Brooke Rayfield
***** ******* ** *******, ** ****5
240-***-**** acqiwl@r.postjobfree.com
Dedicated and results-oriented professional dedicated to quality assurance, database integrity, and staff development with demonstrated experience in quality reviews, management-level communications skills, and departmental compliance.
Areas of Expertise
Customer Service
Training & Development
HIPPA
Editing & Proofreading
Records Management
Processes & Procedures
Quality Assurance
Compliance
Microsoft Suite
Database Integrity
Auditing
Communication
Professional Experience
CORPORATE HEALTH RESOURCES, Rockville, MD 2013 to Present
Auditor
Provide successful audits of electronic records to ensure the quality of pre-employment, immunization, periodical, and nuclear exams.
Strengthened quality reviews for electrocardiograms, pulmonary function tests, audiograms, and chest x-rays, and provide dictation and verify all other pertinent information is indexed and provider entries are authorized
Maintain compliance of standard audit programs, audit steps, reports, and other guidance materials (including routine findings that are in accordance with agency procedures)
Provide excellent quality assurance of controlled records and pending documents within the specified date based on the client’s contract
Proficient use of office automation systems and database management
Committed to achieving role as Subject Matter Expert in providing in-depth database training to new hire employees on internal CHESS database system
Liaised with corporate clients to provide medical hold updates, case presentations, and employee clearance notifications
Initiate, service, and code medical records in accordance with CHR’s protocols
Manage and track employee lab results utilizing Quest, Psychemedics, and Oxford Laboratories
THERACOM, INC. – AMERISOURCE BERGEN, Rockville, MD 2005 to 2013
Patient Case Coordinator / Reimbursement Counselor
Successful development and initiation of department’s Standard Operating Procedures
Subject Matter Expert on internal Theracall database, and focused on staff development for internal training on database, multiline phone system, document services products, and processes of call center department
Effectively collaborated with management in conducting interviews and ad-hoc department projects
Facilitated communication between management, department personnel, healthcare professionals & patients
Focused on successful quality assurance of client documentation and proper records management
Reviewed incoming documentation for compliance and quality
Organized file reviews, process/research claims, and processed order requests
Reviewed and edited special account and government affiliated contracts
Verified insurance benefits for patient prescription coverage
Education
Integrity Training-Covered Persons, 2005-2013
HIPPA Training, 2005-2013
Customer Service-Sensitive Training, 2006-2013