Alison Houston Email and Phone Number

Membership Representatives make personal visits to potential Nielsen families, in person without an appointment, and advise them that their participation in the ratings will help represent the television-viewing sample in their area. I persuaded selected families of participate with 80% closing rate on selected families.

Million dollars in sales, 11 closed transactions within one year of starting business. Assist customers in selling or buying property, decide selling price and providing guidance throughout the sale transaction. Advanced in telecommunications, retrieve data about properties over the internet. Show properties to customers, analyze properties for sale, meeting with clients and researching the market

Responsible for training and supporting students, leading structured labs, counseling current and potential students on career paths, planning and assisting with education management. Support projects and courses within TechSkills curriculum that consist of training programs for Certified Billing & Coding Specialist, Certified Advanced Billing & Reimbursement Specialist, Medical Transcriptionist, Medical Administrative Specialist, and Pharmacy Technician and support the Informational Technology students. Supervise and train all medical mentors to assist students with course materials and hand’s on labs. Support mentors with training that will allow them to help students improve the quality of their education. Oversee front-office operations and provide impeccable customer service.Mentored and coached over 100 students with 100% mastery completion. Winner of the National Secret Sauce Award for outstanding performance for our center’s leadership in developing medical micro labs.

Made claim determinations to pay or deny benefits based on eligibility requirements, policy provisions, state and federal mandates, provider selection and fee schedule allowances for medical and dental claims. Resolved customer relation issues, by assessing individual claims and monitoring.

Arbitrated, and interpreted benefits, policies, and claim procedures. Acted as liaison with supervisors, other agencies, insurance companies, and provider contracts representatives to resolve members’ benefits and entitlements as beneficiaries to claims in local areas and state to state claims- HMO, PPO, Medicare, Medicaid, & Medicare Part D. Drafted and distributed correspondence letters to customers. Assessed and corrected verbal and written forms to documents and processed. Monitored the accuracy of claims and account applications and encounters. Made claim determinations to pay or deny benefits based on eligibility requirements.

Made claim determinations to pay or deny benefits based on eligibility requirements, policy provisions, state and federal mandates, provider selection and fee schedule allowances for dental claims. Motivate and coach team members to perform and produce quotas and team goals. Managed workflow for department.

Processed medical claims for reimbursement ensured existing pre-authorization on file for invasive procedures. Determine if claims submitted are subject to coordination of benefits.Request additional information such as medical records, managed volume and priority of daily activity. Ensured that claims paid are within network or do not exceed usual and customary rates. Supervised scanning department, participated in the successful implementation of the electronic medical record by efficiently and accurately scanning patient health information into designated electronic folders.Amysis, IMAX, Unisys, QMACS, Facets, Medisoft v9, BC/BS St. Louis proprietary systems