Medical Office Professional experienced in patient-focused roles with strong communication skills and a personable demeanor. Delivered improvements in operational efficiency through expertise in medical terminology, billing procedures, and quality assurance coordination. Contributed to enhanced product reliability and reduced errors through effective problem-solving and quality control methodologies.
Overview
11
11
years of professional experience
Work History
Training & QA Coordinator Manager -Remote
Healthcare Outsourcing Network Llc
Golden, CO
05.2020 - Current
Developed and implemented customer service policies and procedures to apply best practices and establish quality standards.
Created and executed customer satisfaction surveys to evaluate and enhance customer service quality.
Developed and implemented customer satisfaction surveys to measure customer service quality.
Collaborated with operations staff to address service issues and enhance client satisfaction.
Utilized active listening skills to identify customer needs and provide appropriate solutions.
Maintained accurate record-keeping with proactive attention to client information updates.
Prepared and submitted reports to keep management informed of sales activities and progress.
Formulated and established customer service policies and procedures to implement best practices and set quality standards.
Developed and implemented quality assurance protocols to enhance product reliability.
Conducted thorough inspections and testing procedures to ensure compliance with industry standards.
Collaborated with cross-functional teams to identify quality improvement opportunities.
Trained staff on best practices for quality control and assurance methodologies.
Analyzed defect trends and provided actionable insights to reduce errors in production processes.
Led root cause analysis initiatives to address recurring quality issues effectively.
Streamlined documentation processes for quality assurance activities, improving traceability and accountability.
Quality Auditor
Impact Fulfillment Services
Dallas, TX
08.2018 - 05.2020
Audited clinical trials through review of research protocols and regulations compliance.
Inspected work areas to identify areas for improvement in safety practices, quality control procedures, and worker actions.
Inspected raw and in-processed materials to determine quality and any not meeting minimum standards.
Facilitated quality assurance processes by reviewing production tests and specifications in advance. by approving production tests and specifications in advance and communicating required changes to supervisors.
Helped maximize output quality by approving production tests and specifications in advance and communicating required changes to supervisors.
Monitored departmental forms for compliance to submissions rules and guidelines.
Conducted thorough audits of clinical trials to ensure adherence to research protocols. through review of research protocols and regulations compliance.
Identified issues of non-compliance and elevated reports to senior personnel.
Identified non-compliance issues and escalated reports to senior personnel for further action.
EOB Specialist
Workers Comp Claims Recovery Group
Addison, TX
08.2018 - 07.2019
Drafted appeals and processed denials and reconsiderations to ensure claim resolution
Recovered monies from all insurance companies that denied a doctor's claim
Wrote appeals, worked denials, and reconsideration's
Reviewed EOB's to pull information, services performed, dare of injury, amount paid, deductibles ect.
Recorded payments accurately in accounting system
Processed claims for billing purposes using Lytec and Medisoft programs
Audited using aging reports on over 80 plus accounts monthly
Processed write-offs for claims that were not paid
Reviewed EOB's to pull information, services performed, date of injury, amount paid, deductibles etc.
Led a team of 8 to maintain quality control and productivity
Interpreted clients' needs and introduced services to fit specific requirements.
Office Manager
Envision Eyecare
Lancaster, TX
12.2015 - 06.2018
Managed daily office operations, ensuring efficient workflow and resource allocation.
Implemented scheduling systems to optimize appointment bookings and patient flow.
Developed office policies to enhance compliance with industry standards and regulations.
Coordinated team training sessions to improve service delivery and staff performance.
Oversaw inventory management, maintaining optimal stock levels for office supplies and equipment.
Streamlined communication channels to enhance collaboration among staff members and departments.
Led initiatives to improve patient satisfaction scores through enhanced service protocols.
Analyzed operational processes, identifying areas for improvement and implementing effective solutions.
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
Streamlined office operations by implementing efficient filing systems and organizational strategies.
Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
Supported department heads in accomplishing their goals through diligent administrative assistance such as report generation and data entry.
Oversaw facility maintenance requests, coordinating with building management to address repairs or improvements efficiently.
Developed comprehensive policy manuals outlining procedures and guidelines, contributing to a well-organized workplace culture.
Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
Contributed to workplace safety by ensuring compliance with established emergency protocols and conducting regular equipment inspections.
Handled sensitive employee and client information with utmost confidentiality, maintaining trust and integrity.
Improved team morale and cohesion with regular team-building activities and open communication channels.
Managed scheduling and coordination of all office meetings to ensure smooth operations and minimal conflicts.
Implemented comprehensive training program for new hires, improving their integration into the team and productivity.
Education
Medical Administrators Assistance Diploma - Medical Administrations
Ultimate Medical Academy (Online)
Tampa, FL
01.2015
Associate of Science - Medical Administration
Ultimate Medical Academy
Clearwater, FL
05.2024
Skills
Corrective action planning
Medical billing
Medical Records Management
Quality Assurance Standards
Medical transcription
Process Improvement
EHR and EMR systems
Medical laws and ethics
Customer Service Training
Customer service
Client Relationship Management
Customer support
Policy implementation
Database management
System documentation
Payment processing
Client assessment
Member management
Client management
Benefits determination
Administrative and Office Support
Claims investigation
Billing adjustments
Policy adherence
Quality management
Product evaluation
Product analysis
Document management
Project management
Corrective actions
Auditing
Material questionnaires
Team collaboration
Employee supervision
Customer focus
Interpersonal communication
Compliance Auditing
Strong work ethic
Quality Improvement Actions
Onboarding Programs
SQL understanding
Software testing
Visual inspection
Product evaluation
Financial Consulting
Benefits determination
Product analysis
Leadership
Critical thinking skills
Internal auditing
Document control
Multitasking
Customer focus
Team collaboration
Operation monitoring
Team Leadership
Performance Analysis
Accomplishments
Supervised team of 16 staff members.
Documented and resolved production goals which led to entire team of 16 meeting production goals for the 1st time in the company's history.
Timeline
Training & QA Coordinator Manager -Remote
Healthcare Outsourcing Network Llc
05.2020 - Current
Quality Auditor
Impact Fulfillment Services
08.2018 - 05.2020
EOB Specialist
Workers Comp Claims Recovery Group
08.2018 - 07.2019
Office Manager
Envision Eyecare
12.2015 - 06.2018
Medical Administrators Assistance Diploma - Medical Administrations
QA/QC Manager – Lead Auditor QMS/EMS / Management Representative (MR) at Ammico International Contracting CompanyQA/QC Manager – Lead Auditor QMS/EMS / Management Representative (MR) at Ammico International Contracting Company