Melissa Brown
Murfreesboro
Summary
Achieved effective training outcomes by developing cross-platform training programs. Mentored new employees, resulting in improved team performance. Clarified complex instructions, leading to increased operational efficiency.
Overview
11
11
years of professional experience
Work History
Highmark health
11.2022 - Current
- Phones- answering calls from Providers and members regarding a variety of questions concerning authorizations requirements, status and general information. Also have been mentoring new hires for intake coordinators
- Casebuild – determining if authorizations are required based on a variety of qualifications deemed necessary through the patients plan and or Highmark rules and following the steps to start an authorization for a provider or member.
- Triaging faxes- checking all pages of a incoming fax for member info, medical info before sending to the case build team and maintaining hippa accordance in the process.
- Comms- Calling providers and Members and updating them on the status of Prior authorizations
- Claire Lasoski 570-417-4281
- Jackie Swinton 412-626-0921
- Terry Williams 304-546-8379
Frontline Intake Coordinator
HighMark Health through Veteran’s Sourcing Group
04.2022 - 11.2022
- Triage faxes/Casebuild
- Brooke Bialkowski 646-452-4552
HWA Dispatcher
AIG through Veteran’s Sourcing Group
01.2022 - 04.2022
- Investigating Claims for Home Warranty of America.
- Brooke Bialkowski 646-452-4552
Assistant Director
Jaymes Christian Academy
09.2020 - 12.2021
- Tracks incident reports
- Track and files children’s medical records in accordance with state guidelines
- Administration and inventory control of state child care food program
- Tracks daily attendance via electronic records
- Schedules and administers tours for prospective parents
- Trains and develops junior teachers
- Increased parental involvement via increased communication
Management Assistant
The Village Learning Academy
05.2015 - 09.2020
- Acted as on-site manager in the absence of the Director and Assistant Director.
- Helped to run the center based on the rules and regulations put in place by the Department of Human Services.
- Oversaw the Child and Adult Care Food Program, completing and turning in monthly paperwork in relation to the program.
- Acted as Staff Development Coordinator 2 Education Teacher
Education
Early Childhood Care And Education
Motlow Community College
Smyrna, TNSkills
Adapted communication style to suit different scenarios, ensuring understanding and engagement
Timeline
Highmark health
11.2022 - Current
Frontline Intake Coordinator
HighMark Health through Veteran’s Sourcing Group
04.2022 - 11.2022
HWA Dispatcher
AIG through Veteran’s Sourcing Group
01.2022 - 04.2022
Assistant Director
Jaymes Christian Academy
09.2020 - 12.2021
Management Assistant
The Village Learning Academy
05.2015 - 09.2020
Early Childhood Care And Education
Motlow Community College