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Customer Service Quality Assurance

Location:
Covington, GA
Posted:
January 21, 2024

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Resume:

Kiyonna Radzik

Covington, GA *****+1-678-***-**** • ad2yrx@r.postjobfree.com

Professional Summary

A position in customer service or medical setting where I can maximize my customer service skills, supervisory abilities, and handle situations in a high volume atmosphere. Skills

Salesforce

Microsoft Outlook

Account Management

Business Development

POS

Documentation review

Customer service

Typing

Microsoft Excel

ERP systems

Microsoft Word

Office experience

Administrative experience

Microsoft Office

Hospital Experience

Process Improvement

Data Analysis

Managed Care

Medical Records

Quality Assurance

Quality Management

Databases

Research

Epic

Document Management

Microsoft Powerpoint

Pediatrics

Communication skills

Data entry

Organizational skills

HIPAA

Microsoft Publisher

Microsoft SharePoint

Project Management

Human Resources

Management

Leadership

Conflict management

Negotiation

ICD-10

PeopleSoft

Payroll

Medical records

SharePoint

Project management

Quality assurance

Data analysis skills

Document management

Work History

Credentialing Specialist, 01/2023 to Current

Cross Country Healthcare

Analyzing provider applications while verifying that required information is correct Collecting documents ensuring that they pass state and federal guidelines Handling provider time sheets and provider confirmations Handling direct deposit forms subcontract surveys and W9. Credentialing/Onboarding Specialist, 08/2022 to 12/2022 Applied ABC – Snellville, GA

Verifying provider documents meet requirements to complete the onboarding process Cross referencing with staffing to confirm information is adequate Sending various emails to providers

Handling CAQH, PandaDoc, Excel, SOP's, smartsheets and sharepoint. Customer Service Manager, 09/2016 to 01/2024

Burlington Coat Factory – Snellville, GA

Enhanced customer satisfaction by effectively addressing inquiries and resolving issues. Streamlined communication with clients for improved service experiences and increased loyalty. Maintained a high level of product knowledge, providing accurate information to customers. Collaborated with team members to achieve monthly targets and optimize workflow efficiency. Re Credentialing Specialist, 12/2018 to 08/2022

United Healthcare

As a re credentialing specialist, I ensure physicians and health care providers are following state guidelines which is needed in order to continue to receiving united healthcare patients I have NDB, CVONE and Salesforce knowledge

I also have a keen eye to detail which is needed in re credentialing / initial credentialing I also understand that different states have their own guidelines to follow, every state is very different and the laws that apply

Excel is also a skill that I have knowledge with as well as PowerPoint, Outlook and Word documents

I serve as a value member of United Healthcare Team, with various years under my belt. Customer Service Supervisor, 11/2011 to 07/2014

Ross Dress For Less

Resolved customer complaints

Supervised 10 or more sales clerks in a high volume operation Operated Point Of Sale, including cash and credit transactions. Customer Service Representative, 05/2009 to 07/2011 Barnes Givenski & Assoc

Answered phone calls and assisted customers

Took inquiries and forwarded them to the appropriate law partners Transcribed important case files and other pertinent documents Computer Data Entry.

Cook, 07/2008 to 08/2009

Darnell Center

Prepared & cooked meals

Hot line sever for high volume adult center

Assisted the chef with cutting, pre-cooking preparation, etc. Education

Associate's degree

Westwood College

Bachelor's: Business with a concentration in health management, 01/2015 Strayer University-Georgia - Lithonia, GA

High school diploma: Diploma, 09/2008

Continental Academy - Atlanta, GA

Certifications

Certified Provider Credentialing Specialist

DEA Certification

Personal Information

Willing To Relocate: Anywhere



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