Quality Assurance Insurance

INGRID GABRIEL-DELANEY

Phone: 510-***-**** ●

Email: pd7ozo@r.postjobfree.com

Skills and Qualifications

• 6-7 years of experience in the healthcare industry involving both technical and business activities with increasing responsibility in project size and management of multiple projects simultaneously.

• Competent in EPIC modules and tracks such as Inpatient, Ambulatory, MyChart, Clinical documentation, Resolute (Hospital and Professional Billing), Cadence, ASAP, Stork, Prelude, Scanning, Beacon, End to End, Radiant, Epic Rx, Orders, Health Information Management (HIM), Tapestry, and Release of Information (ROI).

• Familiar in applications such as EPIC, HP Quality Center, Aria, 3M Coding and Reimbursement System, FTP Pro Explorer, BirdDog, Vignette, IDM, Mainframe, Legacy (PARRS/Foundations/CIPS), Admin Tool, Remedy Action Request System, Lotus Notes /Domino, and Web Ex Player.

• Proficient in Windows, Microsoft Office suite including Word, Excel, and Power Point, Visio and other web-based operations.

• Detail oriented, organized, and able to multi-task.

• Strong interpersonal and communicational skills with a wide range of customers.

• Reliable, flexible and able to work independently and as a team.

• Willing to be challenged and open to learning new aspects in business

• Experience in teaching concepts to individuals and groups with diverse cultures.

• Bilingual, fluent in English and Tagalog.

Professional Experience

Dec 2006- Dec 2009

Kaiser Permanente Information Technology, Emeryville, CA

Quality Assurance Analyst/Tester ( EPIC)

Worked on 12 major projects including MyChart test automation reducing length of execution from 2 weeks to a week. Designed and executed a comprehensive plan using testing methodologies and standards. Developed, supported, and maintained Charge Capture projects including ED documentation and procedures, a Supported and implemented releases and optimitizations for modules mentioned above. Identified defects/bugs, documented, reported, and validated resolution of identified problems. Managed large sets of data including data extraction and manipulation. Created LOE, test coverage and traceability matrix, express test plans, lessons learned documents, and weekly status reports. Updated and maintained test scripts accurately with the most up to date workflows. Identified components while “recording movies” using WebEx player, and coordinated with Automation team with implementation. Prioritized and organized projects and schedules while consistently setting and meeting timelines for testing tasks

Apr 2006- Dec 2006

Kaiser Permanente Health Connect, Emeryville, CA

Business Application Coordinator (BAC) – EPIC (Cadence)

Acted as an expert consultant for front end users to ensure the optimization of workflow and business processes in the Revenue Capture (Cadence) setting for 12 facilities. Demonstrated new techniques to over 200 users for the efficiency in operating EPIC system prior to and during Go-Live events. Performed role as a liaison between business clients and technical staff with the work of troubleshooting problems and applying specialized knowledge to resolve system issues. Escalated issues to 1st and 2nd levels, issuance of trouble tickets.

Sept 2004- Apr 2006

San Francisco State University Head Start, San Francisco, CA

Preschool Lead Teacher

Worked for a nonprofit organization focusing on developing and implementing curriculum based upon children’s individualities. Instructed children (up to 5 years of age) in activities designed to promote social, physical, and intellectual growth. Observed and documented children’s behavior. Performed assessments as well as parent and teacher conferences, discussing any topics relating to children. Improved teaching skills by attending workshops, in-service training, seminars and work related courses. Complied with licensing policies and requirements to ensure proper operations and standards.

Sept 2002 – Jan 2003 and Jan 1998- May 2000

National Heritage Insurance Company (NHIC)/Electronic Data Systems (EDS), Chico,CA

Insurance Processor

Entered data, reviewed, and processed claims using computerized accounting systems, set Medicare guidelines and thorough knowledge of claims adjudication system. Researched and resolved issues within scope of position. Maintained weekly production and quality requirements.

Feb 2002- Aug 2002

United Health group, Chico, CA

Quality Assurance/ Claims Consultant

Satisfied members, providers and clients with the quality of service received by responding courteously and accurately to all phone inquiries relating to eligibility issues, explanation of benefits and claims issues and by forwarding complex issues to the next level when necessary and appropriate. Responded to members, providers and clients regarding eligibility verifications for member and providers, explanation of benefits, coordination of benefits and claims inquiries.

Jan 2001- May 2001

Blue Shield of California, Chico, CA

Quality Assurance Claims Auditor

Reviewed, recorded audit results and maintained a file of cumulative results of audits per claims examiner while generating the required reports. Manually reviewed batches for statistical and financial errors. Assisted with identifying and resolving inconsistent handling and processing payment of claims for quality purposes.

Community and Volunteer Activities

Community Action Volunteers in Education (CAVE) - Member, 1996-2003

Filipino American Student Organization (FASO) Member, 1996-2003

Education

California State University of Chico, Chico, CA

Major: Bachelor of Arts in Child Development, Spring 2003

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