Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Skillsandtechnologies
My strengths
Timeline
Generic
Atif Adeem

Atif Adeem

recreational director
NY

Summary

With over 15 years of experience in account management, problem-solving, and workflow optimization, this client and customer service professional excels in delivering exceptional results. Keen attention to detail, critical thinking skills, and expertise in leveraging tools like Microsoft Office Suite and Salesforce have consistently improved operational efficiency. Highly skilled in training, quality assurance, and process improvement, ensuring flawless execution of all aspects of customer service.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Senior Commercial Service Representative

Health first
08.2016 - Current
  • Deliver high-quality member, broker, and provider support via phone, chat, video call, and email communication
  • Resolve complex inquiries and escalations, consistently meeting departmental productivity and quality standards
  • Train new hires, facilitate cross-training sessions, and provide refresher courses for team members
  • Identify and resolve performance and quality issues, recommending and implementing process improvements
  • Accurately interpret and process medical billing codes, ensuring claim accuracy and compliance with HIPAA regulations
  • Collaborate with Quality Assurance and Senior Management to address trends, improve performance, and enhance workflows
  • Successfully spearheaded initiatives to improve training efficiency and team productivity
  • Consistently commended for delivering outstanding customer service and operational expertise

Repair/Customer Service Specialist

XPO Logistics
06.2011 - 08.2016
  • Managed a high-volume workload, resolving 150+ inquiries weekly while supporting speed, accuracy, and quality benchmarks
  • Served as the lead mentor/trainer for new and established employees, ensuring consistent team development
  • Expertly handled technical manuals and processes to address customer needs and resolve issues effectively
  • Recognized for initiative, enthusiasm, and dependability in performance reviews
  • Consistently exceeded performance metrics, earning commendations for problem-solving and mentorship skills
  • Streamlined workflows to enhance response times and improve customer satisfaction

Education

Forensic Psychology & Police Studies

John Jay College
New York, NY
01.2003

Skills

  • CRM Tools: Salesforce
  • CRM Tools: Callidus
  • CRM Tools: SAP
  • Data Systems: MHS/PEGA
  • Data Systems: CMS/MARx
  • Data Systems: ePaces
  • Data Systems: Epic
  • Microsoft Office Suite
  • Google Docs
  • Outlook
  • Auditing and Quality Assurance
  • Medical Billing and Coding
  • Training
  • Cross-Functional Collaboration

Certification

  • NHA Certification in Billing and Coding, SUNY Brooklyn Educational Opportunity Services, 01/01/16
  • NHA Certification in Electronic Health Records, SUNY Brooklyn Educational Opportunity Services, 01/01/16
  • Home Health Aide Certification, Partners in Care, 01/01/12, New York, NY

Additional Information

Available upon request.

Skillsandtechnologies

  • CRM Tools: Salesforce, Callidus, SAP
  • Data Systems: MHS/PEGA, CMS/MARx, ePaces, Epic
  • Proficient in Microsoft Office Suite (Word, Excel), Google Docs, and Outlook
  • Auditing and Quality Assurance
  • Medical Billing and Coding
  • Training and Cross-Functional Collaboration

My strengths

PROFESSIONAL STRENGTHS


• Extensive Client Support Experience: Over 15 years of expertise in delivering exceptional customer service, managing client accounts, and resolving complex issues efficiently.


• Process Improvement: Skilled at showing inefficiencies, analyzing trends, and implementing workflow optimizations to enhance productivity and quality.


• Training and Development: Proficient in training new hires, easing cross-functional team learning, and providing refresher courses to boost team performance.


• Technical Proficiency: Advanced knowledge of Salesforce, MHS/PEGA, Callidus, SAP, Epic, and Microsoft Office Suite, ensuring seamless execution of technical and operational tasks.


• Medical Billing and Coding Expertise: Certified in billing, coding, and electronic health records with a proven ability to interpret and process medical claims with accuracy and compliance.


• Attention to Detail: Proves a prominent level of precision in auditing, record-keeping, and quality assurance activities.

• Strong Communication Skills: Effective in liaising with members, brokers, providers, and internal teams through various communication channels to address concerns and deliver resolutions

.

• Leadership and Team Collaboration: Recognized for leadership capabilities, mentoring team members, and fostering collaboration to achieve departmental goals.


• Problem Solving and Critical Thinking: Adept at assessing challenges, developing actionable solutions, and driving continuous improvements in service and operations.


• Regulatory Compliance: Thorough understanding of HIPAA privacy and security standards, ensuring all member information is protected and processed securely.

Timeline

Senior Commercial Service Representative

Health first
08.2016 - Current

Repair/Customer Service Specialist

XPO Logistics
06.2011 - 08.2016
  • NHA Certification in Billing and Coding, SUNY Brooklyn Educational Opportunity Services, 01/01/16
  • NHA Certification in Electronic Health Records, SUNY Brooklyn Educational Opportunity Services, 01/01/16
  • Home Health Aide Certification, Partners in Care, 01/01/12, New York, NY

Forensic Psychology & Police Studies

John Jay College
Atif Adeemrecreational director