Experience

UHealthSolutions

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Quality Assurance Specialist

  • Sep 2002 - Present

  • Comply with Regulations in accordance to the Health Insurance Portability Accountability Act of 1966 (HIPAA) as well as the Plan's Regulation's govern by the state of Massachusetts • Review and process requests for Reconsideration. Analyze the facts of each case and render a decision in accordance with applicable regulations, statues, and or policy. • Represent Prescription Advantage at Admin Review Hearings • Forward appropriate correspondence to members and/or to Executive Office of Elder Affairs (EOEA) as required • Perform internal audits of members enrollment files; and recommending, implementing, and documenting quality control and quality improvement initiatives • Attend and participate in and/or lead meetings • Extensively trained new and existing employees. • Clearly communicated objectives for all lessons • Worked with an average of 6 participants per class • Create training documents Show less



Commerce Bank

• Worcester, MA

• Bank Teller

  • Sep 2001 - Jul 2002

  • Assisted customer's through the drive up as well as in the lobby • Processed customers transactions, including deposits, withdrawals, money orders and checks • Organized and removed online banking files no longer in use • Organized, stocked and maintained the teller window area • Collected member loan payments • Sold cashier's checks, traveler's checks and money orders • Maintained friendly and professional customer interactions • Assisted customer's through the drive up as well as in the lobby • Processed customers transactions, including deposits, withdrawals, money orders and checks • Organized and removed online banking files no longer in use • Organized, stocked and maintained the teller window area • Collected member loan payments • Sold cashier's checks, traveler's checks and money orders • Maintained friendly and professional customer interactions



FAST LANE

• Auburn, MA

• Payment Clerk Processor

  • May 2001 - Aug 2001

  • Provided customer service via phone and in person • Handled incoming calls from clients to receive and post their payments as well as post payments that were received via mail or fax • Created a payment log system and a daily summary report for cash and checks as well as an individual log for each credit card payment method and match up the total amount to the report that is run at the end of the day • Translated in Spanish when asked upon • Provided customer service via phone and in person • Handled incoming calls from clients to receive and post their payments as well as post payments that were received via mail or fax • Created a payment log system and a daily summary report for cash and checks as well as an individual log for each credit card payment method and match up the total amount to the report that is run at the end of the day • Translated in Spanish when asked upon