Alana Lykins Email & Phone Number

Rio Rancho, NM, US

Santa Fe, New Mexico

Santa Fe, New Mexico Area

Albuquerque, New Mexico

Research and respond to complex customer and executive level escalations De-escalate internal and external customer concerns Develop and maintain positive relationships with other departments to ensure a seamless customer experience Perform Health Assessments Provide members/patients with health plan and community resources to ensure the right care at the.

Research and respond to complex issues reported by employer groups and brokers to ensure complete resolution within set time frames.Help build and maintain business relationships with both internal and external customers.Research executive and management level complaints to complete resolution including long-term follow-up with members.Process Health.

Respond to all incoming calls in accordance to set quality measures.Create and preserve positive customer relationships and experiences.Coordinate member attendance for Member Education Meetings Researches, requests adjustments and/or responds to all written and verbal inquiries from members related to claims processingDocument all requests for claims.

Research and resolve provider claim issues received by email, electronic mail, US Mail and by faxHost weekly calls with high profile Providers and their Provider Service Representatives to track, trend, educate, and resolve claim denials, overpayments, underpayments, recoupments, and appeals.Assist with DOI complaints by researching claim issues related to.

Assisted with implementation and development of Patient Navigator processes and resourcesInterview patients in an emergency room setting to identify their financial, social and primary care needsCoordinate financial assistance, access to homeless and domestic violence shelters, physician scheduling and assignment, transportation issues, housing assistance.

Research and respond to inquiries, concerns, or complaints related to the education, verification, and/or explanation of health plan benefits and premiums in person, telephonically and via email Researches, requests adjustments and/or responds to all written and verbal inquiries from members related to claims processing Act as member/patient advocate in.

Albuquerque, New Mexico Area

Research and respond to complex issues for internal and external partners relating to eligibility and claim issues Assist Insurance Companies with the processing, researching and authorizing prescription claims Processed member eligibilityExpediting Mail order prescriptions Contacted physicians for new prescriptions and authorization information.

Albuquerque, New Mexico Area

Assisted members and pharmacists with claim processingAssisted members with ordering mail order prescriptions Educated members of their insurance benefitsAssisted pharmacies with contract informationMonitored processing of orders for high cost medications to ensure proper processing and shipping

Albuquerque, New Mexico Area

Inventoried Grocery MerchandiseIssued Credit for items returned Performed Monthly AuditsAssisted Inventory Manager with uploading inventory into new softwareMaintained Reports

Albuquerque, New Mexico Area

Assisted with daily grooming Passed daily medicationsMonitored blood sugars Cleaned living areas and performed laundry servicesPrepared, served and assisted with mealsTransported to medical appointments Provided Companionship

Albuquerque, New Mexico Area

Held Job Fairs to recruit new employees Supervised training of cashiers, ushers, concession stand attendants, protectionists and Supervisors. Received deliveries from vendorsResponsible for daily and monthly inventories.Secured deliveries of film, ensured timely build up of film reels and scheduled show times. Audited nightly deposits and ensured funds for.

Downs, Kansas

Assisted with daily grooming of select residentsPassed daily medicationsMonitored blood pressure and sugars for select residents Cleaned residents living areas and performed laundry servicesPrepared, served and assisted with mealsProvided Companionship

Las Cruces, New Mexico Area

Assisted with daily grooming of select residentsPassed daily medications Cleaned select residents living areasServed and assisted with mealsProvided Companionship and assisted with scheduling of appointments and entertainment.

Master'S Degree, Human Services Counseling: Marriage And Family

Courses include: Multicultural Issues in Human Services, Interpersonal Communications, Human Growth and Development , Group.

Bachelor'S Degree, Psychology-Addiction And Recovery, 3.30

Courses include: Abnormal psychology, Substance abuse treatment and recovery, Neuropsychology, Biology, Statistics, Child, Adolescent and.