CONSTANCE McGREW
Humble
Summary
Detail-oriented healthcare operations professional with over 10 years of experience in eligibility verification, compliance auditing, and workflow optimization. Consistently exceeds productivity goals while managing high-volume workloads and maintaining regulatory compliance. Recognized for accuracy and efficiency in delivering exceptional service across fast-paced healthcare environments.
Overview
18
18
years of professional experience
Work History
Eligibility Coordinator
GuideHealth
04.2023 - Current
- Conduct compliance audits to ensure eligibility processing meets quality and turnaround standards.
- Process eligibility updates and enrollment changes based on client plan documents.
- Consistently exceed productivity goals by accurately completing 100–120 records daily.
- Manage and resolve assigned JIRA tickets while maintaining service-level agreements.
- Maintain accurate eligibility records and documentation to support compliance requirements.
- Collaborate with health plans and internal teams to ensure timely issue resolution.
Customer Service Representative
Elevance Health
07.2022 - 04.2023
- Delivered exceptional service while handling high-volume customer inquiries.
- Educated members regarding benefits, billing, claims, and payment processes.
- Resolved complex customer concerns while maintaining quality and productivity metrics.
- Consistently met service-level expectations, call quality standards, and handle-time goals.
- Documented interactions accurately and ensured compliance with company policies.
Senior Administrative Assistant
MD Anderson Cancer Center
11.2019 - 05.2021
- Supported physicians and leadership through scheduling, project coordination, and administrative operations.
- Managed confidential documents and maintained accurate electronic records.
- Created spreadsheets and utilized Excel pivot tables to support reporting and analysis.
- Coordinated meetings, travel arrangements, conferences, and special events.
- Improved filing and document retrieval processes to increase efficiency.
- Proofread business documents to ensure compliance and accuracy.
Patient Services Coordinator
MD Anderson Cancer Center
07.2016 - 11.2019
- Verified insurance coverage and obtained authorizations for patient services.
- Collected copayments and maintained accurate patient financial records.
- Scheduled appointments, procedures, and consultations across departments.
- Entered demographic, clinical, and financial information with a high degree of accuracy.
- Provided outstanding patient service and resolved insurance-related issues.
Receptionist
MD Anderson Cancer Center
06.2015 - 06.2016
- Managed multi-line phone systems and directed calls appropriately.
- Maintained physician records and departmental documentation.
- Provided administrative support, filing, faxing, and correspondence management.
- Delivered professional front-desk customer service to patients and visitors.
Substitute Teacher
Aldine Independent School District
10.2012 - 05.2015
- Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
- Uphold classroom routines to support student environments and maintain consistent schedules.
- Repeatedly requested as substitute teacher by teachers based on excellent past referrals and trusted performance.
- Kept students on-task with proactive behavior modification and positive reinforcement strategies.
- Maintained day-to-day classroom management and discipline to promote learning initiatives.
- Collaborated with teaching staff to implement coordinated educational strategies and student support networks.
- Taught kindergarten, 1st, and 2nd grade students with average of 25 students per class.
Cargo Handler
Federal Express
01.2008 - 11.2014
- Maintained high success rate in correct and safe handling of explosives and other special cargo.
- Maintained high success rate in correct and safe handling of explosives.
- Executed specialty handling services, ensuring safety and timeliness in inspections and special cargo management.
- Sorted, handled, loaded, and unloaded freight using motorized and manual equipment, ensuring compliance with safety standards.
- Configured aircraft by securing cargo and mail on pallets for efficient loading.
Education
Associate of Science -
Lone Star College
Houston, TXSkills
- Claims and eligibility review
- Compliance auditing
- Quality assurance
- Healthcare operations
- Documentation management
- Jira ticket management
- Data analysis
- Insurance verification
- Workflow optimization
- Excel pivoting
- Patient support
- Regulatory compliance
- Problem resolution
- Record management
- Process improvement
- Attention to detail
Awards
- Outstanding Achievement in Customer Satisfaction
- Celebrate a Star Award
- Purple Promise Award
- Bravo Zulu Award
Timeline
Eligibility Coordinator
GuideHealth
04.2023 - Current
Customer Service Representative
Elevance Health
07.2022 - 04.2023
Senior Administrative Assistant
MD Anderson Cancer Center
11.2019 - 05.2021
Patient Services Coordinator
MD Anderson Cancer Center
07.2016 - 11.2019
Receptionist
MD Anderson Cancer Center
06.2015 - 06.2016
Substitute Teacher
Aldine Independent School District
10.2012 - 05.2015
Cargo Handler
Federal Express
01.2008 - 11.2014
Associate of Science -
Lone Star College