Open to opportunities

Tehisha McCoy

@tehishamccoy

Healthcare customer service professional specializing in utilization management, prior authorizations, and accurate case resolution in high-volume calls.

United States

Message

What I'm looking for

I’m looking for a healthcare role in a fast-paced environment where I can handle high-volume member/provider requests, complete compliant prior authorizations, and collaborate with clinical teams to resolve complex cases accurately and empathetically.

I’m a healthcare customer service professional with utilization management experience supporting members and providers in high-volume call center environments. At ELEVANCE HEALTHCARE INC, I handled 50+ inbound calls daily, managed prior authorizations, claims, and case status, and reviewed authorization requests while ensuring compliance with healthcare policies and guidelines.

I verify member eligibility and coverage, document detailed case notes in real time, and escalate complex cases to clinical staff to coordinate fast, accurate resolution. Before that, I built strong customer support skills through caregiver/personal assistant work and customer service roles that required clear communication, reliable follow-through, and accurate recordkeeping.

Experience

Work history, roles, and key accomplishments

Utilization Management Rep

Elevance Health Inc

Apr 2023 - Dec 2025 (2 years 8 months)

Handled 50+ high-volume inbound calls daily from members and providers regarding prior authorizations, claims, and case status. Reviewed authorization requests, verified eligibility/benefits, documented case notes in real time, and escalated complex cases to clinical staff to support compliant resolutions.

Utilization Management Prior Authorizations Claims Processing Eligibility Verification Case Documentation Healthcare Compliance Customer Service Call Center Support

Caregiver / Personal Assistant

Synergy HomeCare

Apr 2022 - Sep 2022 (5 months)

Assisted clients with daily living activities, appointments, and errands while maintaining compassionate, reliable support. Managed schedules and ensured timely transportation to appointments.

Caregiving Appointment Management Scheduling Transportation Coordination client support Reliability

Instacart Shopper & Delivery

Instacart

May 2022 - Jul 2022 (2 months)

Shopped and delivered customer orders accurately and efficiently while providing customer-focused service. Communicated with customers about substitutions and order updates to ensure a smooth delivery experience.

Order picking Delivery Driver Support Customer Communications Time Management Service Orientation

Customer Service & Quality

RBC Heim Bearings

Jan 2019 - Jan 2020 (1 year)

Assisted customers via phone and email with order status, product inquiries, and issue resolution. Managed delayed or past-due order concerns to prevent cancellations while maintaining accurate records and timely communication.

Customer Service Order Status Support Order Inquiries Email Support Customer Communications Record keeping Problem Solving