Cyteese Alexander
Concord
Summary
Dedicated healthcare professional with experience in care coordination,reimbursement support and insurance benefit investigation. Skilled at helping patients access medication, navigating healthcare systems, and supporting provider teams. Strong background in patient advocacy, documentation, HIPPA compliance and communication with insurance providers, and pharmacies. Currently pursing pharmacy technician certification to expand clinical knowledge and support patient care.
Overview
15
15
years of professional experience
Work History
Reimbursement Case Manager
Ashton Carter/ Trailcard
Raleigh, NC
06.2022 - 11.2023
- Facilitated patient enrollment into medication assistance programs, improving access to treatment for eligible patients
- Conducted benefit investigations to clarify insurance coverage for over 100 patients, reducing confusion, and streamlining care processes.
- Identified collected, and managed payment for payers, supporting financial accuracy and revenue processes.
- Coordinated with providers, pharmacies, and insurance companies to ensure timely patient support
Care Coordinator
Wellcare/Centene
Raleigh, NC
11.2019 - 07.2021
- Connected members with nurse care managers and healthcare resources to support ongoing treatment plans
- Completed 50+ outbound calls daily to assist with patient care coordination and health plan services
- Provided cost and quality comparisons of healthcare providers to help members make informed care decisions
- Built strong patient relationships bu advocating for member needs and ensuring alignment with healthcare goals
Pharmacy Technician
Walmart
Raleigh, NC
03.2011 - 07.2014
- Assisted pharmacists in medication therapy management for improved patient outcomes.
- Processed prescriptions in a high-volume retail pharmacy environment while maintaining accuracy and patient safety
- Performed insurance adjudication and resolved claim rejections to prevent delays in medication access.
- Coordinated refill requests, addressed medication inquiries, and processed payments to enhance patient experience
- Collaborated with pharmacists and pharmacy staff to streamline workflow and improve service delivery
- Supported coworkers with insurance resolutions, refill management, and operational inquiries to foster team efficiency
Reimbursement Case Manager
Humana
Raleigh, NC
02.2009 - 12.2011
- Assisted members with insurance benefit verification and medication coverage questions
- Conducted benefit investigations, and helped resolve pharmacy or prescriptions-related issues
- Coordinated with healthcare provides, pharmacies, and internal teams to ensure timely patient support
- maintained accurate documentation while following HIPPA and healthcare compliance guidelines
Education
CPhT -
Rowan-Cabarrus Community College
Salisbury, NC04-2026
GED -
Wake Technical Community College
Raleigh, NC07-2009
Skills
- HIPPA compliance
- Insurance benefit investigation
- Medication assistance programs
- Patient advocacy
- Healthcare documentation
- Pharmacy and provider communication
- Care Coordination
- Data entry and case management
- Customer Service
Timeline
Reimbursement Case Manager
Ashton Carter/ Trailcard
06.2022 - 11.2023
Care Coordinator
Wellcare/Centene
11.2019 - 07.2021
Pharmacy Technician
Walmart
03.2011 - 07.2014
Reimbursement Case Manager
Humana
02.2009 - 12.2011
CPhT -
Rowan-Cabarrus Community College
GED -
Wake Technical Community College