CHRISTINE FREDERIC
Fort Lauderdale,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Quality Control Support Specialist
Maximus
08.2024 - Current
- Supervised and supported a team of 14–16 staff members in maintaining queue performance and meeting productivity goals.
- Contributed to team success by conducting regular refresher trainings to ensure team understanding of processes, procedures, and up to date VA guidance and guidelines.
- Collaborated with other departments to ensure the veteran’s claim was fully and properly handled.
- Held one-on-one sessions to enhance team members’ QA skills and promote consistent performance for monthly quota.
- Successfully managed a high volume of professional correspondence, ensuring timely and accurate communication.
- Monitored QA queues to ensure compliance with internal standards and regulatory requirements.
- Maintained detailed logs of team strengths and areas for improvement to guide targeted coaching and development.
- Managed the team’s “Ask Team” inbox, responding to all inquiries promptly to provide clarity and resolve workflow issues efficiently.
Quality Analyst
Maximus
09.2022 - 08.2024
- Consistently exceeded a monthly quota of 340 case reviews while maintaining accuracy and attention to detail.
- Proactively managed and maintained queue status, ensuring all cases were updated and processed in a timely manner.
- Prioritized and efficiently processed expedited veteran claims in accordance with VA guidelines and deadlines.
- Prepared and submitted detailed quality reports, contributing to a personal quality error rate consistently below 1%.
- Demonstrated exceptional punctuality and reliability, consistently meeting deadlines and maintaining high performance standards.
- Ensured that all diagnostic requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report.
Eligibility Specialist
Tidal Basin
09.2021 - 09.2022
- Review of intake forms to determine client's eligibility for program benefits
- Preparing and calculating recommendations for award
- Finalizing agreements for execution
- Income verification for applicants
- Resolve issues identified in quality control
- Manage production goals for case management unit
- Meet case management deadlines in fast-paced work environment
- Collect, compile, report and maintain necessary data in program
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Insurance Verification
Path Medical
01.2019 - 05.2021
- Ensure that patient's car insurance will cover required medical procedures
- Other duties include verifying patient information, billing, medical coding, and conducting claims examinations
- Reviewed 40-60 patient cases per week and verified insurance coverage information
- Determined appropriateness of payers to protect organization and minimize risk
- Verified client information by analyzing existing evidence on file
- Answered telephone calls to offer office information, answer questions and direct calls to staff
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Organized patient files and streamlined operations to improve efficiency.
Administrative Assistant
Path Medical
05.2018 - 01.2019
- Supervised and supported a team of 14–16 staff members in maintaining queue performance and meeting productivity goals.
- Contributed to team success by conducting regular refresher trainings to ensure team understanding of processes, procedures, and up to date VA guidance and guidelines.
- Collaborated with other departments to ensure the veteran’s claim was fully and properly handled.
- Held one-on-one sessions to enhance team members’ QA skills and promote consistent performance for monthly quota.
- Successfully managed a high volume of professional correspondence, ensuring timely and accurate communication.
- Monitored QA queues to ensure compliance with internal standards and regulatory requirements.
- Maintained detailed logs of team strengths and areas for improvement to guide targeted coaching and development.
- Managed the team’s “Ask Team” inbox, responding to all inquiries promptly to provide clarity and resolve workflow issues efficiently.
Education
Associate of Arts -
Broward College
Fort Lauderdale, FL05.2020
High School Diploma -
South Plantation High School
Plantation, FL06.2016
Skills
- Information Verification
- Data management
- Organization and Time management
- Multitasking abilities
- Customer service
- Understanding of medical terms
- Prior authorization processing
- Spreadsheet management
- Microsoft Office (Excel, Word, OneNote, Outlook)
- Monitoring Data Quality
- Government Program Knowledge
- Data Evaluation
- Teamwork and Collaboration
- People Management
- Problem-Solving
- Analytical Thinking
Languages
Haitian Creole
Native or Bilingual
Timeline
Quality Control Support Specialist
Maximus
08.2024 - Current
Quality Analyst
Maximus
09.2022 - 08.2024
Eligibility Specialist
Tidal Basin
09.2021 - 09.2022
Insurance Verification
Path Medical
01.2019 - 05.2021
Administrative Assistant
Path Medical
05.2018 - 01.2019
Associate of Arts -
Broward College
High School Diploma -
South Plantation High School