Alexandra Guffey Email & Phone Number

- Managed end-to-end provider claim and call quality processes, including training and development of external provider education programs- Directed and implemented effective strategies for the development and management of a provider network, while also investigating claim status reasoning- Cultivated positive relationships with provider groups, working closely with their staff to proactively address and resolve provider concerns- Utilized designated databases to accurately document and monitor communication with providers- Responded promptly and professionally to inquiries from doctor's offices regarding benefits and claims processing- Reviewed and submitted all relevant documentation required for claims, ensuring accuracy and completeness- Managed healthcare provider accounts to effectively achieve company strategies and goals- Kept abreast of all relevant federal, state, and local laws and regulations regarding healthcare operations- Analyzed customer complaints and issues, and took corrective actions as necessary to ensure satisfaction- Drafted clear and concise business correspondence to communicate effectively with external parties

Grant, Alabama, United States

- Customized curriculum and instructional materials to cater to the unique learning needs of students, resulting in an increase in overall performance.- Spearheaded technology integration in the classroom by developing and implementing interactive online courses, surveys, and engaging educational games to enhance student engagement and participation.- Diversified teaching methodologies by incorporating a variety of techniques, such as project-based learning, differentiated instruction, and peer-assisted learning, to create an inclusive and collaborative classroom environment.- Utilized formative assessment data to inform instructional decisions, resulting in an increase in student achievement within the first year of implementation.- Maintained detailed records of student performance and attendance on an online database, allowing for accurate record-keeping and efficient tracking of progress over time.- Developed creative and hands-on activities to cultivate curiosity among students, leading to increased student motivation and engagement.- Conducted regular evaluations to measure student progress and provided targeted feedback and support to improve student performance, resulting in an increase in success rate among struggling students- Aligned curriculum with education standards, ensuring students receive high-quality instruction that meets state requirements- Created personalized learning plans for students with different learning needs, using homework and assignment records to identify areas of strength and weakness and strategize instruction accordingly