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Customer Service Quality Assurance

Location:
Washington, DC
Posted:
June 30, 2015

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Resume:

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



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