1. Alicia Bell
4615 Sand Mark Walk #6
St. Louis,MO 63121
(314)761-7023
alicianb2003@yahoo.com
Over 10 year’s outstanding customer service in healthcare. Excellent at solving patient
billing issues. Extensive experience and expertise in utilization management, follow up,
and insurance benefits. Effective team player. Searching to obtain a challenging position
that will help enhance the skills I already possess, and provide room for advancement as
well as growth and opportunities.
Education
UNIVERSITY OF MISSOURI, St. Louis, MO
Bachelor of Science in Criminology & Criminal Justice Minor in Business
 January, 2012-present
 GPA 3.7
FLORISSANT VALLEY COMMUNITY COLLEGE, Florissant, MO
Associate in Criminal Justice, General Studies
 August 2009-December 2011
 Graduated December 2011; GPA 3.5
RelatedExperience
BJC HEALTHCARE, St. Louis, MO June 2012-present

2. Customer Service Representative: Resolved patient concerns regarding transactions on
accounts. Forwarded and confirmed charge discrepancies to appropriate departments for
review for possible adjustments or charge reversals. Performed updates on accounts regarding
missing or incomplete insurance information and demographics and rebilled claims when
needed to insurance companies for proper reimbursement. Communicated payment policies
to customers and finalize payment arrangements with patient or guarantor as needed. Sent
correspondence to insurance and patients via fax, email, and mail-following HIPAA policy.
Served as intermediary between patients and outside sources concerning patient bills. Took
credit card payments from patients over the phone. Trained and supported incoming customer
service representatives. Correct insurance fee schedule payment discrepancies. Presented
Revenue Management progress and goals to senior management on a monthly basis. Processed
attorney requests for itemized bills and passed to notary.
UNITED SEATING & MOBILITY, St. Louis, 01/2011-3/2012
Payer Authorization Specialist
Reviewed medical documentation for accuracy and medical necessity. Requested prior
authorization with all required documentation to appropriate funding source in a timely
manner. Maintained consistent follow up on status of all prior authorization requests.
Calculated estimated copay based on current insurance benefits. Released orders to
Purchasing Department. Communicated with Funding Supervisor in regards to issues and
changes with Payer. Responded to all internal and external customers in a timely manner.
Communicated effectively with other branch departments.
ANTHEM BLUE CROSS AND BLUE SHIELD, St. Louis MO 05/2010-12/2010 (Temporary) 7 months
Utilization Management Representative I
Coordinated cases for pre-certification and prior authorization review. Managed incoming calls,
including triage, opening cases, and authorization sessions. Responsible for identification and
data entry of referral request into the UM database in accordance with the plan certificate.
Responded to telephone and written inquiries from clients, providers and in-house
departments. Conducted clinical screening processes. Authorized initial set of sessions to
provider. Developed and maintained positive customer relations and coordinated with various
functions within the company to ensure customer request and handled questions in a timely
manner.
UNITED HEALTHCARE, Maryland Heights, MO 07/2006-4/2009
Customer Service Representative

3. Experienced with 401ks and the coordination of benefits through Medicare. Assisted
individuals with questions pertaining to benefits and claims. Considerable experience with
RMSAs, key accounts, flexible spending accounts, and processed claims. Ability to process and
identify claims with eligibility discrepancies and claims requiring standard copay resolution.
Expert at channeling claims through internal or national queues. Performed same day void,
stop payment and/or delete before issue of transactions.
Software Experience
BJC Health System
Microsoft word, Excel, Access, Power point, Ms office Software, Windows Vista, SMS, Clindesk,
E-view, Adgo, SSI.
United Seating & Mobility
Microsoft word, Excel, Access, Power point, Ms office Software, Windows Vista
Anthem Blue Cross Blue Shield
Citrix, CAQH, Microsoft word, Excel, Access, Power point, Ms office Software, Windows Vista
United Health Care
Ibaag, Citrix, Seamless/Unet, Microsoft word, Excel, Access, Power point, Ms office Software,
Windows Vista,

4. Debbie Lane
BJC Supervisor
Current Supervisor
314-286-2814
Rosiemarry Williams
IRS Supervisor
Previous Co-Worker
Phone: #314-517-6783
Shantana Minter
AetnaBetter Health Claims Specialist
Previous Co-Worker
314-915-5946