Data Entry Quality Control
Resume:
Sharon Dancy
************@*****.***
Professional Profile
As a caring and friendly Healthcare Administrative Professional and Quality Control Analyst with 25+ years of experience my main goal is to find a position in a company that will allow me to further my career, while utilizing my training, skills and certifications that will allow me to grow within the company.
Skills
JIRA system, PharmScreens(pharmacy software), HIPAA, Typing 45 WPM, Work From Home Customer Service experience, Medical Secretary Certified,, Medical Insurance Claims Processing, Data Entry, Microsoft Office Products, Payment Processing, Emailing, Faxing, Filing, Interpersonal Communication Skills, Working Under Pressure, Project Management, Problem Solving, Remote meeting experience/scheduling, Time Management, Quick Learning, Organized, Scheduling, Answering High Volume Outbound and Inbound Calls, Insurance Verifications, Order Processing, Insurance Prior Authorizations, Empathetic, Proactive, Problem Solving, Patience, Positive Attitude, Tenacity, Insert Demographics into Database
Experience
MedImpact : Quality Assurance Analyst May 2023- Current
Performed quality audits and reviews of pharmacy benefit claims, eligibility, formulary, and prior authorization data. Identified and resolved errors, discrepancies, and compliance issues. Prepared and presented quality reports and recommendations to management and clients
Elixir Insurance Universal Customer Care Representative Oct 2019-May 2023
Answer all incoming customer and pharmacy calls promptly. Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders. Ask the appropriate questions and listen actively while documenting required information in the computer system. Case Management with Medicare PART D & Commercial Pharmacy Insurance Plans including Mail Orders. Processing and submitting pharmacy mail orders. Make outbound calls to customers on prescription orders and payment issues.
Geauga County Public Library Children’s & Youth Program Assistant 2018-2019
Responsible for Tutoring sessions for all after school activities ages K-12. Daily Intake reporting per student. Working directly with children to identify risk factors for abuse or neglect. Providing guidance, support, and mentorship to young people. Creating an environment conducive to the social, emotional, and physical growth of youths.
Giant Eagle Cashier 2013-2018
Complete customer transactions. Scanning items, processing payments such as cash, credit cards, checks. Applying coupons and promotional codes, issuing receipts and change. Bagging groceries when needed.
Education
Cleveland State University - May 2017 - Bachelor of Science
Health Science - Gerontology & Culture - Healthcare & Communications
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