Melissa Alston
Alcolu,SC
Summary
Over 10 years combined experience in customer service, sales and office administration in various fields. Proficient in Microsoft Office (Word, Excel, Publisher, Access, and PowerPoint). Served as the first point of contact for customers seeking assistance over the phone or email and determine the best solution based on the issue and details provided by customers. Always a team player with a goal in mind. Strong analytical, organizational, and time management skills. Advanced interpersonal and resourceful skills. Self-motivated innovative thinker. Follows strict self-set ethical guidelines daily. Ability to practice and follow strict confidentiality guidelines daily. Ability to be flexible and adapt to changes with little to no prior knowledge. Ability to use sound judgement in critical problem-solving situations. Passionate about helping others achieve their goals while achieving mine.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Recruiter
The Wright Team-Remote
03.2024 - Current
- Recruited and assisted over 50 new agents in onboarding, training, and licensing to start their careers in finance.
- Operated and maintained applicant tracking and candidate management systems.
- Conducted reference checks, background screening and other pre-employment checks to verify information on applicant's resume.
- Coordinated schedules to arrange management interviews with applicants.
Appeal Support Specialist
CloudMed Solutions-Remote
10.2021 - 03.2024
- Maintained detailed filing system of over 300 documents per day for all company correspondence including incoming mail, faxes, and email
- Participated in operations team meetings to coordinate and assign project management tasks to ensure deadlines are met quickly
- Conducted regular quality reviews of business data and processes to identify discrepancies and formulate quick solutions
- Prevented and minimizes processing errors by assisting with proofreading outgoing appeals for formatting and accuracy errors
- Enhanced production of approved appeals to exceed department goals
- Collected, arranged and input other information into company database system.
Central Loss Report Representative
Spectraforce Technologies-Remote
06.2021 - 10.2021
- Used various internally company-based programs to redirect incoming claims to appropriate representative personnel
- Work on teams specific to national weather catastrophes
- Resolved conflicts and negotiated mutually beneficial agreements between parties
- Prepared variety of different written communications, reports and documents.
Patient Access Specialist
Spectraforce Technologies-Fort Mill, SC
11.2020 - 02.2021
- Kept all information obtained from clients strictly confidential
- Assessed patient financial information with strong detail to determine which types of financial relief programs are available to them
- Made sure to always discretion when collaborating with other associates to complete a task
- Stayed abreast of daily policies and procedures as they are always subject to change.
Patient Access Specialist
A-Line Staffing-Fort Mill, SC
10.2019 - 03.2020
- Maintained client confidentiality, and followed strict HIPPA guidelines
- Conducted benefit investigations thoroughly, making sure to correctly interpret information received from various payers
- Communicated with team members, and payer representatives with logic and compassion
- Explored best coverage options for uninsured, and underinsured patients
- Conducted prior authorization follow-up requests as well as triaging to the specialty pharmacy to help ensure patients are receiving their medications in a timely manner.
Administrative Assistant
Park Place Landscape-Goose Creek, SC
10.2016 - 01.2020
- Created, and designed business logos and business cards
- Executed record filing system to improve document organization and management
- Created presentations to inform, motivate and persuade internal and external audiences
- Updated spreadsheets and databases to track, analyze and report on performance and sales data
- Conducted onboarding to help new hires adjust to administrative and performance aspects of jobs
- Engaged with customers to build rapport and loyalty
- Daily use of Microsoft Office programs to create meeting and proposal PowerPoint presentations, invoices, and business letters
- Originated and cultivated strong relationships with prospective clients by strategizing aggressive outbound calling campaigns.
Operations Manager
AHN Law Firm-Rock Hill, SC
05.2019 - 10.2019
- Kept client case files, and daily reports organized for each case manager
- Scheduled consultations for the firm daily
- Made outbound calls to potential clients
- Assisted case manager with case detail information
- Assisted the attorney with mailing track of his scheduled meetings, appointments and upcoming court appearances, depositions, and all other tasks
- Reviewed operations reports to understand numbers and trends.
Benefit Verification Specialist
A-Line Staffing Solutions-Fort Mill, SC
10.2018 - 01.2019
- Utilized a working knowledge of healthcare guidelines to assist patients in prescription drug enrollment programs, and carefully documented patient specific benefits for different payer insurance plans using the Salesforce platform
- Followed correct protocol to triage missing information, and prior authorization cases to correct.
Recruiter
John Casablancas Modeling And Career Center-Charlotte, NC
04.2018 - 08.2018
- Followed up with notable applicants sourced via industry-specific pipelines, events and job fairs
- Leveraged social media platforms and online job boards to advertise open positions and engage with potential candidates
- Generated specific candidate pool for career opportunities through strategic placement of advertisements, evaluation of applicant credentials and conducting initial interviews and pre-screening assessments
- Evaluated strengths and weaknesses of approximately 40-50 candidates daily through effective screening processes
- Maintained filing system of current, prospective and future positions.
Education
BBA - Business Administration And Management
Clinton College
Rock Hill, SC03.2015
Skills
- Microsoft Office
- Google Suite
- Logistics
- Sales
- Recruiting
- Onboarding
Certification
Licensed Life Insurance Agent - March 2024 - Present
Timeline
Recruiter
The Wright Team-Remote
03.2024 - Current
Appeal Support Specialist
CloudMed Solutions-Remote
10.2021 - 03.2024
Central Loss Report Representative
Spectraforce Technologies-Remote
06.2021 - 10.2021
Patient Access Specialist
Spectraforce Technologies-Fort Mill, SC
11.2020 - 02.2021
Patient Access Specialist
A-Line Staffing-Fort Mill, SC
10.2019 - 03.2020
Operations Manager
AHN Law Firm-Rock Hill, SC
05.2019 - 10.2019
Benefit Verification Specialist
A-Line Staffing Solutions-Fort Mill, SC
10.2018 - 01.2019
Recruiter
John Casablancas Modeling And Career Center-Charlotte, NC
04.2018 - 08.2018
Administrative Assistant
Park Place Landscape-Goose Creek, SC
10.2016 - 01.2020
BBA - Business Administration And Management
Clinton College
Licensed Life Insurance Agent - March 2024 - Present
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