Quality Assurance Coordinator - Maximus - Philadelphia, PA
(2021-07 - 2026-04)
- Responsible for monitoring, evaluating and directing staff members on the quality of work performed as measured against project standards, contractual requirements, and performance measures.
- Ensure activities are in compliance with both company QA standards and applicable contractual standards
- Remains up to date in policies and procedures for all operations, assists in developing new procedures, and updates existing procedures when changes occur.
- Assists in the production and update of staff resource materials including quick reference guide, knowledge portal, charts and workflows.
- Conduct quality assurance for completeness, accuracy, consistency and conformity
- Coordinate review activities as assigned by management and document the disposition of evaluation challenges
- Research and gather data for special studies
- Perform other duties as may be assigned by management
Part-time Receptionist - Pennypack Nursing and Rehabilitation Center - Philadelphia, PA
(2024-03 - 2026-03)
- Answering phones
- Allowing people in and out of the building
- Sorting the mail
- Greeting visitors
- Making sure everyone signed in and out
- Filing
- Faxing
- Providing family members resident's extensions
Bilingual Customer Service Representative - Independence Blue Cross - Philadelphia, PA
(2007-01 - 2016-11)
- Is responsible for providing prompt, accurate, and courteous responses to member and provider inquires pertaining to their claim's status, eligibility, benefit qualifications and requirements
- Is qualified to investigate documents, resolve claims issues, track developing problem trends, suggest all possible solutions, as well as advise management
- Is responsible for identification and research of problems in order to respond to customer's questions and/or complaints accurately and in a timely manner.
- Translated summary of benefits as well as benefit booklets for members from English to Spanish.
- Assisted Spanish speaking members with benefit, claims or billing questions in Spanish.
Bilingual Customer Service Representatives - The Signal Holdings - Newtown, PA
(2006-01 - 2007-12)
- Was responsible for providing prompt, accurate, and courteous responses to member and provider inquires pertaining to their phone insurance claims
Bilingual Customer Service Representatives - PECO Energy - Philadelphia, PA
(2005-01 - 2005-12)
- Was responsible for providing prompt, accurate, and courteous responses to member and provider inquires pertaining to electric bills
- Was qualified to investigate documents, resolve issues, track developing problem trends, suggest all possible solutions, as well as advise management
- Was responsible for identification and research of problems in order to respond to customer's questions and/or complaints accurately and in a timely manner.
