1. Melissa Cook
makress86@yahoo.com ● (336) 880 - 4356
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PROFILE
Melissa Cook is a patient-focused, service-oriented health educator. Over the past 10 years, Melissa
has navigated the ins and outs of the medical care industry and is now a customer service expert,
education representative, and in-person and virtual health care system trainer for employees and
end-users. She prioritizespersonal and professional development so that she may provide the best
service possible. Melissa is seeking an opportunity to continue developing and providing excellent
support in health systems.
SKILLS
Healthcare training creator, presenter
Empathetic, informed patient supporter
Website updater, manager
Detail-oriented project manager
Report analyzer, interpreter, deliverer
Strong communicator across
stakeholders
PROFESSIONAL EXPERIENCE
Fu Associates, Arlington, VA 2014 – 2016
Senior Analyst / Medicare Coverage Database (MCD) & National CoverageDatabase(NCD) Lead
Created and led monthly webinar providing critical end-user MCD training for 1,200participants
Managed complete facelift for two websites, including testing, leading testing team, and
providing feedback to development team, resultingin greatly improved and easy-to-use sites
Collaborated with Local Coverage Back End (LCBE) to receive Web Helpdesk inquiries;
independently managed website traffic reporting via GoogleAnalytics
Updated CPT/HCPCS codes for MCDdisplay on website, providing clear information for users
CGS Administration (Medicare), High Point, NC 2004
– 2014
Senior Provider Education Representative (2012 – 2014)
Created and led “New Provider Outreach” Series for CGS Administrators, including 16new
webinars over 2013-2014business year
Trained internal, external partnerson Medicare policy updates afterevaluating changes for
stakeholder impact
Studied and gathered data on denial statistics, legislation regulations, billinginformation for
trends in the Medicare process, later used to identify potential provider education opportunities
Telephone Re-openings Senior Customer ServiceRepresentative(2009 – 2012)
Adjudicated claims based on telephone requests for corrections whilefollowing claim
adjustment protocol fromCGS and the Center for Medicare & Medicaid Services
Processed claims through the MCS/MCSDT systemin order for claims to follow correct
payment pathways, if necessary
2. M. Cook | P. 2
Written CorrespondenceSenior Customer Service Representative (2006 – 2009)
Resolved customer problems utilizing provider/Congressional requests via letters and emails
Educated providers on Medicare policies and procedures, claimfiling instructions/status
information, providingreferences for further development and fasterimprovements
Senior Customer Service Representative (2004 – 2006)
Exceeded metrics set by the Centers for Medicareand Medicaid Services by an average of 25%
Provided strong customer service to Medicare recipients and service providersregarding
insurance coverage and billing questions
Developed trainingmaterials and mentored new employees, leading to several internal
promotions, saving company money and enhancing talent pipeline
PROFESSIONAL TRAININGS
5010, ICD-10Enterprise Awareness
Advancing ServiceExpertise
Business Writing
CIGNA Healthcare Annual Anti-Fraud
CGS – HealthCare Anti-Fraud, Security
Communicating For Results
Communication Skills for Leadership
Local Coverage Back End Database
System
Medicare Coverage Database System
MCSDT System
Microsoft Office
EDUCATION
University of North Carolina, Greensboro, December 2010
Bachelor of Arts, Public Health Education