Melissa Goosby
Conroe,Texas
Summary
Results-driven administrative specialist with a strong background in Medicare compliance and claims management. Recognized for enhancing operational efficiency through strategic prioritization and fostering teamwork, while delivering exceptional customer service in fast-paced environments.
Overview
25
25
years of professional experience
Work History
Member Service Representative
BroadPath Healthcare
Tucson, Arizona
12.2025 - Current
- Followed up on provider calls and addressed member needs to enhance service satisfaction.
- Provided exceptional customer service by addressing inquiries and resolving issues promptly..
- Assisted with Claims verifications, and prior authorizations.
- Supported doctors and nursing staff with Medicare Advantage PPO plans to ensure accurate patient care.
- Adhering to quality and production standards, while complying with state and federal regulations.
- Collaborated with team members to meet common goals while taking ownership of challenging tasks.
- Prioritizing work while knowing the most effective and efficient way to complete the task.
Caregiver
Kobe Health LLC
Houston, Tx
10.2020 - Current
- Exhibited patience and active listening to foster trust and communication with clients.
- Companioned clients to provide emotional support and enhance well-being.
- Positively influenced clients' lives through encouragement and companionship.
- Managing medication.
- Preparing meals.
Customer Care Associate I-Remote
Aetna Medicare
Tallahassee, FL
04.2021 - 10.2025
- Managed member enrollment and processed claims, grievances, and appeals to enhance member satisfaction.
- Provided customer service support by evaluating utilization of healthcare services and resources for Aetna members, promoting informed healthcare decisions.
- Assisted Aetna members with HMO/PPO Medicare products, ensuring understanding of coverage options.
- Completed training on AdobeConnect, Citrix, and Rumba software. ASD. Pegareach, AvayaOne-X, Transdirect, MedHoK, Medicare.gov, CMS.gov, Onekit, e.Policies, ICD-9 and CPT Codes.
Child Nutrition Associate
Conroe Independent School District
Conroe, Texas
03.2020 - 04.2021
- Prepared and served nutritious meals to students and personnel.
- Maintained food service facilities to ensure safety and sanitation standards.
- Completed food handling certification to ensure safety standards are met.
- Supported food service nutrition department in daily operations.
Switchboard Operator/Receptionist
City of Conroe Police Department
Conroe, Texas
11.2018 - 08.2019
- Handled incoming calls on switchboard, delivered accurate information, and transferred calls to appropriate departments.
- Welcomed visitors in front lobby, ensuring a positive first impression.
- Guided visitors to appropriate locations and provided essential information for their inquiries.
- Verified CID attachments, entered name search and vehicles in Spillman, and provided excellent customer service.
- Received, sorted and delivered mail from US Postal service.
- Sorted and delivered departmental mail from city hall.
- Recorded daily activities in Record Division to maintain accurate documentation., entered Vehicle Stop Data reports from Police Officers.
HR/PT Receptionist
City Of Conroe
Conroe, Texas
07.2018 - 11.2018
- Supported Human Resource Department by performing accurate data entry functions to maintain up-to-date employee information.
- Maintained employee employment records (I-9, new hire, and reporting forms).
- Assisted with new employees to complete I-9, W-4, and new hire questionnaires.
- Conducted reference checks and verified employment to ensure quality hires.
- Filed, faxed, copied and scanned special documents.
- Operated switchboard to manage incoming and outgoing calls.
- Assisted with Civil Service Exams for Police and Fire Department.
- Contributed to special projects by effectively managing tasks using Excel spreadsheets.
Administrative Assistant
National Oilwell Varco
Conroe, Texas
03.2013 - 06.2016
- Managed incoming calls as front office receptionist, ensuring professional communication.
- Supported Human Resource Department in various administrative tasks.
- Greeted customers and vendors with safety guidelines.
- Collaborated with first responder security officers to implement safety guidelines for all employees.
- Conducted safety inspections on shop machines to ensure compliance with regulations.
Office Assistant
Avery Eye Clinic
Conroe, Texas
02.2012 - 05.2012
- Monitored patient triage to prioritize care and improve patient flow.
- Verified insurance for patient appointments to facilitate seamless service delivery.
- Opened front office by checking in patients for appointments, ensuring smooth workflow.
- Scheduled and verified appointments.
- Registered new patients.
Administrative Assistant
ASP Westward-The Conroe Courier
Conroe, Texas
11.2001 - 06.2011
- Managed filing and faxing of documents while handling customer service calls.
- Processed payroll, assisted with orientation for new hires.
- Managed supply inventory and procurement for company-wide operations.
- Supported advertising manager by coordinating retail advertising for local and 52 sister newspapers.
- Coordinated organization of special sections including Back to School, Holiday Cookbook, Veteran's Day, Christmas Book, and New Year's Section.
- Processed bank deposits daily.
Education
Administrative Assistant Certificate -
Lone Star College
Conroe, Texas01-2001
Skills
- Claims processing
- Claims management
- Medicare expertise
- Healthcare software proficiency
- Compliance standards
- Process improvement
- Customer service
QUALIFICATION
Eighteen years of experience as an Administrative Assistant, with customer service, strong interpersonal and organizational skills. Knowledge of computer software, typing, telephone procedures, filing reports, and payroll. Excellent communication skills, business etiquette and the ability to work independently or on a team.
Timeline
Member Service Representative
BroadPath Healthcare
12.2025 - Current
Customer Care Associate I-Remote
Aetna Medicare
04.2021 - 10.2025
Caregiver
Kobe Health LLC
10.2020 - Current
Child Nutrition Associate
Conroe Independent School District
03.2020 - 04.2021
Switchboard Operator/Receptionist
City of Conroe Police Department
11.2018 - 08.2019
HR/PT Receptionist
City Of Conroe
07.2018 - 11.2018
Administrative Assistant
National Oilwell Varco
03.2013 - 06.2016
Office Assistant
Avery Eye Clinic
02.2012 - 05.2012
Administrative Assistant
ASP Westward-The Conroe Courier
11.2001 - 06.2011
Administrative Assistant Certificate -
Lone Star College