to evolving situations and consistently delivers results. Known for empathy, patience, and effective communication skills.
• Direct Patient Care • Appointment Scheduling
• Insurance Verification • Customer Service
• Inbound and Outbound Calling • HIPAA Compliance Awareness
• Claims Processing • ICD-10-cM coding
• Medical Records Management • Patient Registration
• Call Center experience • Time Management
Sep 2025 - Dec 2025
Medical Call Center Specialist
Elevance Health
Collaborated with healthcare providers to schedule appointments and verify insurance coverage.
•
Supported healthcare providers by accurately
documenting patient information, appointment
scheduling, and prescription refills.
•
Managed high-volume inbound calls to provide
exceptional patient support and information.
•
Managed patient records and ensured compliance with health information regulations.
•
Mar 2020 - Jan 2025
Medical Claims Representative
A Better Living Home Care -
Indianapolis, IN
Reviewed and adjudicated medical claims for accuracy and compliance with policies.
•
Handled complex claim issues, effectively
communicating with patients, providers, and insurance companies to ensure resolution.
•
Enhanced accuracy of processed claims with
meticulous attention to detail and knowledge of coding systems.
•
Evaluated and processed complex benefit claims to
ensure compliance with regulations and policies.
•
PROFESSIONAL SUMMARY
SKILLS
PROFESSIONAL EXPERIENCE
Played a pivotal role in transitioning from paper-based processes to an electronic document management
system, resulting in reduced overhead costs and faster turnaround times on claims decisions.
•
May 2017 - Jan 2018
Healthcare Customer Service
Representative
Navient - Fishers, IN
Resolved patient inquiries efficiently, ensuring
compliance with healthcare regulations and company policies.
•
Maintained a high degree of professionalism and
empathy during difficult calls, providing emotional support to distressed patients while addressing their concerns.
•
Utilized electronic health record systems to document interactions, improving accuracy of patient data
management.
•
Ensured compliance with HIPAA regulations when
handling sensitive patient information, protecting client privacy at all times.
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Bachelor of Science: Healthcare Administration
Southern New Hampshire University
(In Progress)
EDUCATION
Contact this candidate