Medical Quality Assurance
Resume:
Tarshia T. Davis
*** **** ****** • Wendell, NC **591 • 919-***-**** or 919-***-****
Email: ********@*****.*** or ****.*****@**********.***
SUMMARY OF QUALITFICATIONS
More than twelve years of successful medical-insurance experience assisting hospitals with
extensive skill set including: •Organization Skills •Excellent Communications •Patient Financial
Counseling •Medical Records
•Intake Specialist •Insurance Verification •Referrals with Physicians and Nurses •Authorization•
Patient Registration• Case Managers • Scheduling
PROFESSIONAL EXPERIENCE
Cigna, Raleigh, NC (HEDIS Coordinator) (Contract Temp)
02/2013-05/2013
Key Achievements:
Medical Records
Abstracting
Tracking
Calling providers if information missing from medical records key to the
abstracting of review for insurance purposes
Verification
RTI, Raleigh, NC
6/2012 – 01/2013 Data Collection Specialist (Temporary contract)
KEY ACHIEVEMENTS:
Call center
Calling physician offices
Collecting data on payment, charges
ValueOptions, Morrisville, NC
10/2007 – 3/2010 Clinical Services Assistant II
KEY ACHIEVEMENTS:
qualified professional of the services being request for denials of approvals of units and
recommendations corresponding with a letter
Data Entry
Medical Authorization
Contacted providers
Created letters for providers
Kights Medical DME Corp. Raleigh, NC
6/1999 – 3/2007 Insurance Verification Authorization Coordinator
Verification for DME coverage. Initiated prior approvals, referrals.
KEY ACHIEVEMENTS:
Verified insurance
Initiated authorization
Arranged option for referrals with physicians
Patient Financial Counseling
Assisted CSR back up phone coverage
Cardinal Healthcare, Raleigh, NC
Tarshia T. Davis
417 Wall Street • Wendell, NC 27591 • 919-***-**** or 919-***-****
Email: ********@*****.*** or ****.*****@**********.***
7/1997 – 6/1999 Medical Records Team Leader
KEY ACHIEVEMENTS:
Requested medical records release
Office Assistance-filing and pulling charts
Day-to-day medical office functions assisted front desk check in
Hunter Industries, Cary, NC
6/1994 – 7/1997 Assembly
Assembled water irrigation sprinklers
Quality assurance inspector
Wake County Health Dept. Raleigh, NC
1993-1994 Medical Records
Raleigh Urology, Raleigh, NC
1992-1993 Medical Records
Education
1987-1989 St. Augustine College, Raleigh, NC
April – May 2012 Completed course in Administrative Medical Assisting from
Wake Tech Community College, Raleigh, NC
May 2013 Communications workshop class thru Wake Tech Community College
May- June 2013 Social Services, Human Services Assistant course thru Wake Tech
Community College
June- July 2013 Completion of course Nonprofit Organizations
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