Alysha Lane
@alyshalane
Friendly, analytical enrollment specialist with 10 years' customer-service and provider enrollment experience.
What I'm looking for
I am a detail-focused provider enrollment and customer service professional with 10 years of experience in large and small call-center and healthcare settings. I consistently exceed goals using custom and predefined call scripts, strong conflict-management skills, and a tech-savvy ability to learn new systems quickly.
My background includes provider enrollment, medical billing, eligibility and claims resolution for payors and health systems, and administrative leadership roles supporting managers and field teams. I have a proven record of reducing claim denials, improving revenue collection, and maintaining accurate provider directories and enrollment records.
I bring excellent interpersonal communication, critical thinking, strong Microsoft Office proficiency, and a dependable, service-oriented work ethic. I am looking to grow with a company where I can apply my enrollment, billing, and customer-service expertise to improve operational accuracy and access to care.
Experience
Work history, roles, and key accomplishments
Medical Biller
Medbest Medical Management
Aug 2023 - Oct 2025 (2 years 2 months)
Streamlined billing processes to improve accuracy, reduced claim denials through careful insurance and coding review, and enhanced revenue collections via diligent follow-up on unpaid claims.
Enrollment Specialist
Aspen Dental
Aug 2021 - Jun 2023 (1 year 10 months)
Prepared and submitted provider enrollment and re-credentialing applications to payors, maintained provider directory accuracy, and completed 90-day follow-ups to ensure timely access to care and reduce enrollment lapses.
Teacher's Assistant
Community FolkArt Center
Jun 2021 - Jun 2022 (1 year)
Assisted with class facilitation and events, supervised work-study students, managed calls and facility requests, and supported center operations to ensure smooth daily functioning.
Administrative Assistant Manager
Community Temple Church
Aug 2019 - Oct 2021 (2 years 2 months)
Managed financial records and weekly reconciliations using QuickBooks, assisted pastor with administrative tasks, and maintained confidentiality and accurate church accounting procedures.
Customer Service Representative
EmblemHealth
Oct 2020 - Aug 2021 (10 months)
Answered subscriber and provider inquiries across phone and email, prepared written resolutions and claims payment adjustments, and maintained production and accuracy targets under high-volume conditions.
Associate Enrollment Specialist
E & I UMR
Aug 2019 - Oct 2020 (1 year 2 months)
Processed and maintained member and group enrollments, loaded and updated enrollment databases, reconciled eligibility discrepancies, and served as main contact for enrollment-related customer inquiries.
Resolution Specialist
United HealthCare
May 2017 - Jun 2019 (2 years 1 month)
Reviewed, researched, and resolved claims for commercial and government customers, ensuring compliance with reimbursement and contract policies and improving claims resolution accuracy.
Customer Service Representative
Progressive Insurance
Mar 2016 - Aug 2016 (5 months)
Handled incoming auto insurance calls, addressed complaints and inquiries, provided quotes and product information, and troubleshot customer issues to resolution.
Resolved policy and product issues, used call scripts to meet service targets, maintained accurate records, and built customer loyalty through follow-up and cross-department collaboration.
Education
Degrees, certifications, and relevant coursework
University of West Florida
Bachelor of Science, Health Administration
Completed a Bachelor of Science in Health Administration with coursework in human resource management and business administration.
University of West Florida
Associate of Arts, Pre-Nursing
Completed an Associate of Arts with a Pre-Nursing focus.
Palm Harbor University High School
High School Diploma, General Studies
Earned a High School Diploma.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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