Chelesa Brown
Pineville
Summary
Organized Group Service Representative with strong background in coordinating and managing group services across diverse industries. Known for exceptional customer service skills, problem-solving capabilities, and ability to maintain strong relationships with clients. Proven track record of implementing efficient processes that enhance client satisfaction and team productivity. Committed to maintaining high standards of accuracy, compliance, and quality control in all assigned tasks.
Overview
1
1
Language
16
16
years of professional experience
Work History
Group Service Specialist
Bluecross Blueshield of Louisiana
Alexandria
11.2025 - Current
- Assisted members with inquiries regarding health plans and benefits.
- Processed claims efficiently using internal software systems.
- Collaborated with team to resolve escalated member issues promptly.
Prior Authorization Specialist
Southeast Health Medical Center
Dothan
08.2022 - 10.2025
- Reviewed and processed prior authorization requests for medical procedures and services.
- Collaborated with healthcare providers to gather necessary documentation for approvals.
- Communicated with patients regarding authorization status and required information.
- Utilized electronic health record systems to track authorization requests efficiently.
- Ensured compliance with insurance guidelines and regulatory requirements consistently.
- Assisted in training new staff on prior authorization processes and protocols.
- Participated in departmental meetings to improve workflow and communication strategies.
- Maintained accurate records of all prior authorizations for auditing purposes.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
Sales Associate
Belk
Dothan
12.2021 - 02.2022
- Assisted customers with product selection and inquiries.
- Maintained cleanliness and organization of the sales floor.
- Restocked shelves and ensured product availability.
- Operated cash register and processed customer transactions.
- Collaborated with team members to enhance customer service experience.
- Trained new associates on store policies and procedures.
- Managed inventory levels and reported discrepancies to management.
- Helped customers find specific products, answered questions, and offered product advice.
- Greeted customers and provided exceptional customer service.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
- Handled customer complaints in a professional manner.
- Answered incoming telephone calls to provide store, products and services information.
- Maintained cleanliness of store environment including floors, windows, displays.
ER Registration Representative
Dale Medical Center
Ozark
06.2020 - 08.2021
- Collected and verified patient information for accurate registration.
- Greeted patients and families upon arrival to the emergency department.
- Assisted patients in completing necessary paperwork during registration process.
- Entered patient data into electronic health record system efficiently.
- Collaborated with medical staff to ensure smooth patient flow in the ER.
- Responded to inquiries regarding insurance and payment options clearly.
- Maintained confidentiality of patient information in compliance with regulations.
- Maintained patient confidentiality in accordance with HIPAA regulations.
- Processed credit card payments accurately per company policy.
ER Registration Representative
Flowers Hospital
Dothan
01.2018 - 11.2018
- Greeted patients and families upon arrival to the emergency department.
- Collected and verified patient information for accurate registration.
- Assisted patients in completing necessary paperwork during registration process.
- Entered patient data into electronic health record system efficiently.
- Collaborated with medical staff to ensure smooth patient flow in the ER.
- Responded to inquiries regarding insurance and payment options clearly.
- Maintained confidentiality of patient information in compliance with regulations.
Unloader
Walmart
Morganfield
01.2016 - 05.2016
- Unloaded merchandise from delivery trucks efficiently.
- Organized stock in designated areas for easy access.
- Inspected items for damage before placement on shelves.
- Followed safety protocols to ensure a secure work environment.
- Maintained cleanliness and organization in unloading zones.
- Loaded and unloaded packages from loading dock to trucks.
Sales Associate
JCPenney
Dothan
06.2014 - 02.2015
- Assisted customers with product selection and inquiries.
- Maintained cleanliness and organization of the sales floor.
- Restocked shelves and ensured product availability.
- Operated cash register and processed customer transactions.
- Collaborated with team members to enhance customer service experience.
- Trained new associates on store policies and procedures.
- Implemented visual merchandising standards for optimal product display.
- Managed inventory levels and reported discrepancies to management.
- Helped customers find specific products, answered questions, and offered product advice.
- Greeted customers and provided exceptional customer service.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
- Handled customer complaints in a professional manner.
- Answered incoming telephone calls to provide store, products and services information.
- Maintained cleanliness of store environment including floors, windows, displays.
Sales Associate
DollarTree
Dothan
09.2010 - 06.2014
- Assisted customers with product selection and inquiries.
- Maintained cleanliness and organization of the sales floor.
- Restocked shelves and ensured product availability.
- Operated cash register and processed customer transactions.
- Trained new associates on store policies and procedures.
- Managed inventory levels and reported discrepancies to management.
- Helped customers find specific products, answered questions, and offered product advice.
- Greeted customers and provided exceptional customer service.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
- Handled customer complaints in a professional manner.
- Answered incoming telephone calls to provide store, products and services information.
- Maintained cleanliness of store environment including floors, windows, displays.
- Restocked shelves as needed to ensure sufficient inventory levels.
Education
Northview High School
Dothan, ALSkills
- Prior authorization processes
- Medical documentation review
- Insurance compliance
- Electronic health records
- Patient eligibility verification
- Workflow optimization
- Healthcare communication
- Customer service excellence
- Detail orientation
- Problem solving
- Training coordination
- Effective communication
- Conflict resolution
- Utilization review experience
- Precertification requirements
- Patient confidentiality compliance
- ICD-10 coding
- Medical terminology knowledge
- Insurance procedures
- Quality assurance practices
- Authorizations
- Prior authorization process
Languages
English
Professional
Timeline
Group Service Specialist
Bluecross Blueshield of Louisiana
11.2025 - Current
Prior Authorization Specialist
Southeast Health Medical Center
08.2022 - 10.2025
Sales Associate
Belk
12.2021 - 02.2022
ER Registration Representative
Dale Medical Center
06.2020 - 08.2021
ER Registration Representative
Flowers Hospital
01.2018 - 11.2018
Unloader
Walmart
01.2016 - 05.2016
Sales Associate
JCPenney
06.2014 - 02.2015
Sales Associate
DollarTree
09.2010 - 06.2014
Northview High School