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Customer Service Medical

Location:
Washington, DC
Posted:
February 06, 2014

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Resume:

[Phone number]•[E-mail address]

[Your Name]

**** *. *******, *******, ** 60649•773-***-****•****************@*****.***

Sharnese D. Bradford

Objective

To obtain a challenging position that allows me to grow professionally as well as use my skills to assist in

advancing the business.

Experience

December 2012/Present

Apple One (Maximus) Chicago, Il

Long Term Care Eligibility Specialist

Utilizing knowledge and through understanding of state policy Medicaid programs and complying with

all applicable laws and regulations (HIPAA, PII, etc specializing in Long term care and providing aid

to the Aged Blind and Disabled

Review cases assigned and generate redetermination letters requesting documentation to effectively

make a recommendation

Make follow up calls to recipients, nursing homes, and Power of Attorneys for any missing information

as well as act as a liaison between the client and the case workers

Review documents received by the clients including all documents requested and are acceptable within

policy guidelines

02-2010/10-2012

University of Chicago (NORC) Chicago, Il

Production Clerk

Spoke with various health care providers to obtain children medical records

Updated all medical information into the electronic data base and maintained records

Faxed proper documentation to the appropriate health care facilities

08-2007/03-2010

Thomas Burdelik and Associates Chicago, Il

L egal Clerk

Spoke with various clients regarding court cases

Maintained the up keeping of all files for the office (scanned, copied and faxed document)

Prepared documentation for court cases and filed them at the court offices

06-2004/ 08-2007

Sears Logistic Services Naperville, Il

Customer Service Supervisor

Took escalated phone calls from irate customers

Interviewed potential call center candidates and provided new hire training

Monitored a team of 20 reps assuring all monthly goal were met, and set action plans into place

Education

09-2005/12-2009

DePaul University Chicago, Il

Bachelors of Biology

Minor in Business Administration



Contact this candidate