Michele McPherson
Chesapeake
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure my experience and knowledge.
Skilled in adapting to new situations and challenges to best enhance the organizational brand.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Security Event Staff Member
Allied Universal Security Services
08.2024 - Current
- Continuously further personal knowledge of industry best practices through networking with seasoned security professionals.
- Help maintain an incident-free record at multiple venues by vigilantly enforcing rules and regulations among patrons consistently.
- Assisted in the successful execution of numerous events, providing exceptional customer service to attendees.
- Implemented crowd control strategies effectively, managing large groups during high-traffic periods at events.
- Ensured crowd safety by effectively implementing and monitoring entry procedures and access control points.
- Greeted guests professionally and courteously to cultivate welcoming atmosphere while making safety top priority.
- Communicated with security team and building supervisors using two-way radios, mobile phones and other technological devices.
Network Data Specialist II
Anthem Health Services
03.2021 - 04.2024
- Ensured compliance with industry standards while maintaining data integrity through strict compliance with network and contacted protocols
- Exceeded and met company production and quality requirements- 118 daily minimum
- Verified data updated across multiple databases per system needs
- Trained coworkers to resolve issues and improve processes
- Quarterly performance recognition
- NDS II promotion 12/2022
Fear Front End Audit Review
Anthem Health Services
03.2019 - 11.2020
- Reviewed high volume claims for accurate and complete information to ensure timely processing based on company standards and guidelines
- Policy and procedure guideline development
- Completed 500-900 claims daily
- Generate reports and correspondence
- Department eliminated
Utilization Management Representative II/ Precertification
Anthem Health Services
02.2015 - 06.2017
- Managed high call volume including triage, opening of cases and authorizing sessions
- Responds to telephone and written/fax inquiries from clients, providers and in-house departments
- Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests
- Entered incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for precertification and/or prior authorization
- Quarterly performance recognition
Education
General Studies -
Tidewater Community College
Skills
- High-Volume Data Processing
- Comprehensive System Knowledge
- Reliable Quality Contributor
- Crowd management
- Access control
- Ticket checking
- Guest screening
- Team player
- Problem-solving
- Time management
- Reliable and responsible
- Attention to detail
- Adaptable and flexible
Certification
DCJS Certified.
Timeline
Security Event Staff Member
Allied Universal Security Services
08.2024 - Current
Network Data Specialist II
Anthem Health Services
03.2021 - 04.2024
Fear Front End Audit Review
Anthem Health Services
03.2019 - 11.2020
Utilization Management Representative II/ Precertification
Anthem Health Services
02.2015 - 06.2017
General Studies -
Tidewater Community College
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