Customer Service Quality Assurance
Resume:
Lynette McQueen
Corona, New York 11368 P:718-***-****
**************@*****.***
SUMMARY:
Extensive customer service skills from government agencies to the travel industry. Professional demeanor.
Proficient in analyzing, organizing, evaluating procedures and documentation. Proficient in ICD9, CPT4,
Hospital Billing, Medical Terminology, and Lab Reports. Microsoft Word, and Excel
EXPERIENCE:
Catholic Health Services, Melville, NY 1999-2011
Patient Accounts Representative
• Reviewed, corrected and approved third party claims to submission to appropriate payers and;
generated new claims
• Verified insurance benefits
• Reviewed and edited billing rejections and corrected and resubmitted claims
• Followed up on outstanding accounts by telephone or mail
• Responded to requests for information and telephones inquiries related to billing and payments
• Followed established standards and procedures carefully
N.Y. S. Department of Social Services, New York, NY 1996-1998
Conversion Specialist
• Assessed case records for Foster Care division of Agency of Children Services
• Reviewed case records for quality assurance
• Searched for documented materials for case records to verify eligibility
• Coded information onto data transmittal sheet for entry on computer system
Private Jet, Buck Head, Georgia Flight Attendant 1993-1995
• Attended to passengers onboard aircraft
N.Y.C. Human Resources Administration 1987-1993
Eligibility Specialist II
• Interviewed applicants for Medicaid
• Assisted applicants with documentation and
applications
• Determined eligibility by obtaining and analyzing
information
• Applied federal, state, and city guidelines
• Input and processed data onto customized Welfare
Management computer system
EDUCATION: Graduation, March 2013
Grace Institute, New York, Business Skills Program
Molloy College, Certificate In Medical Billing
Long Island University, Sociology Courses
Bronx Community College, Education Courses
Contact this candidate