Chaunsa Bussey
Westampton,NJ
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
19
19
years of professional experience
Work History
Managed Care Coordinator
Horizon NJ Health
Hopewell, NJ
08.2017 - 09.2023
- Remotely acted as first point of contact for HNHJ members.
- Monitored performance metrics related to claim processing, timeframes, denial rates while ensuring adherence to established standards.
- Performed outreach calls and collected non-clinical and clinical data.
- Managed provider changes from Federally Qualified Health Centers
- Collaborated with departments across the organization on projects related to managed care initiatives.
- Liaised with Care Case Management to develop comprehensive patient care plans and provide highest quality of care.
Health Benefits Coordinator
Xerox/Conduent/NJ Family Care
Lawrenceville, NJ
04.2013 - 08.2017
- Administered and coordinated health benefits according to state guidelines and policies
- Acted as a liaison between clients and state regulators
- Assisted clients with healthcare coordination while maintaining confidential and personal information
- Provided support in one or more specialized functions of benefit administration
- Completed data entry of applications, handle calls and evaluate plans
- Efficient financial planning for customers communication and entertainment needs.
Sales Consultant
Verizon Enterprise Solutions
Hamilton, NJ
12.2004 - 04.2013
- Used consultative sales techniques to understand customer needs and recommend relevant products and services.
- Responsible for direct sales of Verizon products and services to residential customers
- Operated within an intensive sales environment along with challenging objectives
- Assisted customers with service requests, processed payments, handled inquiries regarding products, rates and policies
- Provided technical support and built rapport with customers while adhering to guideline and regulations
- Stayed knowledgeable on latest entertainment innovations and technological advancements through continuous training.
Education
Labor Relations
Rutgers Univeristy
New Brunswick, NJSkills
- Strong Organization
- Performance and Risk Management
- Customer Relations
- Decision-Making
- Experienced in account maintenance, problem solving, and trouble shooting
- Skillful in time management and multi-tasking
- Data Entry
- Benefits Administration and Member Eligibility
Timeline
Managed Care Coordinator
Horizon NJ Health
08.2017 - 09.2023
Health Benefits Coordinator
Xerox/Conduent/NJ Family Care
04.2013 - 08.2017
Sales Consultant
Verizon Enterprise Solutions
12.2004 - 04.2013
Labor Relations
Rutgers Univeristy
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