Qa Analyst Customer Care

VenuKumari Chavakula

**** * ******** **** **, Sandy, UT 84070

Mobile: 801-***-**** **************@*****.***

EDUCATION:

Medical Coding and Billing Certification

Bachelor of Science

SKILLS:

Microsoft Excel, Word & Outlook

Programming language C

Self-motivated

Medical filing EHR

Business English

Customer Service

Medisoft

Keyboard WPM 50

10 Key 100 SPM

ICD- 9 Outpatient Coding

ICD-10 Outpatient Coding

CPT Coding

Medical Terminology

Anatomy

Pharmacology

Flexible and dedicated team player

EXPERIENCE:

I got laid off from Maximus Federal effective 1/23/2023. I am willing to join the new position asap. I worked on ACA for 7 years as a CSR in Tier 1 and Tier 2.

MAXIMUS FEDRAL CSR -1 operations 3/2022– 1/2023

Customer Care executive for CDC Info General Analyst

CSRs receive calls from public, doctors, clinicians, pharmacists, politicians and media. They ask

advice about vaccines for public or patients, dog importation, travel, all kinds of diseases for example

STD, HIV malaria, Polio, Covid, Shingles, Chicken pox all kinds of parasites.

Track and document all inquiries using the applicable systems.

Complete associated tasks according to the established guidelines.

Track and document all inquiries using the applicable systems.

Meet Quality Assurance and other key performance metrics.

Transfer or refer consumers to appropriate entities according to the established guidelines

Escalate calls or issues to the appropriate designated staff for resolution as needed

Attend meetings and trainings as requested

MAXIMUS FEDRAL TIER-2 Specialist 11/2018– 3/2022

Customer Care executive for ACA enrollment

Fill out consumer’s applications

Explain consumer’s eligibility results

Explain insurance benefits

Resolve data matching issues

I have finished Medicare Tier-1 Training

GENERAL DYNAMICS TIER-1 Specialist 07/2015—11/2018

Customer Care executive for ACA enrollment

Fill out consumer’s applications

Worked as a QA Analyst and evaluated agent performance, behavior, adherence to project business rules, policies, and provide feedback

Explain consumer’s eligibility results

Explain insurance benefits

Resolve data matching issues

MYRIAD GENETICS/ Salt Lake City 03/2014 – 06/2015

Prepare and mail patient statements

Scan and append patient medical records

Process credit card payments

Utilized Oracle based CRM and XIFIN Billing Applications

Billing Auditing

CERTICATIONS

ICD- 9 Outpatient Coding

ICD-10 Outpatient Coding

CPT Coding

CPC

Ref: ************@*******.***

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