Experienced in customer service with over 20 years of experience in call centers also working remotely. Excellent reputation for resolving problems and improving customer satisfaction.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Housekeeper
Brenda Boice
Columbus, OH.
09.2016 - Current
Housekeeper for residential and offices.
Waxed and polished wood floors and other woodwork.
Polished glass surfaces and windows.
Adhered to professional house cleaning checklist.
HEDIS Quality Analyst
Anthem
Worthington, OH
01.2016 - 05.2016
Remote
Provided support for Quality Management department for the Health care Effectiveness Data and Information Set (HEDIS) a time-sensitive project in a fast pace environment. Responsibilities included requesting charts from providers, researching, collecting data, and updating Excel spreadsheets for abstractors.
Superior multitasking talents, with the ability to manage multiple high-priority assignments and develop solutions to challenging business , Word, Excel HEDIS ABSTRACTOR.
Contacted appropriate agencies to complete searches, order records and obtain documents.
Collected, summarized and trended provider performance data to identify and strategize opportunities for provider improvement.
Reviewed charts and flagged incomplete or inaccurate information.
Communicated effectively with staff, patients and insurance companies by email and telephone.
Identified new methods to optimize medical records management.
Kept accurate log of all requests for medical information and records.
Maintained accuracy, completeness and security for medical records and health information.
HEDIS Quality Analyst
Aetna Life Insurance Company
Worthington, OH
09.2015 - 11.2015
Remote
Reviewed records and made determinations if the record was to be sent to supervisor for clarification.
Conducted audits at provider offices and provided feedback to office staff, provider on documentation and medical record coding.
All received medical record information is abstracted and entered accurately on HEDIS forms.
Demonstrated ability to abstract an average of 35-50 records or more per day for multiple measures. Excel, Outlook, Versik, Abstractor tools.
Reviewed medical records to ensure completeness, compliance with NCQA, DHS, MRMIB and other regulatory agencies.
Collected, summarized and trended provider performance data to identify and strategize opportunities for provider improvement.
Kept accurate log of all requests for medical information and records.
HEDIS
Anthem, Inc
Worthington, OH
01.2015 - 05.2015
Work from home Temporary Provided support for Quality Management department for the Health care Effectiveness Data and Information Set (HEDIS) a time-sensitive project in a fast pace environment
.Responsibilities included requesting charts from providers, researching, collecting data, and updating Excel spreadsheets for abstractors.
Team atmosphere, without direct supervision onsite we were solely responsible for gathering information in timely and efficient manner to meet required deadline.
Superior multitasking talents, with the ability to manage multiple high-priority assignments and develop solutions to challenging business problems.
Outlook, Word, Excel.
Kept accurate log of all requests for medical information and records.
Maintained accuracy, completeness and security for medical records and health information.
Education
Certified Medical Assistant - Medical Assisting
Everest Institute
Gahanna, OH
01.2014
Skills
Word, Excel
Multitasking
Networking
Quality
Researching
Supervising
Troubleshoot
35 WPM
Certification
Certified Medical Assistant[
Contact Tracing Course online John Hopkins University.
Timeline
Housekeeper
Brenda Boice
09.2016 - Current
HEDIS Quality Analyst
Anthem
01.2016 - 05.2016
HEDIS Quality Analyst
Aetna Life Insurance Company
09.2015 - 11.2015
HEDIS
Anthem, Inc
01.2015 - 05.2015
Certified Medical Assistant - Medical Assisting
Everest Institute
Certified Medical Assistant[
Contact Tracing Course online John Hopkins University.
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