Melissa Taylor
About Melissa Taylor
Melissa Taylor is a Claims Processor II at Anthem, specializing in Utilization Management for Behavioral Health since 2016. She has a background in Business Administration and extensive experience in customer service and claims processing.
Work at Anthem
Melissa Taylor has been employed at Anthem since 2014, where she has held multiple roles. She currently serves as a Utilization Management Representative I - Behavioral Health, a position she has held since 2016. In this role, she is responsible for coordinating cases for precertification and prior authorization review. Additionally, she has worked as a Claims Service Representative, managing incoming calls and post-service claims work. Her responsibilities include conducting clinical screening processes to determine contract and benefit eligibility and providing authorization for various service requests.
Education and Expertise
Melissa Taylor completed her high school education at Kaiserslautern American High School from 2002 to 2006. She pursued further studies in Business Administration and Management at Bryant & Stratton College from 2014 to 2016. Additionally, she attended ECPI College of Technology from 2008 to 2010, where she also studied Business Administration and Management. Her educational background supports her expertise in claims processing and customer service within the healthcare industry.
Previous Work Experience
Prior to her tenure at Anthem, Melissa Taylor gained experience in various roles. She worked at Vangent, Inc. as a Customer Service Claims Representative from 2008 to 2010. She also held a position as a Sales Floor Associate at New York & Company from 2013 to 2014. Earlier in her career, she served as a Manager in Training at Wilsons Leather from 2007 to 2008. These roles contributed to her skills in customer relations and claims management.
Key Responsibilities
In her role as Claims Processor II at Anthem, Melissa Taylor is responsible for developing and maintaining positive customer relations. She coordinates with various functions within the company to ensure timely handling of customer inquiries. Her duties include managing incoming calls, conducting clinical screenings, and referring cases requiring clinical review to Nurse reviewers. She also provides authorization for inpatient admissions and outpatient precertifications.