Summary
Overview
Work History
Education
Skills
Personal Information
References
Timeline
Generic

Marchelle McIntyre

Columbia,SC

Summary

Hardworking professional with experience in office operations, administrative support, and customer service. Highly organized and self-motivated with excellent communication and interpersonal skills. Demonstrated ability to prioritize tasks and meet deadlines. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

5
5
years of professional experience

Work History

Care Management Coordinator II

Centene
10.2023 - Current
  • Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
  • Worked with providers to define quality metrics and outcome reporting process.
  • Collected and aggregated data to identify problems or trends, such as turnaround time and issues with physician offices.

Build Authorizations and Send out denial letters

Project Coordinator

Lowe's
Mooreville
01.2023 - 10.2023
  • Anticipated project obstacles and adjusted procedures to maintain steady progress
  • Identified opportunities to optimize project performance
  • Collaborated with cross-functional teams to ensure successful project results
  • Analyzed data to identify and address project risks
  • Recommended department workflow and process improvements to project manager and leadership
  • Managed competing demands, adapting to frequent change, delays, or unexpected events
  • Provided administrative support and workplace training to team members
  • Coordinated staff schedules according to project deadlines and budget requirements
  • Assigned duties and responsibilities to project personnel.

Customer Service Representative

Medicaid / Authorization
Evolent Health
03.2022 - 01.2023
  • Responded to telephone inquiries and complaints following standard operating procedures
  • Maintained knowledge of company products to provide helpful suggestions and recommendations to customers
  • Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts
  • Investigated and researched issues to determine root causes and appropriate resolution methods
  • Developed and maintained working knowledge of internal policies, procedures, and services to appropriately address customer issues
  • Handled customer complaints and inquiries in a courteous and efficient manner
  • Processed orders, returns, and exchanges in an accurate and efficient manner
  • Updated and maintained database with accurate customer information and timely data entry
  • Complied with corporate and regulatory policies regarding information confidentiality and privacy
  • Maintained logs and documentation to detail key information regarding incoming and outgoing calls
  • Remained open to feedback from supervisor and peers to build and improve skills set.

Customer Service Associate

(Short term disability)
Sedgwick
09.2021 - 08.2022
  • Assisted customers with product selection, order entry, and payment processing
  • Followed up with customers to support satisfaction and resolve any issues
  • Resolved product or service problems by clarifying customer's complaints and determining cause of problem
  • Built sustainable customer relationships of trust through open and interactive communication
  • Loaded, unloaded and stocked daily shipments and weekly truck deliveries
  • Described and explained merchandise and operation of merchandise to customers
  • Provided accurate information regarding product features and benefits
  • Obtained and evaluated relevant information to handle product and service inquiries
  • Monitored customer feedback and confirmed customer satisfaction.

Administrative Assistant

(Federal Medicaid)
Disability Determination Services
01.2020 - 09.2021
  • Screened incoming telephone calls, routing to appropriate personnel
  • Assisted the executive management team in making informed decisions by providing timely and accurate administrative support
  • Maintained files and filing, keeping sensitive information confidential
  • Compiled and entered data into various databases to ensure accuracy and completeness
  • Prepared agendas and materials for meetings and conferences
  • Provided cross-coverage support for other administrative personnel
  • Served as primary point of contact for facilitating operational and administrative inquiries
  • Used Microsoft Office Suite to create and revise documents and presentations
  • Established professional and collaborative working relationships with company associates and external parties
  • Reviewed work completed by other employees to verify proper spelling and grammar.

Education

Diploma - Medical Office Management

Remington College
Columbia, SC
05.2020

High School Diploma -

Socastee High School
06.2014

Skills

  • Verbal and Written Communication
  • Remote Team Management
  • Timelines and Milestones
  • HIPAA Compliance
  • Patient Scheduling
  • Customer Service
  • Medical terminology knowledge
  • Medical Terminology
  • EMR / EHR
  • Clinical Documentation
  • Data Entry
  • Electronic Health Records
  • Electronic Medical Records
  • Compassionate
  • CPR
  • Insurance Verification
  • Appointment Setting
  • Medical Records Management
  • Patient Care Coordination

Personal Information

Title: Customer Service Representative

References

References available upon request

Timeline

Care Management Coordinator II

Centene
10.2023 - Current

Project Coordinator

Lowe's
01.2023 - 10.2023

Customer Service Representative

Medicaid / Authorization
03.2022 - 01.2023

Customer Service Associate

(Short term disability)
09.2021 - 08.2022

Administrative Assistant

(Federal Medicaid)
01.2020 - 09.2021

Diploma - Medical Office Management

Remington College

High School Diploma -

Socastee High School
Marchelle McIntyre