Quality Assurance Analyst

DARIA B. MCCLUNG, MSHI, RHIA

Glendale, AZ 248-***-**** ************@*****.*** LinkedIn

QUALITY ASSURANCE ANALYSIS DATA MANAGEMENT

Detail-oriented and results-driven Quality Assurance Analyst with extensive experience in system testing, validation, and defect resolution. Proven track record of supporting the Department of Veterans Affairs MDEO through Independent Verification and Validation (IV&V) and User Acceptance Testing (UAT) to ensure system quality and functionality. Expertise in analyzing requirements, writing test scripts, and using tools such as Jira and Excel to identify defects and enhance software performance. Skilled in auditing tasks and deliverables to uphold timeliness and high-quality standards, improving overall efficiency. Adept at collaborating with cross-functional teams to resolve challenges and ensure alignment with project goals and specifications.

• Test Script Development

• Defect Analysis

• Jira for Defect Tracking

• Excel for Data Management

• Software Auditing

• Process Improvement

• Root Cause Analysis

• Cross-Functional Collaboration

• Documentation Reporting

OVERVIEW OF KEY ATTRIBUTIONS

• Quality Assurance (QA): Skilled in the process of ensuring products or services meet required standards and perform as expected through systematic testing and reviews, identifying defects and ensuring system reliability.

• User Acceptance Testing (UAT): Proficiency in Black Box testing and validating whether a system or software meets end-user requirements and is ready for deployment, ensuring alignment with user needs before going live.

• Independent Verification & Validation (IV&I): Expert in reviewing and testing software or systems independently to ensure compliance with requirements and detect defects, maintaining objectivity. EDUCATION

Master of Science, Health Informatics University of Findlay Bachelor of Science, Health Information Management Augusta University PROFESSIONAL EXPERIENCE

Aspiron Technologies Corporation Allen, TX 2024 – 2025 Quality Assurance Analyst & Tester

• Supported the Department of Veterans Affairs MDEO through IV&V and UAT of Exam Management changes in VBMS, ensuring system quality and accuracy

• Solely analyzed requirements and defects to write precise test scripts, ensuring alignment with expected functionalities and minimizing software issues during testing. Consulted with team as necessary.

• Developed and executed test scripts in Excel, imported into Jira, to assess software performance and identify defects, improving overall software quality

• Conducted audits of tasks and deliverables to ensure timeliness, completeness, and high-quality standards, enhancing service and product delivery efficiency

Team Select Home Care Phoenix, AZ 2022 – 2024

Revenue Cycle Management Specialist

• Researched and resolved 5K+ denied insurance claims, securing full reimbursement and reducing aging claims for Illinois by 60%

• Processed claims for commercial and Medicare payers across Illinois, Indiana, New Hampshire, Pennsylvania, and Missouri using CubHub, Waystar, Availity, and insurance portals

• Managed patient claims through UnitedHealthcare, CIGNA, TRICARE, and Blue Cross Blue Shield portals, ensuring timely resolutions

• Remained informed on payer filing, reimbursement policies, and coverage to effectively analyze denials and resolve issues through critical thinking and root-cause analysis

Monterey Consultants Inc. Dayton, OH 2019 – 2022 Provider Recruiter (2021 – 2022)

• Researched, qualified, and contracted over 20 providers for medical disability exams, ensuring timely and accurate follow-up for workers' compensation patients

• Collaborated closely with the team to strategically overcome challenges in accessing affordable, board-certified providers for critical and time-sensitive appointments

• Assisted in updating and training new recruiters regarding company policies and procedures, ensuring consistent, thorough, and efficient onboarding processes

Monterey Consultants Inc. Dayton, OH 2019 – 2022 Medical Record Downloader/Auditor (2019 – 2021)

• Ensured accuracy and integrity of Protected Health Information (PHI) by auditing and inspecting downloaded Veteran medical records, preventing cross-identity documentation for VA appointments

• Utilized VBA and QTC Medical Services technologies to download and audit Veteran health information via VBMS and eFolder Express, ensuring completeness and accuracy

• Completed Transferred cases and PDF restoration processes, resolving document issues and correcting corrupted files to maintain data integrity

Office Teams a Robert Half Company Dayton, OH 2019 – 2019 Intake Admission Specialist - Temporary

• Created accurate home healthcare referrals using Forcura and HomecareHomebase systems, ensuring timely patient care and processing

• Verified patient information, insurance providers, and medical team details to prevent delays in access to care and ensure timely claims processing

• Streamlined intake procedures by thoroughly checking patient data, leading to faster processing times and improved overall operational efficiency

The Way International New Knoxville, OH 2009 – 2019 Switchboard Operator

• Coordinated seamless communication between U.S. and international leadership executives, ensuring efficient collaboration across time zones and functions. Utilized the AS400 daily to confirm member status.

• Managed two weekly and three monthly 30-line telephone conferences, ensuring smooth communication and effective coordination for large teams

• Executed personnel coordination during weather, medical, and safety-related emergencies, ensuring swift and organized responses to critical situations

• Maintained the One Call Now emergency notification system, ensuring timely and accurate tornado and lockdown alerts for all affected personnel

• Assisted in event registration coordination, ensuring successful hosting of major events through effective cross- departmental collaboration and planning

CERTIFICATIONS

Registered Health Information Administrator

Google Data Analytics Certificate Coursera 2023

Public Health Research CITI

Information Privacy Security CITI

Conflicts of Interests CITI

TECHNICAL COMPETENCIES

Software: Microsoft Office Suite (Word, Excel, PowerPoint, SharePoint), Jira, VBMS, eFolder, AS400 Data Analytics: Exposure to Data analysis, Data cleaning, Data visualization, Data-driven decision making, Excel, Calculation and analysis in SQL, Big Query, Tableau, Relational databases Google Cloud Platform: Docs, Sheets

SOFT SKILLS

Investigative research, Data collection, Organization skills, Proofreading, Medical records QA, Interpersonal skills, Information management, Health policy, Microsoft Office, Workflow management, Verbal & written communication skills, Healthcare background, Quality Assurance, Self-motivated, Data management, Customer service, EHR/EMR document management, Cross-functional team collaboration tools, Healthcare claims review, Data Calculations, Attention to detail, Medical terminology, Critical thinking, Microsoft Excel, Data ethics, Document management

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