Sandra G Hall
Wilson,NC
Summary
Organized quality assurance manager with several years of managerial experience dedicated to detail-oriented production inspections and collaborating with various departments. Collaborative Quality Control Analyst with excellent troubleshooting skills. Highly effective in working with clients, peers and professionals. Experienced in inspections and mentoring others.
Overview
15
15
years of professional experience
Work History
Quality Assurance Officer
Wilson County Department Of Social Services
Wilson, North Carolina
04.2009 - 06.2024
- Maintained policy, procedures, work instructions, and projects for quality and continuous improvement agendas.
- Reviewed Medicaid applications to ensure accuracy of information and compliance with state regulations.
- Maintained accurate records of all client interactions.
- Assisted clients in completing forms related to their Medicaid application process.
- Verified patients' income levels against the required threshold for coverage eligibility.
- Provided detailed explanations of policy coverage, including exclusions and limitations.
- Worked closely with other departments within the organization to resolve complex cases.
- Advised clients on available options when their request was denied or delayed.
- Performed quality assurance reviews on completed cases prior to filing them away.
- Participated in training sessions on new procedures and updated policies related to Medicaid collection processes.
- Attended provider meetings and workshops when appropriate.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Answered customer questions regarding account discrepancies or problems.
Education
Some College (No Degree) - Social Work
University of Washington DC
Washington, DCSkills
- Staff Training
- Quality assurance processes
- Compliance Oversight
- Understanding of evaluation methodologies
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
Excellent written and oral communication skills
Ability to plan and organize daily work to meet strict deadlines
Strong attention to detail
Able to work with numbers and apply basic math skills to daily tasks
Strong ability to participate on a highly effective team
Affiliations
- live a healthy and active life style, (gym rat) love traveling, music, volunteer when needed.
References
References available upon request.
Timeline
Quality Assurance Officer
Wilson County Department Of Social Services
04.2009 - 06.2024
Some College (No Degree) - Social Work
University of Washington DC
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