Melissa Cunningham
Charlotte,NC
Summary
With strong communication and analytical skills, I effectively address and resolve employee issues to create a harmonious work environment. I have a proven track record in personal development and motivational strategies that drive individuals towards achieving their goals. Through customized coaching plans, I inspire and guide individuals to success. Additionally, I have a track record of fostering a positive and supportive environment that promotes continuous improvement for all team members.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Health Insurance Benefits Specialist
Caremark LLC
Charlotte, NC
11.2024 - Current
- Handled concerns related to eligibility status for medical benefits from plan participants.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Provided thorough documentation for resolution .
- Ensured timely updates to benefits and coverage for diagnostic dx codes PA information.
- Instructed payers on updating patient information, such as name, numbers, address, and Dr’s address.
- Prepared detailed reports on benefit costs and usage for management to aid in strategic decision-making.
PCA Personal Care Assistant /front desk
Preferred Women's Healthcare
Charlotte, NC
04.2023 - Current
- Maintained schedule for medication distribution to clients.
- Assisted immobile clients.
- Documented participant arrival and departure times.
- Regularly checked and monitored every 15-30 minutes.
- Report to front seat once files are completed and counsel the clients that comes in
- Approved forms and guided patients.
Assurance Analysts
GoHealth Quality
Charlotte, NC
08.2020 - 02.2022
- Reviewed call recordings from insurance sales agents and scored them using a
- Monitored call quality and ensured a high accuracy rate through consistent evaluation.
- Be the expert of Federal Centers for Medicare and Medicaid
- Utilized Excel to identify licensed agents and gather employee details.
Appointment Scheduler
American Red Cross A.
Charlotte, NC
09.2019 - 06.2021
- Updated donor records promptly and accurately.
- Schedule appointments while providing positive service experience to maximize donor show rates.
- Followed standard protocol in donor communications.
- Ensured adherence to daily production standards involving phone calls and appointments per hour.
- Develop a working knowledge of donor criteria to inform donors of eligibility
- Provide backup support to inbound team
- Investigates and responds to inquiries on an ongoing basis
Education
High school diploma - Medical Laboratory Science
Garinger high school
Charlotte, NC05.2015
Skills
- Skilled in Customer Service
- Professional Makeup Techniques
- Data Gathering
- Communication skills
- English
- Customer service
- Restaurant experience
- Hospitality
- Data collecting
- Retail sales (8 years)
- Team Management
- Strong Leadership Skills
- Customer Service Coordination
- Computer skills
- Clinical Terminology Knowledge
- Patient Care Coordination Experience
Certification
- Personal care assistant
- April2022 to Present
Timeline
Health Insurance Benefits Specialist
Caremark LLC
11.2024 - Current
PCA Personal Care Assistant /front desk
Preferred Women's Healthcare
04.2023 - Current
Assurance Analysts
GoHealth Quality
08.2020 - 02.2022
Appointment Scheduler
American Red Cross A.
09.2019 - 06.2021
High school diploma - Medical Laboratory Science
Garinger high school