Customer Service Quality Assurance
Resume:
Clarissa J. Olinde
*********@***.***
Baton Rouge, LA 70814 mobile: 225-***-****
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OBJECTIVE: To obtain a position as an Intake Coordinator.
EDUCATION: Southern University an A & M College
Bachelor of Science in Family and Consumer Science,
December 2007
SPECIAL SKILLS: Proficient in case management, project management,
and quality assurance.
Highly skilled in Microsoft Office and in written and oral
communication; excellent organizational skills; maintain a
high level of professionalism and confidentiality.
EXPERIENCE:
Affiliated Computer Services, Inc., Baton Rouge, LA
Project Analyst, January 2008- present
. Conducted long-term care assessments for individuals with
special needs and the terminally ill
. Analyzed and recorded imminent risk indicators
. Database management of confidential personal health
information for the State of LA and Medicaid
. Provided customer service assistance to public and private
health care entities
. Determined Medicaid eligibility
. Composed comprehensive plans of care for Medicaid
recipients
Summit Consulting Inc., Baton Rouge, LA
Assistant Case Manager, November 2005-January 2006
. Obtained healthcare intake information
. Investigated and resolved Medicaid service complaints
. Applied Medicaid regulations and written guidelines
. Performed administrative and clerical editing of records
. Corresponded in writing to inquiries and service complaints
. Communicated public health information and assistance to
local and state agencies
. Liaison for local community resources
. Developed quarterly and monthly reports
Blue Cross Blue Shield of Louisiana, Baton Rouge, LA
Benefits Specialist May 1996 - October 2005
. Processed and adjusted insurance claims for beneficiaries
. Provided customer service assistance to local and national
health care entities
. Database management of personal health information
. Analyzed Medical ICD-9 and CPT4 Codes
. Clerical and administrative duties: filing, copying, and
faxing
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