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QA Specialist, II Resume Example

Resume Score: 80%

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QA SPECIALIST, II
Professional Summary

Versatile positions offering 15 years background in healthcare and business administration. Comprehensive hands-on training in all areas of patient care and office settings with advanced proficiency in computer skills.

Work History
VetFed Resources, Inc. - QA Specialist, IIPensacola, FL08/2017 - 01/2020
  • Provide quality assurance of examination reports for general medical and specialty exams to ensure reports are complete. Tracks and controls non-conformance documents, reviews anomalies and contacts medical professionals for clarification.
  • Interface with physicians and healthcare providers and provide case specific feedback as necessary.
  • Ensure providers have reviewed and considered all Diagnostic Test results as part of the exam evaluation and that these are referenced in the final report.
  • Submits completed and validate exam documents to Billing for review and final submission to the VA. Review billing associated data.
  • Assist in researching Veteran complaints. 
  • Ensure specialty, contract line item number (CLIN), and dates of service are accurate.
  • Submit validated exam documents for final submission to the VA for billing purposes. Reject cases that do not conform to the required standards and current VA regulations.
  • Ensure strict adherence to protecting all PII and PHI according to JCAHO (Joint Commission on Accreditation of Healthcare Organizations) and other applicable regulations.
Consumer Attorney Records System (CARS) - Records Specialist (temporary Position)Pensacola, FL04/2017 - 07/2017
  • This firm represents mass litigations throughout the US for clients who have experienced negligence due to a medication and/or implant.
  • Reviewed medical records to retrieve information regarding these cases. Once cases are reviewed, they are uploaded in our database and sent to the requesting Attorney Firms.
Pensacola Research Consultants, Inc. - Clinical Data ManagerPensacola, FL06/2009 - 01/2016
  • Scheduled patients; issued CLIN cards to patients for stipend; supervised, directed and scheduled clinical research assistants.
  • Created and maintained archiving system for Clinical Studies.
  • Reviewed all data entry for patients' visits (this entailed transmitting data electronically by use of RDC/eDC systems [iDataFax; BioClinical; Inform; Medrio; iMediData; and Oracle]).; maintained patient data base.
  • Pharmacy Liaison for study drug: received/shipped/inventoried/dispensed] all study drug for clinical trials.
  • Maintained temperature logs for study drug.
  • Executed appropriate documents/contracts or patient study start-up; liaison between Principal Investigators and sponsors when conducting Site Qualification visits to ensure our site was equipped and staffed for the study being considered.
  • Internal quality assurance for regulatory documents and data entry; created patient source documents for clinical trials; ensured physician credentialing annually; ensured that our Standard of Operating Procedures were being following and forms were being completed throughout all research trials; prepared and submitted Regulatory documents for the investigational Review Board (IRB).
  • Conducted patients' visits and counseled patients for clinical research including: ECG's; phlebotomy; height; weight; temperature etc.
  • Trained with Principal Investigators to ensure protocol was being followed accurately and criteria was being met.
Previous Employment Skills

Medical Assistant | WFL Heartgroup

Pensacola, FL

Charted patients' histories; conducted ECG's; phlebotomy and administered injections; counseled patients on follow-up instructions; data entry

Office Manager | University of West Florida

Pensacola, FL
Managed administrative/daily operations of Marketing and Development & Alumni departments; supervised and directed employees of support

staff; assisted directors with interpreting university policies and implementing these changes within the department; maintained departmental budget

and reconciliation of ledgers; prepared annual UWF Board of Trustees meetings/minutes

Bank Officer | SunTrust Bank

Milton, FL

Managed Customer Service Reps and Tellers; conducted internal audits; advisory consult to clients on their banking needs; maintained the ATM

Financial Aid Loan Officer| University of West Florida

Pensacola, FL

Processed student loans; interpreted State and Federal regulations and implemented said regulations into Financial Aid Policy and Procedures; compiled and prepared reports regarding financial/statistical data; reviewed and updated institutional forms relating to student loan programs; processed students' time sheets for payroll; conducted College Work Study seminars and career counseling for students and supervisors

Skills
  • Office Management
  • Supervision
  • Banking
  • Billing
  • Budgets
  • Clinical Research
  • Data entry
  • Excel
  • PowerPoint
  • Outlook
  • Quality Assurance
  • Medical Records Review
Education
05/2013Pensacola State CollegePensacola, FLBachelor of Science: Business Administration And Management
  • Graduated magna cum laude
  • Member of Sigma Beta Delta
05/2009Pensacola Jr. CollegePensacola, FLAssociate of Arts: Business Administration And Management

Graduated cum laude

  • Member of Phi Theta Kappa
02/2003CAPP's Medical InstitutePensacola, FLCertification (Registered): Medical Assistant
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Resume Overview

Companies Worked For:

  • VetFed Resources, Inc.
  • Consumer Attorney Records System (CARS)
  • Pensacola Research Consultants, Inc.

School Attended

  • Pensacola State College
  • Pensacola Jr. College
  • CAPP's Medical Institute

Job Titles Held:

  • QA Specialist, II
  • Records Specialist (temporary Position)
  • Clinical Data Manager

Degrees

  • Bachelor of Science : Business Administration And Management
    Associate of Arts : Business Administration And Management
    Certification (Registered) : Medical Assistant

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