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Quality Assurance Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Hardworking and dedicated jobseeker with strong organizational skills eager to secure Quality Assurance Position. Ready to help team achieve company goals.

Skills
  • Flexible & Adaptable
  • Data management
  • Reading comprehension
  • Planning and Coordination
  • Leadership
  • Good listening skills
  • Documentation skills
  • Critical thinking
  • Customer service
  • Interpersonal Communication
Work History
QUALITY ASSURANCE, 01/2017 to Current
Faneuil Richmond, VA,
  • Increased and improved knowledge of Axxess software and Microsoft tools by engaging in all available trainings and seminars.
  • Formulated and created individualized Plan of Care, Recertification attestations, Physician orders (signed by Registered Nurses). Reviewed Doctor's notes to make sure Plan of care is matching the orders.
  • Collaborated with different doctor's office with regards to orders, lab works, pre claim documentations.
  • Handled referrals to visiting providers such as Primary doctors, Podiatrists, Dietitians, Wound specialists.
  • Handled/ received phone calls and inquiries about the services offered and insurances questions. Received/ Check eligibility of referrals.
  • Processing, sending, receiving and filing all incoming Faxes and Emails, sorting orders/labs and forwarding to designated case managers.
  • Responsible for submitting Pre-Claims.
  • Maintained excellent attendance record, consistently arriving to work on time and efficiently finishing daily tasks.
Quality Assurance Analyst, 05/2014 to 12/2016
Amplifi Loyalty Solutions Naperville, IL,
  • Increased and improved knowledge of Axxess software and Microsoft tools by engaging in all available trainings and seminars.
  • Formulated and created individualized Plan of Care, Recertification attestations, Physician orders (signed by Registered Nurses). Reviewed Doctor's notes to make sure Plan of care is matching the orders.
  • Collaborated with different doctor's office with regards to orders, lab works, pre claim documentations.
  • Handled referrals to visiting providers such as Primary doctors, Podiatrists, Dietitians, Wound specialists.
  • Handled/ received phone calls and inquiries about the services offered and insurances questions. Received/ Check eligibility of referrals.
  • Processing, sending, receiving and filing all incoming Faxes and Emails, sorting orders/labs and forwarding to designated case managers.
  • Responsible for submitting Pre-Claims.
  • Responsible case manager for 40-50 patients starting from Admission to Discharge. Reviewed clinical notes of nurses, therapists and all involved disciplines making sure everything is in accordance to the Plan of care and orders of the MD.
  • Managed billing/claim submissions and payroll of employees. Managed and kept the quarterly reports and evaluations as well as credentials of the employees up to date.
  • Maintained excellent attendance record, consistently arriving to work on time and efficiently finishing daily tasks.
CERTIFIED NURSE ASSISTANT, 11/2012 to 05/2014
Solaris Healthcare Zephyrhills, FL,
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
  • Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
  • Cared for residents in Nursing Home facility and delivered high-quality support to meet all needs.
  • Supported ambulation and physical therapy needs by conducting planned exercise routines.
  • Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
  • Checked patient vitals such as temperature, blood pressure and blood sugar levels.
  • Complied with all company-specific guidelines and performed hands-on nursing care to patients under RN supervision.
Quality Assurance Analyst, 10/2011 to 06/2012
Amplifi Loyalty Solutions Naperville, IL,
  • Increased and improved knowledge of Axxess software and Microsoft tools by engaging in all available trainings and seminars.
  • Formulated and created individualized Plan of Care, Recertification attestations, Physician orders (signed by Registered Nurses). Reviewed Doctor's notes to make sure Plan of care is matching the orders.
  • Collaborated with different doctor's office with regards to orders, lab works, pre claim documentations.
  • Handled referrals to visiting providers such as Primary doctors, Podiatrists, Dietitians, Wound specialists.
  • Handled/ received phone calls and inquiries about the services offered and insurances questions. Received/ Check eligibility of referrals.
  • Processing, sending, receiving and filing all incoming Faxes and Emails, sorting orders/labs and forwarding to designated case managers.
  • Responsible for submitting Pre-Claims.
  • Responsible case manager for 40-50 patients from my previous agency starting fro Admission to Discharge. Reviewed clinical notes of nurses, therapists and all involved disciplines making sure everything is in accordance to the Plan of care and orders of the MD.
  • Managed billing/claim submissions and payroll of employees. Managed and kept the quarterly reports and evaluations as well as credentials of the employees up to date.
  • Maintained excellent attendance record, consistently arriving to work on time and efficiently finishing daily tasks.
Education
Bachelor of Science: Nursing, Expected in 03/2009
to
SAN BEDA UNIVERSITY DBA SAN BEDA COLLEGE - PHILIPPINES,
GPA:
CERTIFIED NURSING ASSISTANT: CNA TRAINING, Expected in
to
CAREER TRAINING CENTER oF CHICAGO - CHICAGO,
GPA:
COMPLETED: NCLEX REVIEW, Expected in
to
MARTIN NCLEX REVIEW - Chicago, IL,
GPA:

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Resume Overview

School Attended
  • SAN BEDA UNIVERSITY DBA SAN BEDA COLLEGE
  • CAREER TRAINING CENTER oF CHICAGO
  • MARTIN NCLEX REVIEW
Job Titles Held:
  • QUALITY ASSURANCE
  • Quality Assurance Analyst
  • CERTIFIED NURSE ASSISTANT
  • Quality Assurance Analyst
Degrees
  • Bachelor of Science
  • CERTIFIED NURSING ASSISTANT
  • COMPLETED