Elexus Reaves
Concord
Summary
Dedicated professional prepared to bring extensive expertise and results-oriented approach to Specialist role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies. Recognized for excellent communication and analytical skills, ensuring seamless operations and consistent outcomes.
Overview
11
11
years of professional experience
Work History
Healthcare Billing Specialist
LabCorp
Remote
11.2024 - Current
- Processed and reviewed healthcare claims for accuracy and compliance with regulations.
- Identified discrepancies in billing codes and resolved issues to enhance reimbursement rates.
- Collaborated with healthcare providers to ensure timely submission of claims and documentation.
- Trained new staff on billing software and best practices for claim processing efficiency.
- Implemented workflow improvements that reduced claim denial rates through proactive follow-up procedures.
- Analyzed billing data to identify trends, contributing to strategic decision-making for financial planning.
Customer Service Coordinator
Capital One
11.2024 - Current
- Coordinated customer service operations, ensuring seamless communication between departments.
- Developed and implemented training programs for new staff, enhancing service delivery consistency.
- Managed escalated customer inquiries, resolving issues efficiently and maintaining high satisfaction levels.
- Streamlined processes to improve response times, contributing to overall operational efficiency.
- Established key performance indicators to track service quality and drive strategic enhancements.
- Mentored junior team members, fostering a positive work environment and boosting overall team performance.
Claims Specialist
Afni
Remote
10.2021 - 08.2025
- Analyzed historical data from past cases when evaluating new incoming claims this helps improve accuracy during decision-making processes.
- Reduced claim errors by conducting thorough investigations and obtaining all necessary documentation.
- Developed strong rapport among clients by addressing their concerns promptly, which ultimately resulted in higher client retention rates.
- Coordinated with other departments such as finance and coding teams to resolve any issues related to payment calculations or coding errors in submitted claims.
- Provided exceptional customer service at all stages of the claims lifecycle while adhering to strict confidentiality guidelines regarding sensitive client information.
- Negotiated fair settlements with both customers and third-party claimants, balancing empathy with fiscal responsibility to protect company assets.
- Documented all findings in concise reports.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled customer inquiries and suggestions courteously and professionally.
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
- Assisted in the development of policies and procedures related to medical claims management, ensuring compliance with industry regulations.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
Cytogenetic Technologist I
Atrium Health
Charlotte
12.2023 - 06.2024
- Image captured appropriate number of cells on each case on the Department's computerized imaging system and analyzed cells for the presence of chromosomal defects.
- Cleaned and maintained supplies and equipment. Monitored temperatures on lab equipment.
- Prepared slides for staining procedures to ensure optimal visibility fluorescence signals
- Performed various additional testing being able to determine when specialized stains are necessary based on initial analysis.
- Analyzed fluorescence signals on the microscope or using image analysis system looking for genetic abnormalities.
- Assisted supervisor with QA/QI monitoring and data collection.
- Retrieved slides to process for analysis.
- Responsible for following the mandatory reporting procedures for any incident or serious event that did affect or potentially could have affected the clinical care of any patient.
- Accurately observed and recorded the signal patterns observed in each cell studied.
- Perform statistical calculations to determine result.
- Followed HIPPA protocol
Sales Associate
Dollar General
Mullins
01.2019 - 01.2021
- Worked under limited- no supervision on the upkeep of the store and assisted store manager with daily responsibilities
- Built relationships with customers to encourage repeat business.
- Solved customer challenges by offering relevant products and services.
- Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
- Assessed customer needs and utilized suggestive selling techniques to drive sales.
Retail Sales Associate
Gymboree
Florence
01.2017 - 01.2018
- Demonstrated engaging customer service skills and a solid work ethic as sales assistant for a busy retail store.
- Stocked merchandise, clearly labeling items, and arranging according to size or color.
- Greeted customers and helped with product questions, selections, and purchases.
- Monitored sales floor and merchandise displays for presentable condition, taking corrective action such as restocking or reorganizing products.
- Helped customers complete purchases, locate items, and join reward programs.
- Handled returns and exchanges professionally, resolving customer issues while adhering to company policies.
- Used POS system to process sales, returns, online orders, and gift card activations.
Cashier Team Lead
BI-LO
Mullins
01.2015 - 01.2018
- Processed return transactions and handled sales - Implementing front end policies, scheduling shifts, and handling customer relations
- Conducted thorough code reviews, identifying potential issues and providing constructive feedback to improve overall code quality.
- Deployed continuous integration pipelines for efficient code testing and deployment processes, significantly reducing the risk of bugs reaching production environments.
- Managed client relationships by communicating project progress updates regularly and addressing any concerns proactively.
- Trained, mentored, and developed new cashiers with positive and encouraging techniques to maximize performance and team contributions.
- Performed store opening, closing, and shift-change actions and kept accurate shift-change logs.
- Quickly and accurately counted drawers at start and end of each shift.
Server
Huddle House
Mullins
01.2016 - 01.2017
- Greeting and ensuring the satisfaction of customers
- Served food and beverages promptly with focused attention to customer needs.
- Collaborated with team members during busy shifts for efficient workflow and excellent guest experiences.
- Maintained a clean and orderly dining area for an enjoyable guest experience.
- Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
- Resolved customer complaints promptly and professionally to maintain positive reputation.
- Followed health and safety protocols crucial for maintaining safe and sanitary environments for customers and staff.
Education
B.S - Biology
Francis Marion University
Florence, SC05.2021
Associate of Science - Information Technology
Rowan-Cabarrus Community College
Salisbury, NC08.2025
Skills
- Claims analysis
- Claims Processing
- Microsoft Office
- Documentation Review
- Estimate Preparation
- Customer Service
- Great mathematical skills
- Problem-Solving
- Time Management
- Problem-solving abilities
- Data Entry
- Excellent administrative abilities
- Documentation processing
- Multitasking Abilities
- Insurance Claim Forms Review
- Claims adjustment
- Analytical Skills
- Settlement determinations
- Claims Investigation
- ICD-10 Proficiency
- Healthcare compliance
- Payment posting
- Insurance Verification
- Provider Relations
- Bookkeeping
- Billing
- Claims Handling
- Damage Assessment
- Damage Assessment
- Medical billing software proficiency
- HIPAA compliance
- Insurance verification
- ICD-10 proficiency
- Medical claims submission
- Claims processing
- Accounts receivable
- Medical terminology
- Invoice processing
Activitiesandvolunteerism
2017-01-01, Head cheerleading coach at the local recreation center for 5-6-year-old age group.
Honorsandawards
Fall 2014 Palmetto Alumni Award
Timeline
Healthcare Billing Specialist
LabCorp
11.2024 - Current
Customer Service Coordinator
Capital One
11.2024 - Current
Cytogenetic Technologist I
Atrium Health
12.2023 - 06.2024
Claims Specialist
Afni
10.2021 - 08.2025
Sales Associate
Dollar General
01.2019 - 01.2021
Retail Sales Associate
Gymboree
01.2017 - 01.2018
Server
Huddle House
01.2016 - 01.2017
Cashier Team Lead
BI-LO
01.2015 - 01.2018
Associate of Science - Information Technology
Rowan-Cabarrus Community College
B.S - Biology
Francis Marion University