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Customer Service Medical Records

Location:
East Orange, NJ
Posted:
April 02, 2024

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Resume:

SHAWNTA STACKS BRADLEY

*** ***** ******** **, **** Orange, NJ 07018

C: 646-***-**** E: ad4qp5@r.postjobfree.com

PROFESSIONAL SUMMARY

Dedicated and highly experienced professional with 12+ years of experience in customer service, office administration, and supervisory responsibilities. My computer skills include Microsoft Word, Excel, and Internet research.

EDUCATION & CERTIFICATIONS

College of New Rochelle – Bronx, NY

BA Liberal Arts with a concentration in Psychology

Maser in Public Administration- Present

PROFESSIONAL WORK EXPERIENCE

Centers Plan for Healthy Living Staten Island, NY

9/2017- Present G&A Senior Intake Coordinator

Scanning, faxing and filing highly confidential documents

Input all appeals and grievance as well as non par claim appeals via email and spreadsheet. Update the spreadsheet.

Downloading and printing medical records

Generating appeal and grievance letter

Logging events on accounts in workflow system

Adding notes to accounts in hospital patient accounting system

Packaging certified mail obtain signatures from recipients of registered or special delivery mail, direct incoming mail to correct depts.

Answer and refer calls, Input all same day sentry complaints from portal assigned to me enter and close.

Create and enter all Centrek complaints in CT and process same day ones

Prep and send out all Evidence Packet for Fair Hearings by UPS

Upload documents into member file in CT System, DOH and DFS complaints handle members and POA complaints

Prepare documents for new hire training and workshop assist with training when needed.

Affinity Health Plan Bronx, NY

11/2015-08/2017 Appeal Assistant

Scanning, faxing and filing highly confidential documents

Downloading and printing medical records

Generating appeal letter and grievance (transportation)

Packaging certified mail

Logging events on accounts in workflow system

Adding notes to accounts in hospital patient accounting systems

United States Postal Services Bethpage, NY 05/2012 – 10/2015 Clerk Floor Supervisor

Resolve customer complaints or answer customers' questions regarding policies and procedures.

Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.

Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.

Implement corporate or departmental policies, procedures, and service standards in conjunction with management.

Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.

04/2010 – 04/2012 Mail Clerk

Direct items according to established routing schemes, using computer-controlled keyboards or voice-recognition equipment.

Bundle, label, and route sorted mail to designated areas, depending on destinations and according to established procedures and deadlines.

Train new workers.

Distribute incoming mail into the correct boxes or pigeonholes.

02/2003 – 03/2010 Window Clerk

Keep money drawers in order, and record and balance daily transactions.

Weigh letters and parcels, compute mailing costs based on type, weight, and destination, and affix correct postage.

Obtain signatures from recipients of registered or special delivery mail.

Register, certify, and insure letters and parcels.

Sell and collect payment for products such as stamps, prepaid mail envelopes, and money orders.



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