Distribution Clerk Quality Analyst

SHERRY LEET

***********@*****.*** 480-***-**** Glendale, USA 85304

Summary

Strategic Quality Analyst versed in developing standard operating procedures and training materials to promote adherence to quality standards. Dedicated to identifying operational pain points and implementing actionable improvements reduce corporate costs and increase consistency of quality.

Strategic Quality Analyst versed in developing standard operating procedures and training materials to promote adherence to quality standards. Dedicated to identifying operational pain points and implementing actionable improvements reduce corporate costs and increase consistency of quality.

Skills

Monitor quality control Support audits

Compile data Task prioritization

Coaching

Continuous improvement

Forms

Insurance

Leadership

Quality

Quality control

Teamwork

Goal-oriented

Processes and procedures

Issue and conflict resolution

Time management

Conflict resolution

Relationship building

Problem resolution

Working collaboratively

Claims processing

Audit procedures

Coding proficiency

Auditing proficiency

Check processing

Experience

Optum Glendale, AZ

Quality Analyst

02/2010 - 02/2020

Identified quality trends to investigate system flaws, process inefficiencies and training needs.

Implemented cost-reduction measures while maintaining consistent quality.

Audited training and production processes, enforcing adherence to SOPs.

Monitored completed work and provided feedback to improve team member performance.

Optum

Supervisor

02/2007 - 02/2010

Established and enforced clear goals to keep employees working collaboratively.

Maintained operating schedules to provide effective coverage for key areas and achieve objectives.

Provided ongoing training to address staff needs.

Resolved customer complaints and adjusted policies to meet changing needs.

Interviewed applicants, recommended individuals for hiring and evaluated staff performance.

Created training manual for all employees to use as reference guide.

Realigned workflows with changing business demands by evaluating processes and employee strengths.

Conducted employee evaluations and reviews.

Optum

Senior Medical Claims Examiner

02/1996 - 02/2007

Accurately processed large volume of medical claims every shift.

Used contract notes and processing manual to correctly apply group-specific classifications to claims.

Evaluated pending claims to identify and resolve problems blocking auto-adjudication.

Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.

Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.

Based payment or denials of medical claims upon well-established criteria for claims processing.

Education and Training

San Joaquin Valley College Fresno, CA

Medical Assistant in Medical

GPA: 4.0, Dean's List Honoree, all semesters, Graduated in top 1% of class, Graduated with distinction. Graduated with honors

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