Quality Assurance Medical

TAMICA TAYLOR

**********@*****.*********.***

***** *. ****** **** **., #102 313-***-**** (primary)

Southfield, MI 48076 313-***-****

(alternate)

QUALIFICATIONS SUMMARY

• Management-Provided supervision for five to ten case managers

• Computer skills-ICD9, Advance Coding, Intake Data Entry, MS Word, Excel,

PowerPoint and Access

• Quality Assurance-Knowledgeable of relevant state and federal laws, regulations and

policies-conducted 600+ case file audits to ensure compliance

• Communication skills-experience with interpersonal, small and large group

presentations, mentoring/coaching and facilitation

• Organizational skills-Coordinated daily activities of caseload managers and assigned

caseloads

• Team Player-coached case management staff on case file efficiency resulting in 50%

reduction of case backlog

PROFESSIONAL EXPERIENCE

Adecco/ AAA1B, Southfield,MI 2013-2013

IT Support Specialist

• Identify, troubleshoot, research, support and resolve customer IT issues.

• Escalate issues to appropriate technical personnel when necessary.

Adecco/ Gateway Detroit East, Detroit, MI 2012-2013

Medical Record Auditor

• Medical reviewers look at each individual medical record to check for missing

documentation.

• Check for physician’s notes that show any evidence of patient neglect or abuse and verify

that the correct member of staff has signed all paper work.

• Reviewer finds a problem with the record; citation is issued to the medical staff member.

The member is given a set time period to fix mistake. A follow-up conducted by the

reviewer is done to ensure the record is up to compliance.

Aerotek/Quicken Loans, Detroit, MI 2012-2012

Disbursement Analyst

• Verify payoff amounts.

• Wire borrower proceeds, broker funds, etc.

• Verify Settlement Statements for correct amounts and payees.

AmeriCorps/OLHSA, Pontiac, MI 2010-2011

Foreclosure Specialist

• Processed and audited invoices and legal bills in a timely and accurate manner.

• Responded to attorney and customer disputes, inquiries and complaints in accordance

with established policies and procedures.

• Reviewed, verified and executed documents and other clerical responsibilities.

Travelers Aid Society of Metropolitan Detroit, Detroit, MI 2000-2008

Quality Assurance Specialist

• Conducted 600+ case file audits to ensure compliance.

• Supervised and coached case management staff on case files efficiency resulting in 50%

reduction of case backlog.

• Maintained confidentiality of employee, employer and client information.

EDUCATION

Davenport University, Livonia, MI Currently pursuing

Associate Degree, Health Insurance Claims Management

Michigan Paralegal Institute

Paralegal Certification

Marygrove College

Bookkeeping Certification

State of Michigan

Social Service Technician Certification, expires 4/30/16

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