Gail Alexander

Gail Alexander Email and Phone Number

Resolution Specialist @ Zelis
Atlanta, GA, US
Gail Alexander's Location
Atlanta, Georgia, United States, United States
Gail Alexander's Contact Details

Gail Alexander work email

Gail Alexander personal email

n/a
About Gail Alexander

Healthcare professional with extensive management of client relations and team coaching experience. Accountable for a full range of provider relations and service interactions within organizations, including end-to-end provider claim, call quality, training & development of external provider education programs. Analyze and recommend course of action for unpaid, denied and incorrectly processed claims. A professional with 25 years of experience in healthcare/retail. Unwavering commitment to clients, providers, & members with the ability to build productive relationships, resolve complex issues and win customer loyalty. Demonstrates ability to complete tasks accurately despite interruptions and competing demands. Highly skilled in a wide range of computer applications Microsoft Office, POS, Network Reporting Platform, Network Portals, & RIM.

Gail Alexander's Current Company Details
Zelis

Zelis

View
Resolution Specialist
Atlanta, GA, US
Website:
zelis.com
Employees:
2671
Gail Alexander Work Experience Details
  • Zelis
    Resolution Specialist
    Zelis
    Atlanta, Ga, Us
  • Zelis Payments, Part Of Zelis
    Network Account Manager
    Zelis Payments, Part Of Zelis 2017 - Present
    Greater Atlanta Area
    Managing daily workflow of claims through networks and EDI processes.Responsible for distributing, repricing and processing claims while adhering to all turnaround time requirements including but not limited to Primary Networks, Non-Logo Networks, and RBP – Reference Based Pricing.Conducts Monthly and Quarterly Network conference calls for assigned networks.Appropriately review provider history to determine if there’s an alternative solution to provide increased savings. Engaged in training new Network Account Managers on system configurations. Communicate with networks to verify repricing information and resolve claim appeals issues.Liaison between SME and Claim Integrity Department as it relates to claims, system set, and provider escalations.Comply with regulations and guidelines of the HIPPA Privacy Act.
  • Zelis Payments, Part Of Zelis
    Customer Care Specialist
    Zelis Payments, Part Of Zelis Jun 2014 - Jan 2017
    Alpharetta, Ga
    Supervised inbound calls from members, providers, & insurances companies assisted in resolving problems and correcting claim repricing errors.Effectively received and loaded client enrollment and provider demographic data.Daily management of Client Support Employees ensured appropriate communication and timely resolution of requests made by internal and external customers.Worked closely with internal department and respond to claim related inquiries.Monitored turnaround time on high priority claims, escalated urgent claim issues as necessary.Key Accomplishments:Helped company attain the highest customer service rating earned 100% communication skills, listening skills, problem resolution and politeness. The lead go-to person for new and particularly challenging calls as well as mentor and train both new and established employees.
  • D'Lor Salon & Spa, Inc.
    Customer Service Liaison Coordinator
    D'Lor Salon & Spa, Inc. Jan 2013 - Jun 2014
    Atlanta, Ga
    Assist management in implementing salon & spa objectives for customer service, cost control, and marketing. Answer phones in high volume atmosphere.Ability to multi-task and produce company’s projects by or before deadline.Extensive knowledge of Millennium software.
  • Gem Shopping Network, Inc
    Showroom Supervisor
    Gem Shopping Network, Inc Feb 2012 - Aug 2012
    Duluth, Ga
    Met and exceeded set sales quotas while adhering to the company’s sale rules of engagement. Aggressively drove associates to maximize sales through sales best practices, training, and support. Managed sales orders and provided status to management. Increased sales volume by 10% by the third month while at Gem Shopping Network.Developed strong customer relationships, while participating in negotiations and improving good selling skills. Attended, participated in sales meetings, product seminars and selected to attend trade shows.
  • Von Maur
    Department Manager
    Von Maur Sep 2011 - Feb 2012
    Alpharetta, Ga
    Demonstrated product knowledge and awareness. Recommended, selected, and helped locate or obtain merchandise based on customer needs and desires. Interviewed and hired based on scheduling and business needs. Trained sales associates on sales techniques, product knowledge, and store policies and procedures. (Recruited into a greater role with a larger operation)Commended for consistently exhibiting the ability to understand and analyzes sales figures.Repeatedly took initiative to evaluate the most efficient problem-solving methods needed to satisfy the customer’s concerns.Prepared and tracked purchase requisitions and checked requests in a timely manner to ensure customer satisfaction.Recognized for positively representing the company by providing excellent customer service.
  • Jcpenney
    Retail Supervisor
    Jcpenney Sep 2006 - Oct 2011
    Alpharetta, Ga
    Supervised operations with up to 75 employees. Monitored the quality of employees’ work to meet the company’s guidelines. Trained cashiers on proper cash handling procedures.Maintained store staff by recruiting, selecting, and training employees.Established and maintained excellent relationships with surrounding stores management, and vendors.Monitored operations to identify any future problems or misunderstandings.Successfully handled complaints from customers, which resulted in continued patronage.
  • Display Industries
    Administrative/ Manufacturing Operations Assistant
    Display Industries 2003 - 2006
    Norcross, Ga
    Assisted in preparing presentations, handled telephone & email inquiries and responded as appropriate to any customer situation or issue. Organized the planning of trade shows, conventions and seminars; handled booking of location. Managed details of conference calls, in-house and off-site meetings and luncheons, travel arrangements, calendars, itineraries, agenda and preparation of expense reports.Handled confidential information with care and sensitivity encouraging a positive and productive work environment. Followed-up with Accounts Payable Department to ensure invoices were paid on time.Chosen to act as liaison between management and field sales personnel.

Gail Alexander Skills

Sales Microsoft Office Training Retail Recruiting Customer Service Management Time Management Microsoft Excel Marketing Team Building Inventory Management Employee Training Microsoft Word Data Entry Coaching Visual Merchandising Customer Satisfaction 10 Key Cash Management Shrinkage Customer Retention

Gail Alexander Education Details

Frequently Asked Questions about Gail Alexander

What company does Gail Alexander work for?

Gail Alexander works for Zelis

What is Gail Alexander's role at the current company?

Gail Alexander's current role is Resolution Specialist.

What is Gail Alexander's email address?

Gail Alexander's email address is ga****@****lis.com

What schools did Gail Alexander attend?

Gail Alexander attended Keller Graduate School Of Management Of Devry University, Devry University-Georgia.

What are some of Gail Alexander's interests?

Gail Alexander has interest in Social Services, Children, Economic Empowerment, Civil Rights And Social Action, Politics, Environment, Education, Poverty Alleviation, Human Rights, Health.

What skills is Gail Alexander known for?

Gail Alexander has skills like Sales, Microsoft Office, Training, Retail, Recruiting, Customer Service, Management, Time Management, Microsoft Excel, Marketing, Team Building, Inventory Management.

Who are Gail Alexander's colleagues?

Gail Alexander's colleagues are Bhavana Suresh Konduri, Juana S., Lisa Huckleberry, Victor Garcia, Srilatha G, Shiva Kumar, Srilatha T.

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