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Customer Service Quality Assurance

Location:
Oakland, CA, 94579
Salary:
open
Posted:
November 20, 2012

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Resume:

EDWINA YAMAT

**** * ***** ***,

San Leandro, CA. 94579

E-mail: odsc79@r.postjobfree.com

Phone: 510-***-****

Experience

LIBERTY HEALTH SERVICES/HANGER April 2008 - November 2012

TOTAL CARE

BILLING MANAGER/ OFFICE

ADMINISTRATOR BILLING

COLLECTIONS

Assist in Processing all Billing Transactions. Issue Billing Adjustments and Validate Refund

n

Checks.

Interface with the Internal Billing Department and Customer Inquires.

n

Oversee and Streamline Billing and Collection Process.

n

Implement Quality Assurance and Compliance for all Medicare and Medicaid orders.

n

Personnel Development, Staff Meetings, Quality Assurance and Team Building.

n

APRIA HEALTHCARE November 1995 - March 2007

CUSTOMER SERVICE LEAD/

CUSTOMER SERVICE SUPERVISOR/ RQ

SUPERVICSOR

Responsible for the day to day operations of Kaiser Contract Orders.

n

Follow up with Patients and Referrals questions and issues.

n

Provide Customer Service Training and Assistance.

n

Develop, Coordinate, Implement, Track and Evaluate Process Workflow for the

n

Department.

Responsible for Hiring, Coaching, Performance Appraisal of Staff in the Department.

n

Provide Directions and Guidelines in work assignments.

n

Ensure timely and accurate completion of Task. Supervise both Customer service and

n

Revenue Qualification Dept.

Train and Monitor orders and phone calls. Respond to Referrals and Patients complaints.

n

Review Daily, Weekly and Monthly Medicare, Medicaid communications relating to

Benefits and Classifications and Changes to Staff.ly

Assemble Training Guidelines and maintain quality improvement for the existing staff. Set

n

Unit production goals and assign work on a daily basis for a High Quality Customer Service

and Revenue Qualification

Conduct Department meetings and Inservices to Ensure all orders are handled properly in

n

accordance to Medicare, Medicaid and Managed Care guidelines. Produce Weekly and

Monthly Report.

MULTI-CARE October 1989 - November 1995

DIRECTOR OF SALES

Coordinate the entire staff and its sales goal.

Assists sale staffs in cold calls and scheduled appointments.

Inservice the department with medi-care and medicaide in regards to compliance.

Responsible for $10,000 new sales monthly.

Assure and maintain high quality revenue qualification with the billing department.

BLUE CROSS OF CALIFORNIA February 1983 - September 1989

SYSTEM PRINTOUT CLERK/ CUSTOMER

SERVICE/ PROCESSOR

Participated in the process of Improving and assisted in the development of the System.

n

Provide Training and Assistance in the Department.

n

Evaluate Workflow for the Unit.

n

Process claims for AT&T

n

Answer Phone calls regarding claims and questions from Referrals and Physicians

n

Education Philippine Womens University/ March 1972 - September 1976

Philippine School of Business

Administration Manila Philippines

Business Administration Major in

Banking and Finance

25 years experience in Medical Biller, Customer Service,AR Collections and Medicare and

n

Medicaid Compliance.

Reference available upon request



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