Quadira Mcneill

Skills:

●Communication skills

●Customer service

●Care Navigator

●Intake Specialist

●Intake Experience

●Infusion Experience

●Social Work

Professional Experience:

Novartis - East Hanover, NJ

Care Navigator

October 2022 - July 2023

●Handle complex interactions and/or cases as it pertains to navigating insurances and financial assistance

●Ongoing case management once a patient is prescribed a Novartis therapy which includes, but is not limited to phone-based outreaches, case documentation, sending communications and answering questions.

●Handle complex interactions and/or cases as it pertains to navigating insurances and financial assistance

●Prepare proper documentation, and notifications; perform proper escalation, tracking, and follow-up

●Identifying Potential Adverse Events and following all protocols to support the team for patient assistance.

Nextron Home Infusion - Fairfield, NJ

Benefits Specialist

January 2022 - May 2022

●Takes Infusion Therapy referrals from referral sources.

●Ensures that all intake forms are complete, clear and within Amerita’s scope of service.

●Obtains authorizations and re-authorizations as required by payers.

●Enters patient demographic, insurance and authorization information into the computer system.

●Communicates with other departments regarding the status of referrals.

●Notifies patients/families regarding coverage and payment responsibilities.

●Understands which insurance companies have active contracts with Amerita.

●Ensures that insurance verification is completed and authorization is in place prior to giving the referral to a Pharmacist.

●Maintains confidentiality of patient and proprietary information.

Kessler for Rehab - West Orange, NJ

Case Manager

May 2019 - May 2021

●Set-up a patient schedule and make any updates as needed.

●Updated patients medical records.

●Verified patients insurance and eligibility.

●Obtain and track authorizations.

●Collect copay and prepare daily bank deposits for over the counter cash.

●Answering telephone, faxing, filing documentation, etc.

●Assisted Therapist as needed for general clinic maintenance and upkeep on patient cases.

Conduent - Secaucus, NJ

Customer Service Representative

October 2017 - July 2018

●Responds to telephone inquiries regarding client benefits.

●Responsible for the day -to-day service and administration of benefit plans for assigned clients using established procedures and detailed instructions.

●Communicates appropriate options for resolution in a timely manner.

●Informs customers about the services available and assess customer needs.

●Performs benefit calculations where required.

●Maintains benefits member database.

●Prepares benefit statements and year-end update of benefit records.

●Provides basic advice and guidance to clients or plan members.

●Assists employees in the completion of appropriate forms, calculation of benefits or premiums.

●Liaises with actuarial staff, senior consultants or senior administrator/manager, as well as trust company and insurance company representatives.

●Monitors priority of calls and shifts escalated calls to assure resolution to problems.

●Prepares standard reports to track workload, response time and quality of input.

●Coaches and advises less experienced administrators.

Gallo Wines - Elizabeth, NJ

Customer Service Representative

September 2014 - September 2017

●Reviews and approves daily all orders, credit issues and invoices.

●Reviews and monitors daily processes to ensure accurate processing of customer orders.

●Monitors and documents issues with accounts regarding delivery, credits or orders.

●Coordinates the resolution of issues with the sales division and delivery department regarding customer credit, service or delivery.

●Reviews and approves product pick up and exchanges.

●Reviews and approves financial adjustments.

●Monitors priority of calls and shifts escalated calls to assure resolution to problems.

●Prepares standard reports to track workload, response time and quality of input.

●Coaches and advises less experienced administrators.

●Answered customer questions about orders, order history and payments.

●Investigated and resolved customer delivery and pricing issues as they arose.

●Ensured a thorough investigation of each issue and handled in a timely manner.

●Partnered and collaborated with Sales, Credit, and Warehouse Departments to convey information and resolved customer inquiries and complaints.

HelloFresh - Newark, NJ

Customer Care Specialist

June 2015 - October 2016

●Assist customers through phone, email and live chat.

●Reply to inquiries via telephone, email and live chat.

●Use available resources efficiently to assess the customer's issue and recommend valid solutions.

●Escalate unresolved issues to the appropriate Program Manager or supervisor.

●Record details of each customer interaction and any actions taken.

●Follow up on any customer issues requiring additional research.

●Maintain adequate knowledge of all internal software and systems.

Jimmy Jazz - Secaucus, NJ

Customer Service Representative

November 2013 - July 2014

●Attracted potential customers by answering product and service questions; suggesting information about other products and services.

●Opened customer accounts by recording account information.

●Maintained customer records by updating account information.

●Resolves product and service problems by clarifying the customer's complaint, determining the cause of the problem, selecting and explaining the best solution to solve the problem; expediting correction or adjustment, and followed up to ensure resolution.

●Recommend potential products or services to management by collecting customer information and analyzing customer needs.

●Prepared product or service reports by collecting and analyzing customer information.

●Contributed to team effort by accomplishing related results as needed.

Syms Corporation - Secaucus, NJ

Customer Service Representative

April 2011 - October 2013

●Handled the processing, distribution, accuracy verification and maintenance of invoices.

●Interfaced extensively with a nationwide network of vendors and suppliers.

●Assisted buyers with the preparation and tracking of purchase orders.

Education:

High School Diploma

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