Quality Assurance Data Management

Martha Boatman

Phoenix, AZ 480-***-**** ****************@*****.***

Experienced with processing and optimizing workflow efficiency. Utilizes strong organizational skills and attention to detail to maintain compliance and accuracy. Knowledge of data management techniques and quality assurance protocols.

Experience

JUNE 2024-

NOV 2024

Wells Fargo – Processor iii

Counting and sorting am\pm returns (mail)

Prepare reports and statement concerning financial activities

Mail out correspondence mail via Fed Ex and UPS

Meter outgoing mail

JAN 2015 –

DEC 2022

Centene – Claims analyst

Coordinate with insurance companies to process claims and resolve issues

Processed AHCCCS Claim form types CMS 1500, UB-04 & ADA DENTAL

Data Validation, billing and payment reconciliation.

Maintain compliance with Arizona State (AHCCCS) and Federal (CMS) standards

Inbound CSR

AETNA –Encounter analyst DEC 2005 – DEC 2014

Identify and resolve system issues that may impact state compliance

Reprocess medical claims rejected by State (AHCCCS)

SKILLS Team work and collaboration Safe food handling card (current)

Customer service (inbound calls) Meal prep / Food presentation

Microsoft office Equipment sanitation

Documentation and reporting Amazon delivery driver

SQL and Database In home Nanny

Mailroom sorter Dog sitter

Bilingual Clean Room exp 5 years

FBI clearance card IVP (current)

EDUCATION

JAN 1987 MOUNTAIN STATE TECHNICAL General Education Diploma

References Jessica Quintero Professional 10 years 602-***-****

*******.********@***.*********-****.***

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