Summary
Overview
Work History
Education
Skills
Certification
Education
Timeline
Generic

Melissa McCardel

Steubenville,OH

Summary

Organized ,Hardworking , enthusiastic with over 10 years experience with Insurance related customer service . Pursues opportunities to learn new skills and contribute to group success. Offers strong administrative, relationship-building and problem-solving abilities. Enthusiastic about helping patients get necessary medical support by obtaining authorizations, coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Sr. Customer Service Coordinator

The Health Plan
11.2024 - Current
  • Managed high-volume inbound calls, ensuring prompt assistance and top-notch service.
  • Collaborated with cross-functional departments to resolve customer concerns and enhance overall experience.
  • Engaged clients in person and over phone to answer questions and address complaints.

Customer Service, Manager

The Health Plan
02.2024 - 11.2024
  • Managed a team of customer service representatives, fostering a positive work environment focused on teamwork and collaboration.
  • Collaborated with upper management to improve customer service processes and support structures company-wide.
  • Supervised employees and assessed performances to determine training needs and define accurate plans for decreasing process lags.
  • Maintained professional demeanor by staying calm when addressing unhappy or angry customers.

Employer Services Representative

The Health Plan
11.2020 - 03.2024
  • Reviews Claims and identifies issues and communicates those to management and gets claims processed
  • Responded to members , providers and client requests for benefit information as needed
  • Communicates to Management , Account Executives and clients on a daily basis
  • Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
  • Fostered strong relationships with clients, providing personalized service and assistance on various insurance products.

Customer Service Representative

The Health Plan
10.2014 - 11.2020
  • Answering phone calls from members and providers
  • providing members and providers with plan benefits and gathering information needed to solve issues
  • assisting account executives and management with tasks as needed
  • completing faxes and correspondence as needed and getting it to the correct department

Receptionist

Neurobehavioral Medicine Consultants
05.2011 - 10.2014
  • Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
  • Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
  • Facilitated effective communication between patients, medical staff, and insurance companies to ensure seamless coordination of care.
  • Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
  • Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.

Mental Health Technician

Fox Run Center For Children And Adolescents
05.2005 - 04.2011
  • Improved patient well-being by providing compassionate care and support during their mental health journey.
  • Assisted in the development of individualized treatment plans to address specific patient needs a
  • Monitored patients'' progress, documenting changes in behavior and updating treatment plans accordingly.
  • Provided crisis intervention and de-escalation techniques for patients experiencing emotional distress or exhibiting aggressive behaviors.
  • Educated patients on coping strategies and self-help techniques to better manage their mental health symptoms.

Education

Bachelor of Science - Psychology

West Liberty State College
12.2003

Skills

  • Resolving Customer Issues
  • Creative Solutions
  • Resourceful Researching
  • Collaborative Environments
  • Strong Telephone Etiquette
  • Investigate Claims
  • Understanding Customer Needs
  • Billing Adjustments
  • Administrative and Office Support
  • Membership Inquires
  • Call center experience
  • Teamwork

Certification

  • Certified Medical Coder

Education

West Liberty, WV

Timeline

Sr. Customer Service Coordinator

The Health Plan
11.2024 - Current

Customer Service, Manager

The Health Plan
02.2024 - 11.2024

Employer Services Representative

The Health Plan
11.2020 - 03.2024

Customer Service Representative

The Health Plan
10.2014 - 11.2020

Receptionist

Neurobehavioral Medicine Consultants
05.2011 - 10.2014

Mental Health Technician

Fox Run Center For Children And Adolescents
05.2005 - 04.2011
  • Certified Medical Coder

Bachelor of Science - Psychology

West Liberty State College
Melissa McCardel