Care Coordinator - Horizon BCB - NJ
(2026-01 - 2026-05)
NJ HEDIS
- Close Care Gaps: Conducted targeted outreach to members and providers to schedule overdue screenings, successfully closing HEDIS gaps for chronic conditions.
- Data Abstraction: Reviewed and abstracted clinical data from EHR systems to ensure 100% accuracy in HEDIS reporting and NCQA compliance.
- Provider Liaison: Educated medical offices on HEDIS coding (ICD-10/CPT) and documentation requirements to improve quality scores.
- Audit Readiness: Managed medical record retrieval and validation processes to ensure seamless year-end HEDIS audits.
- Member Advocacy: Coordinated care plans for high-risk members, removing barriers to care and improving overall health outcomes.
- Technical Proficiency: Leveraged Excel and quality management software to track real-time compliance metrics and report progress to leadership.
CSR - Maximus - NJ
(2025-09 - 2026-01)
- Member Assistance: Answered high-volume inquiries regarding healthcare marketplace enrollment and plan benefits.
- Data Entry: Documented all caller interactions and tracked inquiries using computerized CRM systems with high accuracy.
- Case Navigation: Facilitated online applications and referred complex issues to appropriate departments or leadership for resolution.
- Regulatory Compliance: Adhered to strict HIPAA privacy rules and standard operating procedures during every contact.
Customer Care Representative - BetMGM Casino - Jersey City NJ
(2024-10 - 2025-02)
Temp Position Via Robert Half
- Received and assisted calls, chats and emails regarding players' account queries
- Provide accurate information and support to players regarding games, promotions, accounts, and technical issues
- Showed total respect and courteous demeanor throughout all communication.
Credentialing Specialist - Robert Wood Johnson Hospital - Somerset NJ
(2023-10 - 2024-01)
Temp Position Via Robert Half
- Conduct research on updated state and federal regulations and policies
- Responded promptly and professionally to customer inquiries via live chat and email
- Provided resolutions to inquiries regarding sports bets and event
- Release information to requesting agencies and public inquiries when required by law
- Help develop internal credentialing processes
Data Entry Specialist CSR - Optum Behavior Health - Atlanta GA
(2022-03 - 2023-06)
- Review and edit member information for enrollment
- Check and complete orders for additional errors or duplicate information before submitting final request
- Flag records for errors and forward to customer service team
- submit final member benefit request after errors have been resolved
Enrollment Specialist - Stride Health - Atlanta GA
(2021-02 - 2021-06)
Temp
- Review and edit member information for enrollment
- Check and complete orders for additional errors or duplicate information before submitting final request
- Flag records for errors and forward to customer service team
- submit final member benefit request after errors have been resolved
- Enrolled perspective members and families for health care with Stride Health
Core Assembly Transmitter/ Receiver Technician - Power Magnetics - Trenton NJ
(2021-07 - 2021-09)
Temp
- Assembled Transmitters and receivers for commercial use via pick slips
- Checked for quality of finished legs and blocks
- assembled transformers and reactors
- tested for for mistakes through out full production
- Set for shipping
Shipper/ Packer/ Receiver - KSI Imports - South Plainfield NJ
(2020-01 - 2020-03)
Laid off to COVID
- Picked and Packed car parts sold Via RockAuto via pick slip
- Assured materials were not flawed in any way
- processed the parts via Internal software
- Logged all completed orders and fixed any errors notified via customer service
- Received all shipments for in house stock
Material Logistics, Inventory Clerk - Transtar Industries - Newportville PA
(2020-10 - 2021-02)
- Worked with an in-house sales team to improve the processing of customers orders.
- Manage the process of scheduling the repair and maintenance of the organization's vehicles involved in product transport.
- Processed client payments
- Monitored cargo movement processes. Processed expense reports and fuel cards
- Used company software to track product shipments across multiple channels.
- Maintained accounts receivable and generated Aging Reports, trained new and current employees
