Michelle Feltenberger
Cochranton,PA
Summary
Exhibited strong work ethic and adaptability to enhance team dynamics and collaboration.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Care Management Associate
Aetna, a CVS Health Company
Hartford, USA
09.2021 - Current
- Assessed necessity of pre-certification and developed detailed case documentation to support decision-making.
- Conducted thorough investigations to resolve claims payment discrepancies and ensure timely processing.
- Implemented HIPAA standards to maintain the integrity of patient information.
- Reviewed prior authorization submissions to ensure compliance with established guidelines and standards.
- Advised healthcare providers on navigating prior authorization requirements to enhance operational efficiency.
- Conducted thorough research on clinical criteria to determine service eligibility aligned with plan provisions.
- Engaged with internal teams to identify and rectify issues concerning prior authorizations, ensuring operational efficiency.
- Facilitated communication between patients and healthcare providers by providing accurate information on prior authorization and insurance coverage.
- Delivered timely authorization decisions to healthcare providers and patients to ensure clarity in care processes.
- Analyzed network deficiency requests to enhance system performance and reliability.
- Facilitated addition of Aetna non-credentialed providers into SFE system to enhance provider database.
Server and Manager
Eggs Up Grill
Conway, USA
08.2015 - 07.2021
- Oversaw cash handling procedures and executed bank deposits with precision.
- Guided new servers in understanding company policies, procedures, and menu items.
- Facilitated collaboration among colleagues to enhance teamwork and deliver exceptional guest service.
- Monitored and updated knowledge of current menu items, garnishes, ingredients, and preparation methods.
- Processed customer orders with precision and efficiency.
- Executed opening and closing procedures, including dining area setup and supply restocking.
- Facilitated collaboration among restaurant staff to optimize operational efficiency.
- Managed POS terminal operations to input orders, split bills, and calculate totals.
- Directed teams through organizational change and crisis situations to ensure stability and continuity.
- Delegated tasks to associates, ensuring alignment with skill levels to enhance team performance.
- Addressed customer inquiries and complaints, facilitating management-level escalation as necessary.
- Rectified discrepancies between actual cash on hand and recorded amounts to ensure financial accuracy.
Member Service Representative
Galaxy Federal Credit Union
Franklin, USA
01.2014 - 01.2015
- Opened new savings accounts, checking accounts, certificates of deposit, and IRA accounts to support customer financial goals.
- Administered disbursement of new loans and executed clerical functions for efficient loan servicing.
- Evaluated and processed new loan applications efficiently.
- Executed training on teller operations and provided backup support during peak hours.
Bank/Vault Teller
PNC Financial Services Group
Franklin, USA
01.2012 - 01.2014
- Managed acceptance and processing of customer deposits and loan payments.
- Oversaw daily maintenance and balancing of cash drawer and vault operations.
- Facilitated customer evaluations to gather feedback on service quality.
- Oversaw meticulous record-keeping of all transactions and balances within the vault.
- Executed issuance of cashier's checks and money orders, ensuring compliance with established procedures.
- Delivered exceptional customer service by addressing inquiries regarding banking services and products.
- Ensured compliance with bank policies and procedures related to safety, security, privacy, and confidentiality regulations.
- Streamlined cash bundling by organizing currency into denomination-specific groups for efficient retrieval.
- Secured excess cash in bank vault following thorough verification of amounts against financial records.
- Resolved discrepancies between actual currency amounts received from customers and expected amounts based on transaction records.
- Conducted thorough inspections of bills for authenticity utilizing counterfeit detection devices.
- Assisted in counting cash and preparing it for delivery routes. Supported the filling of cassette trays for ATMs and business customers. Reported cash discrepancies to ensure accuracy.
- Assisted in preparing and shipping excess coin and currency to federal reserve bank and correspondent banks. Compiled inventory reports and balanced completed work.
- Oversaw accurate management of teller drawer, ensuring precision during customer bank transactions.
- Managed ordering and disbursement of coin and currency to ensure vault balance.
Shift Supervisor
RRR Roadhouse
Cranberry, USA
01.2002 - 01.2005
- Oversaw training and development of wait staff to enhance service quality.
- Assisted in beverage preparation and service as a bartender. Supported kitchen operations as a prep cook. Provided excellent customer service as a server. Welcomed guests and managed seating arrangements as a hostess.
- Facilitated on-the-job training programs for new staff members.
- Addressed customer complaints promptly to enhance satisfaction and loyalty.
- Directed and mentored employees to enhance productivity and elevate customer service standards.
Education
None - Respiratory Therapy
Clarion University
Oil City, PA01-2009
High school - undefined
Franklin Area High School
Franklin, PA06-2002
Skills
Insurance understanding
HIPAA Compliance
Documentation Review
Medical Terminology
Insurance Verification
Data Entry
Microsoft Office Suite
Task Prioritization
Problem-solving aptitude
Telephone Etiquette
Effective Communication
Detail Oriented
Insurance Authorizations
Time Management
Research
Teamwork and Collaboration
Certification
Food Handler Certification
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Care Management Associate
Aetna, a CVS Health Company
09.2021 - Current
Server and Manager
Eggs Up Grill
08.2015 - 07.2021
Member Service Representative
Galaxy Federal Credit Union
01.2014 - 01.2015
Bank/Vault Teller
PNC Financial Services Group
01.2012 - 01.2014
Shift Supervisor
RRR Roadhouse
01.2002 - 01.2005
High school - undefined
Franklin Area High School
None - Respiratory Therapy
Clarion University