Quality Assurance Management

Marjorie Brutus

Phone: 267-***-****

Email: **.*******@*****.***

Objective

To continue my career with an organization that will utilize my coordination, management, and communication skills to benefit mutual growth and success.

KEY SKILL AREAS AND EXPERTISE

Demonstrated ability to coordinate, execute, supervise, and manage daily assignments and projects.

Demonstrated ability to take initiative to improve processes and coordination of business and operational functions.

Strong strategic and analytical thinking skills and superior problem solving skills.

Well developed oral and written communication skills with the ability to translate complex ideas into clear and simple format with measurable results.

Ability to compile data, analyze data, and make cursory recommendation, as well as, independent decisions.

Demonstrated ability to successfully manage several projects simultaneously and demonstrated ability to meet deadlines.

Education

MBA (Project Management), Ashford University, August 2011

BBA (Business Administration), Temple University, June 2002

WORK EXPERIENCE

Parallon Business Solutions, 2014- 15 Norcross, Georgia

Analyst

Identify operational processes to reduce denials and streamline the revenue cycle management process.

Maintain working relationship with payers to ensure timely and accurate payment on patient claims.

Evaluates unresolved case management issues for all payers due to bill processing, rejections, denials or payment variances to determine root causes and takes necessary steps to resolve issues.

Assists Managers in the development and evaluation of comprehensive strategies and direct the implementation of processes and procedures.

Reconcile potential insurance underpayment and non-payment issues in a timely manner to keep accounts current.

Performs special projects, including necessary research, forecasting and conflict resolution.

Parallon Business Solutions, 2007- 2014 Norcross, Georgia

Verification Specialist

Performed user acceptance testing for process improvement implementations.

Facilitated daily discussions with hospital administrators and case managers to resolve patient verification issues.

Created/Managed an issue log for the hospital scheduling unit to follow up on patient conflicts.

Performed training and quality assurance on employees to ensure tasks are completed and correct.

Address and resolve patient and employee issues and concerns in a timely, efficient, and effective manner.

International SOS, 2003-2007 Trevose, Pennsylvania

Tricare Specialist

Supported 4 international military healthcare benefits centers.

Monitored Tricare eligibility database and keeping daily contact with US Military and Pentagon IT Departments to troubleshoot system issues.

Performed training and quality assurance on employees to ensure tasks are completed and correct.

Create standard operating procedures for the department verification process.

Operations Coordinator

• Coordinated the efforts of operations resources to meet the needs of global corporate clients and individual members

• Documented all relevant information for New Cases on all first calls

• Coordinated medical evacuation to the nearest center of medical excellences

• Updated the Coordinating Doctor and the Medical Director of any pending request for Air Evacuation

• Managed French clients, employees and individual members while serving as French-speaking coordinator

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