Fairuz Chowdhury
Bronx
Summary
Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty with 8 years of experience. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
Overview
8
8
years of professional experience
Work History
PACE Services Coordinator
Centerlight Healthcare
10.2023 - Current
- Manage approximately 50-60 requests/issues received via phone calls/emails/faxes per day from participants, providers, IDT Team and/or vendors, etc., related to (but not limited to) PACE program general services, transportation, DME orders, home health aide scheduling/coordination, claims, grievances, appeals, the status of prior requests/issues reported, etc
- Outreach participants, providers, IDT Team, and/or vendors, etc., to keep them informed about their issues/request's status or resolution
- Coordinate, document & follow up with staff in different departments issues and/or requests resolutions. Examples: Appeals & Grievances, IDT Teams, Provider Relations, Claims, Authorization etc
- Participate in conference call meetings as needed
- Provide necessary clinical and demographic documents for professional staff and providers
- Check Aide personnel information in a computerized database and enter new information, as necessary; maintain aides' certificates and profiles
Medical Practice Assistant
Centerlight Healthcare
05.2022 - 10.2023
- Worked as an administrative assistant for medical practice department for patients aged 55+
- Scheduled PCP and specialty appointments
- Maintained logs to insure receipts of all signed MD orders
- Processed requests for release of health information
- Performed Medical Management activities to obtain Prior Authorizations for specialized services
- Assisted with the billing and coding dept
- Completed orders and 485s tracking logs and escalation process
- Retrieved, printed, and processed MD notes from MDX Transcribe and any shared drives
Intake Coordinator
M&N Homecare Service
08.2021 - 05.2022
- Conducted Initial phone call and screening from referrals, answered all incoming calls which includes responding to questions and explaining admissions process
- Data entry and enter admissions information into digital system, completed all admission paperwork
- Verified insurance for each patient. This included calling insurance companies to inquire about coverage
- Complied with all HIPAA regulations and maintains security of Protected Health Information
- Followed up with patients, marketers, MLTC's, and other agency's daily
- Scheduled appointments, evaluations, meetings, and consultations for patients
- Supervised branch office
- Supported and partnered with account manager, team member and marketing team in enrollment process
Customer Service Representative
Bogopa Service Corp
11.2018 - 07.2021
- Processed checks, debit and credit cards, EBTs, WIC checks, refunds, product coupons, and gift certificates
- Verified prices and calculated totals using scanners and point of sale (POS) systems
- Recommended products and services and educated customers about relevant offerings
- Maintained merchandise displays, including endcaps, floor displays, return non-purchased products to shelves and aisles
- Obtained thorough knowledge of products sold to assist customers in locating and purchasing items
- Assisted customers with locating items, answering questions and providing direction and service
- Trained and supported new members of the staff
Translator
Bromberg & Associates
09.2016 - 01.2019
- Reviewed material and converted scripts into other languages, preserving original meaning and context
Education
BBA - Business Administration, Marketing Concentration
Lehman College
Bronx, NY01.2021
Skills
- Administrative support and oversight
- Exceptional communication
- Intake/Enrollment process
- Data Entry
- Medicaid, Medicare, MLTC, HMO, Home Health Care
- Knowledgeable in POS systems, HHAexchange and Care compass
- Proficient in cash management and Strategic sales knowledge
- Problem-solving and Time management
- Information collection
- Microsoft office
- Phone, email etiquette and office management
Languages
English
Bengali
Hindi
Urdu
Timeline
PACE Services Coordinator
Centerlight Healthcare
10.2023 - Current
Medical Practice Assistant
Centerlight Healthcare
05.2022 - 10.2023
Intake Coordinator
M&N Homecare Service
08.2021 - 05.2022
Customer Service Representative
Bogopa Service Corp
11.2018 - 07.2021
Translator
Bromberg & Associates
09.2016 - 01.2019
BBA - Business Administration, Marketing Concentration
Lehman College
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