Medicare Care Coordinator & Benefits Consultant
Resume:
TRESSIE MCLENDON
Monroe, North Carolina 704-***-**** *****************@*****.***
CARE COORDINATOR AUTHORIZATIONS & REFERRALS PATIENT SCHEDULING
PROFESSIONAL SUMMARY
Hi, I'm Tressie McLendon. I bring 12+ years of customer service experience, along with a strong background in health insurance and supporting Medicare members.
My experience includes benefits and eligibility, prior authorizations, patient and member support, and explaining complex information in a way people can understand. I'm organized, dependable, and comfortable working in fast-paced environments while making sure every person I assist receives accurate, compassionate service.
CORE QUALIFICATIONS
Referrals & Authorizations • Insurance Eligibility & Benefits • Patient Scheduling • HIPAA / CMS Compliance • Medical Terminology • Epic • Sunfire • Jarvis • Genesis • Medicare Marketplace • MARx • Microsoft Office
PROFESSIONAL EXPERIENCE
Licensed Medicare Benefits Consultant — Clearview Insurance, Remote June 2025 – April 2026
●Guided Medicare beneficiaries daily through plan benefits, eligibility, coverage, and prescription options, explaining copayments, deductibles, and coverage rules in clear, patient-friendly language.
●Documented confidential health and enrollment information across Jarvis, Sunfire, and EvolveNXT in full compliance with HIPAA and CMS requirements.
Direct-to-Consumer Inside Sales Representative — Centene Corporation / WellCare, Remote October 2022 – March 2025
●Delivered high-volume support to Medicare beneficiaries on plan coverage, eligibility, benefits, and costs, reviewing member information for accuracy before finalizing enrollments.
●Maintained HIPAA and CMS compliance while documenting interactions in electronic systems and coordinating time-sensitive account records for a diverse member base.
Senior Benefits Consultant II — GoHealth, Remote June 2021 – August 2022
●Assisted Medicare beneficiaries with insurance coverage, eligibility requirements, and plan costs, researching member records in Marketplace and MARx to ensure accuracy.
●Promoted to Senior Benefits Consultant II within seven months; mentored new employees on systems, communication, and compliance expectations.
Residential Inside Sales Representative — Windstream, North Carolina August 2019 – June 2021
●Handled high-volume account support including billing, payment, and service inquiries, reviewing and documenting account information accurately.
●Resolved and de-escalated customer concerns while balancing multiple responsibilities to meet service and productivity goals.
Sales Associate — Food Lion, North Carolina May 2018 – July 2019
●Processed customer transactions and payments accurately in a fast-paced retail environment.
●Resolved routine customer concerns and supported daily store operations with reliability and professionalism.
EDUCATION
Bachelor of Arts in Communication — University of North Carolina at Charlotte, December 2018
LICENSE
North Carolina Health Insurance License — Active
Contact this candidate