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quality assurance analyst resume example with 16+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary
  • Medical Front Office Specialist with experience supporting 10 physicians in a busy medical office. Expertise includes verifying insurance coverage, records reviews and schedule maintenance.
  • Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.
  • Administrative Assistant experienced at registering patients, scheduling appointments and recording and filing patient medical records. Enters orders and information quickly and accurately.
  • Enthusiastic Administrative Assistant with excellent people skills and dedicated work ethic. Strong attention to detail and extensive knowledge of medical terminology.
Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • OB-GYN, surgery, gastro, ENT, ortho experience
  • Extensive anatomy/physiology knowledge
  • Medical Manager Software
  • Managed care contract knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • Neurology billing expertise
  • HIPAA compliance
  • Medical billing software
  • Patient-focused care
  • Strong work ethic
  • Team player with positive attitude
  • Good written communication
  • Healthcare billing proficiency
Accomplishments
  • Delivered compassionate care that exceeded hospital requirements.
  • Successfully provided quality care to the patients in a healthcare environment.
  • Ensured charting accuracy through precise documentation.
  • Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Educated patients in regards to office policies, medical procedure steps, recovery measures and medication instructions.
  • Consistently praised by physicians for efficient assistance in minor surgical procedures and patient processing handling.
Professional Experience
10/2013 to Current
Quality Assurance Analyst Bioclinica, Inc Princeton, NJ,
  • Evaluate and give feedback to the CSR's to help them exceed expectations.
  • Exceeded at every task given to me and used these skills to promote within the company.
  • Collected customer feedback and made process changes to exceed customer satisfaction goals.
  • Answer incoming calls Answer incoming e-mails.
  • Place orders.
  • Process returns.
  • Edit customer profiles.
  • Evaluate answered emails
  • Calibrate and answered calls and email replies to our Consultants. Demonstrated mastery of customer service call script within specified timeframes.
  • Provided accurate and appropriate information in response to customer inquiries.
2013 to 09/2013
Customer Service Agent Global Aviation Services Everett, WA,
  • Evaluated and gave feedback to the CSR's to help them exceed expectations.
  • Answered incoming calls.
  • Answer incoming e-mails. Email Certification.
  • Place orders.
  • Process returns.
  • Edit customer profiles.
  • Made reasonable procedure exceptions to accommodate unusual customer requests.
  • Demonstrated mastery of customer service call script within specified timeframes.
  • Customer Service Agent Nov 2015 to Dec 2012 The CMI Group - Carrollton, TX Extensive phone coverage for Call Center. Managing collections of Time Warner and SuddenLink services. Scheduling appointments for technical support.
2009 to 07/2009
Customer Service Agent Global Aviation Services Johnstown, NY,
  • Extensive phone coverage for Call Center.
  • Scheduling of appointments.
  • Sales.
  • Paperwork required for every appointment made.
  • Provided accurate and appropriate information in response to customer inquiries.
07/2007 to 09/2009
Medical Front Office/Scheduling Williams Lea Palo Alto, CA,
  • Medical Front Office, Hospital Billing, Phones, Scheduling, Patient Check In, Patient Check Out.
  • Thoroughly investigated past due invoices and minimized number of unpaid accounts.
  • Recorded and filed patient data and medical records.
  • Strictly followed all federal and state guidelines for release of information.
  • Wrote clear and detailed clinical phone messages for physicians.
06/2006 to 07/2007
Receptionist Concentra Akron, OH,
  • Customer Service
  • Phones Scheduling
  • Lost shipment search
  • Billing
  • Data Entry
  • Creating Word documentation and Excel spreadsheets
  • Inside and Outside Sales.
08/2004 to 2005
Medical Front Office Receptionist Fm Global Bellevue, WA,
  • Patient Scheduling
  • Billing
  • Answer all lines
  • Electronic Medical Records
  • New Patient enrollment
  • Deposits End of Day
  • Microfour and Practice Studio.
01/2003 to 07/2004
Adjuster South Nassau Communities Hospital Rockville Centre, NY,
  • Patient counseling.
  • Claim submittal.
  • Payment processing.
2002 to 01/2003
Medical Assistant Front Desk City, STATE,
  • All front desk and patient intake responsibilities.
  • Medical records.
  • Patient care and health history.
  • Patient Vitals.
  • Worked independently and as part of a team to achieve our monthly evaluations.
02/1999 to 02/2001
Front Desk/Physical Therapy Tech Medical Front Office City, STATE,
  • Scheduling Appointments.
  • Patient intake and medical records.
  • Modalities.
Education and Training
Expected in 1997 to to
Associate of Science: Biology Literature, Literature
Eastfield College - Mesquite - Mesquite, TX
GPA:
Associate of Science, Biology Literature 1997 Eastfield College - Mesquite, TX, USA Majored in Biology Minored in Literature.
Expected in 1992 to to
Associate of Science: Biology, Literature
Glendale Community College - - Glendale, AZ
GPA:
Associate of Science, Biology 1992 Glendale Community College - Glendale, AZ, USA GPA: Special Skills/ Achievements Graduated from High School as top 20 in my class, Dean's Honor Roll, Class Valedictorian. College Literary Award for both my Majored in Biology Minored in Literature
Expected in 2000 to to
Associate of Science: Dentistry, Theater
University Of Texas - Tyler - Tyler, TX
GPA:
Associate of Science, Dentistry 2000 University Of Texas - Tyler, TX, USA Majored in Dentistry Minored in Theater.
Expected in to to
Bachelor of Science: Dental Hygiene
Texas Woman's University - Denton - Denton, TX
GPA:
Bachelor of Science, Dental Hygiene 2023 Texas Woman's University - Denton, TX, USA Dental Hygiene Major
Certifications
CMI CPR Medical Billing M.D Medical Assistant Email Certification. Email Certified.
Skills
Scheduling, Billing, Receptionist, Customer Service, Retail Sales, Medical Records, Exceed, Incoming Calls, Cpr, Hospital Billing, Customer Inquiries, Therapy, Sales, Medical Billing, Medical Invoicing, Assurance Analyst, Quality Assurance, Satisfaction, Data Entry, Documentation, Excel, Outside Sales, Word, Front Desk, Medical Assistant, Collections, Credit, Exceptions, Technical Support, Csr, Customer Account, Customer Service Representative, Employee Relations, Increase, Medical Assistant., Microsoft Office, Ms Office, Patience, Problem Solving, Process Improvement, Solutions, Telecommunications, Associate, Award, Class, Comprehensive Large Array Data Stewardship System, Dental

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Resume Overview

School Attended

  • Eastfield College - Mesquite
  • Glendale Community College -
  • University Of Texas - Tyler
  • Texas Woman's University - Denton

Job Titles Held:

  • Quality Assurance Analyst
  • Customer Service Agent
  • Customer Service Agent
  • Medical Front Office/Scheduling
  • Receptionist
  • Medical Front Office Receptionist
  • Adjuster
  • Medical Assistant
  • Front Desk/Physical Therapy Tech

Degrees

  • Associate of Science
  • Associate of Science
  • Associate of Science
  • Bachelor of Science

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