Mechelle Buckner
Brookhaven
Summary
Healthcare operations professional with experience supporting utilization review, insurance authorizations, patient enrollment, intake coordination, and follow-up across hospital, health plan, and outpatient settings. Skilled in EMR documentation, eligibility verification, and resolving time-sensitive payer and patient inquiries. Known for professionalism, accuracy, and compassionate communication in high-volume healthcare environments.
Overview
7
7
years of professional experience
Work History
Healthcare Operations & Intake Support Specialist
AWM – All Ways Managed
Philadelphia
09.2022 - Current
- Supported healthcare organizations with intake, admissions coordination, and follow-up workflows.
- Assisted in organizing and tracking patient inquiries, missed calls, and response activity to ensure that no inquiry was overlooked.
- Helped improve visibility for admissions and intake teams during high-volume, after-hours periods.
- Coordinated internal notifications and follow-up processes to support timely patient outreach.
- Maintained awareness of HIPAA-compliant communication practices.
- Collaborated with healthcare staff to streamline non-clinical operational tasks related to admissions and patient access.
Member Relations Representative
Jefferson Hospital / Health Partners Plans
Philadelphia
05.2024 - 10.2025
- Supported members with insurance benefits, eligibility verification, prior authorizations, and coverage determinations.
- Tracked and resolved authorization requests, denials, and documentation requirements from payers and providers.
- Coordinated with internal departments and provider offices to ensure the timely resolution of utilization-related inquiries.
- Documented all interactions accurately within EMR and health plan systems.
- Maintained strict adherence to HIPAA and regulatory compliance standards.
- Managed high call volumes while delivering clear, empathetic, and professional service.
Front Desk Representative
Planned Parenthood
Upper Darby
07.2018 - 08.2022
- Served as the first point of contact for patients, providing intake support, appointment scheduling, and registration assistance.
- Verified insurance coverage, eligibility, and payment information before services.
- Collected and documented patient information accurately within the EMR system.
- Coordinated patient flow and communicated with clinical staff to ensure efficient visits.
- Maintained patient confidentiality, and compliance with HIPAA and privacy standards.
- Provided compassionate, non-judgmental support in a fast-paced, sensitive healthcare environment.
Education
Associate Degree in Nursing -
Columbia Basin College
Pasco, WA08-2016
High School Diploma -
Chester High School
Chester06-2014
Skills
- Insurance Verification & Eligibility
- Prior Authorizations & Denials
- Utilization Review Support
- Patient Intake & Enrollment
- Admissions & Follow-Up Coordination
- EMR Documentation (Epic preferred)
- HIPAA & Regulatory Compliance
- Member Relations & Patient Advocacy
- Inbound & Outbound Call Handling
- Case Tracking & Documentation
Timeline
Member Relations Representative
Jefferson Hospital / Health Partners Plans
05.2024 - 10.2025
Healthcare Operations & Intake Support Specialist
AWM – All Ways Managed
09.2022 - Current
Front Desk Representative
Planned Parenthood
07.2018 - 08.2022
Associate Degree in Nursing -
Columbia Basin College
High School Diploma -
Chester High School