MELANIE K CHANDLER
JACKSON,,GA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
Work History
Pre-Authorization Specialists
PAIN CARE LLC
STOCKBRIDGE, GA
11.2011 - 02.2022
- Communicated with insurance companies to obtain pre-authorizations for treatment.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints and current symptoms.
- Advocated for and strived to protect health, safety and rights of patient.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
- Improved operations through consistent hard work and dedication
Front Desk Coordinator
PAIN CARE LLC
STOCKBRIDGE, GA
11.2011 - 11.2013
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained office supplies by taking inventory and submitted orders for low-stock items.
- Greeted visitors and customers upon arrival, offered assistance and answered questions to build rapport and retention.
- Checked-in late-arrival guests, collected payments and verified reservation details to maintain customer satisfaction.
- Greeted incoming visitors, verified credentials and purpose of visit in order to direct appropriate area or personnel.
- Kept accounts in balance and ran daily reports to verify totals.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Collaborated with team members to handle guest requirements from check-in through check-out.
- Oversaw fast-paced front desk operations and guests' needs at busy facility.
- Collected room deposits, fees and payments.
- Verified patient demographic information, copied documentation and directed to provided information.
- Trained all staff on front desk procedures and policies.
- Ran end-of-day reports and batches and notified staff of necessary corrections and resolutions.
Senior Operations Specialist
IFG Companies
Jackson, GA
02.1996 - 06.2001
- Resolved cash exceptions, evaluating impact on overall account status and reporting findings to stakeholders.
- Liaised with tax auditors and preparers to communicate fund details.
- Managed client's brokerage accounts for high volume IFG representative.
- Processed mutual fund and stock trades.
- Tracked funds, prepared deposits and reconciled accounts.
- Managed investment funds to maximize return on client investments.
- Completed wire transfers and account withdrawals.
- Conducted post-trade processing and resolved trade settlement issues
- Assisted customers with questions and problems to build brand loyalty and cultivate lasting business relationships
Education
No Degree - Flight Attendant
School of Business And Travel
Riverdale, GAHigh School Diploma -
Henry County High School
Mcdonough, GA06.1992
Skills
- Determine Medical Necessity
- Utilization Management
- Obtaining Authorizations
- Effective Multitasking
- Reviewing Patient Information
- Treatment Documentation
- Direct Patient Care
- Critical Thinking
- EMR Systems
- Intervention Management
- Healthcare Billing
- Insurance Eligibility Verifications
- Multitasking Abilities
Timeline
Pre-Authorization Specialists
PAIN CARE LLC
11.2011 - 02.2022
Front Desk Coordinator
PAIN CARE LLC
11.2011 - 11.2013
Senior Operations Specialist
IFG Companies
02.1996 - 06.2001
No Degree - Flight Attendant
School of Business And Travel
High School Diploma -
Henry County High School
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