Customer Service Quality Assurance
Resume:
Javed A Burnett
**** **** ** ******, ********, NY 11236
TH
accdur@r.postjobfree.com
Detail oriented coordinator with extensive experience in maintaining detailed medical billing records. With excellent
organizational, analytical, communication and customer service skills, I have the ability to take initiatives and solve various
problems. In search of a new opportunity that utilizes my knowledge and skills to an amazing new position.
EXPERIENCE
Affinity Health Plan 06/2013 - Present
Customer Service Representative
• Kept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions
taken.
• Conferred with customers by telephone or in person to provide information about products or services, take or enter orders,
cancel accounts, or obtain details of complaints
• Referred unresolved customer grievances to designated departments for further investigation.
• Kept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions
taken.
• Completed contract forms, prepare change of address records, or issue service discontinuance orders, using computers.
• Obtained and examine all relevant information to assess validity of complaints and to determine possible causes, such as extreme
weather conditions that could increase utility bills.
• Maintained working knowledge of current products in order to provide efficient service to customers and any questions
presented.
VIP Certified Health Services, Brooklyn, N.Y 5/2012 - 10/2012
Business Service Coordinator (Temp)
• Entered information for patient, transcribed medical record information for HHA evaluation of cases.
• Maintains customer information regarding questions and problems that arise with billing needs, medical records.
• Manages data entry into computerized system in a timely manner as needed, assisting with processing billing for medical needs
and managed care organizations.
• Researches, re-submits, and monitors claims and request appeals according to company guidelines to ensure quality assurance for
all clients, agents and patients.
• Follow-up as needed to ensure all information from our various customers is understood and executed correctly.
• Created and maintained job file folders for all clients, records for referrals and transfers.
• Evaluated all insurance documentation in cooperation with managers to ensure accuracy and quality documentation.
Personal Touch Homecare, Brooklyn, N.Y 2/2008 - 3/2012
Intake Coordinator
• Create and implement statistical reports for management for specialized home placements, utilizing spreadsheets software.
• Managed the intake and data entry of information relating to Managed Care and hospice organizations.
• Coordinated with aids to schedule appointments, answering billing questions and managing all patient medical records.
• Verified referral sources, families, patients, data entry of aide notes, medical record duties, insurance verification, and follow-up
with patients.
• Contacted various providers for information that includes, but is not limited to, initial clinical information, verification of
discharge, and referral information.
• Managed intake from managed care organizations including determination of correct product and payer source, confirming
accuracy of billing documents.
• Demonstrated skills in communicating with all third party payers and patients to facilitate claim processing and payment.
Javed A Burnett
1053 East 85 Street, Brooklyn, NY 11236
TH
accdur@r.postjobfree.com
Contact this candidate