Quality Auditor I: Data Entry to QA Specialist

Pamela Crabill

Anderson, Indiana

Job Title: Quality Auditor I

Secure Optimized Operations through Commitment to Quality Assurance

Organized and detailed individual. Proficiency to examine and evaluate accuracy of transactions, research disputes, and confirm accordance with regulations and company guidelines. Problem resolution, Organized, Detail Oriented, Research Disputes. Resolve problems proactively and uphold final decision.

Core Competencies

Customer Service

Bookkeeping

Standard Operating Procedures (SOPs)

Training

Review of Standard Operating Procedures (SOPs) for updates

Making Templates up

Professional Experience

National Government Services SCA, Indianapolis, Indiana

Quality Auditor I

Processed and audited Medicare claims to verify accuracy.

Accurate claims for payment

Drafted and reviewed SOPs for quality auditor process, using different systems for auditing claims contracts and checking for updates.

Medicare Covid100 claims verified for accuracy and payment.

Part A Claims contact person for questions.

Drafted How to Manuals for Quality Assurance Procedures for Part A.

Additional Role:

Med B Claims Processor II

National Government Services

Indianapolis, Indiana

Additional Relevant Experience

Burlington Motor Carriers Daleville, Indiana

Audit Trainer/ Floater/ Cash application

Certifications

All on the job training.

Contact this candidate