Alena Alexandre
@alenaalexandre
Detail-oriented Medical Claims Specialist with 10+ years of experience.
What I'm looking for
I am a detail-oriented and results-driven Medical Claims Resolution Specialist with over 10 years of experience in the full revenue cycle process. My expertise lies in account resolution, denial management, and insurance follow-up, where I have proven my ability to recover millions in delayed or denied reimbursements by navigating complex payer guidelines and regulatory requirements.
Throughout my career, I have excelled in root cause analysis and process optimization, collaborating with cross-functional teams to accelerate cash flow and improve claim outcomes. At Convergent Revenue Cycle Management, I successfully managed a portfolio of aged insurance claims, specializing in high-dollar accounts, and achieved remarkable results, including recovering over $2.8 million in delayed claims within a year. My commitment to excellence is reflected in my ability to maintain productivity levels exceeding 90% of department goals and my success in reducing average claim resolution turnaround time by 28%.
Experience
Work history, roles, and key accomplishments
Medical Claims Resolution Specialist
Convergent Revenue Cycle Management
Feb 2015 - Present (10 years 7 months)
Managed a portfolio of aged insurance claims, specializing in high-dollar accounts across multiple payers to resolve denials and secure timely payments. Recovered over $2.8 million in delayed and denied claims within a 12-month span through proactive follow-up and appeals.
Education
Degrees, certifications, and relevant coursework
Florida Metropolitan University
Associate Degree, Paralegal Studies
Completed an Associate Degree in Paralegal Studies, focusing on legal principles and practices. Relevant coursework included Health Insurance Law, Medical Terminology, and Legal Writing, providing a strong foundation in healthcare-related legal aspects.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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