Erika Parker
Summary
Dedicated Quality Assurance Specialist with over 5+ years of ensuring compliance with industry standards and regulations. Skilled in developing and implementing quality control processes to improve product quality and customer satisfaction. Proficient in conducting quality audits and inspections. Skilled in developing and implementing quality control procedures Experience in analyzing data and identifying trends to improve quality processes. Seeking to leverage my expertise in a challenging QA role.
Quality Assurance professional with strong background in ensuring product integrity and compliance. Skilled in identifying system inefficiencies, implementing effective quality control measures, and enhancing operational processes. Known for fostering team collaboration and adapting to evolving project demands while consistently achieving high-quality results. Equipped with analytical skills, attention to detail, and commitment to continuous improvement.
Overview
28
28
years of professional experience
Work History
Quality Assurance Specialist
Webpt
02.2021 - Current
- Investigate member complaints on accounts.
- Collect and compile statistical quality data.
- Perform quality audits to ensure processes meet established standards for operations.
- Analyze data to identify areas for improvement in the quality system.
- Develop, recommend, and monitor corrective and preventive actions.
- Prepare reports communicating results of quality Assurance audits for management to determine the training needs of staff and organize training interventions to achieve quality standards.
- Coordinate and support offshore audits conducted by upper Management and the Quality Department to evaluate corrective actions.
- Assure ongoing compliance with quality and industry regulatory requirements.
- Maintain the QA Dashboard for various front and backend processes.
- Audit other auditors work to ensure quality audits were performed consistently throughout the organization.
AR Specialist
Webpt
03.2018 - 02.2021
- Execute accounts receivable and accounts payable reporting enhancements and reconciliation procedures.
- Managed accounting operations, accounting close, account reporting.
- Review analyzed and managed coding of diagnostic and treatment procedures for physical therapy.
- Credit patient payments to accounts.
- Process claims and appeals by gathering information, initiating and/or creating via payer portals, scanning appeals, filing electronic or paper rebills and mailing to insurance companies in a timely manner.
- Document daily in the billing system all follow up and communication on a patient account in a consistent and concise format and logging daily in Excel accounts worked as well as performing other duties as assigned.
- A part of the SME training program which includes training several AR specialists on daily functions and operations for accounting purposes.
- Performed Quality Assurance audits for new hire employees and the overseas omega team provided feedback and recommendations to AR specialists to ensure the overall quality of work meets or exceeds company standards.
- Monitored New hire productivity and provide feedback to meet and/or improve timely goals.
Billing Specialist III
Med America Billing Services
03.2013 - 02.2018
- Examine patient's encounter forms to verify diagnosis codes and reconcile codes against service rendered.
- Following up on past due claims/invoices and delinquent accounts to reduce the number of outstanding and unpaid balances.
- Performed insurance verification, pre-certification, and pre-authorization.
- Entered procedure and diagnosis codes, requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnosis, and coded narrative diagnosis.
- Responded to staff and client inquiries regarding accounts.
Computer Operator III
Lender Processing Services
04.1999 - 08.2012
- Create reports for customers and programmers.
- Train some IT staff members on file processing.
- Conducted Q/A analysis files received from various counties for possible layout changes prior to updating the database.
- Serve as a backup operator for the delinquency processing department.
- Assist programming staff in testing new/modified program applications.
- Manage backups of all department critical files and reports.
- Update the delinquency database with delinquent tax information.
- Make requests to have programmers to enhance existing programs to give operators the ability to have more options available for running jobs resulting in program implementation.
Loan Officer Assistant
Norwest Bank
03.1997 - 02.1998
- Oversaw and verified loan applications from auto dealerships for bank loan officers.
- Verify automobile insurance for approved loans.
- Assist in the financial analysis of applicant's financial, credit, and employment status to determine loan approval.
- Main contact between auto salesman and loan officers.
- Responded to questions and concerns customers and /or auto salesmen may have about applications.
Education
Diploma - Health Claims Examiner/Medical Billing
American Career College
Ontario, CA04.2012
Information System Technology -
Chaffey College
Rancho Cucamonga, CA11.2006
Skills
- Strong focus on accuracy
- Critical analysis skills
- Analytical problem-solving
- Automated quality assurance
- Quality assurance through manual testing
- System performance evaluation
- Quality control audits
- Risk analysis expertise
- Technical documentation expertise
- Strong verbal communication
- Cross-functional collaboration
- Problem identification
- Effective time management
- Advanced Excel skills
- Google Sheets
- Jira
- PowerPoint
- Database Management and SQL
- Google Docs
- Waystar
- ICD-9 coding
- Salesforce
- Medicare
- SmartSuite
- Medicaid
- ICD-10 coding
- Worker’s compensation
- Medical/Dental Terminology
- Commercial Insurance
- Microsoft Word
- Medi-Soft billing Software
- Tableau Reporting
- Physical Therapy Terminology
- 1Password
- Revenue Cycle Management
- Electronic Data Interchange
- Jopari
Timeline
Quality Assurance Specialist
Webpt
02.2021 - Current
AR Specialist
Webpt
03.2018 - 02.2021
Billing Specialist III
Med America Billing Services
03.2013 - 02.2018
Computer Operator III
Lender Processing Services
04.1999 - 08.2012
Loan Officer Assistant
Norwest Bank
03.1997 - 02.1998
Information System Technology -
Chaffey College
Diploma - Health Claims Examiner/Medical Billing
American Career College
Similar Profiles
Nadia FloresNadia Flores
EDI Specialist at WebPTEDI Specialist at WebPT
Remi BuffinRemi Buffin
Support Specialist 2 at WebPTSupport Specialist 2 at WebPT
CHANDRA KANTH KAPUDASICHANDRA KANTH KAPUDASI
Senior System Administrator at WebPTSenior System Administrator at WebPT
Lori IbanezLori Ibanez
Remote Accounts Receivable/Collections Specialist at WebPTRemote Accounts Receivable/Collections Specialist at WebPT
Muath AlomiryMuath Alomiry
Quality Assurance Specialist & Quality Analysis at HungerstationQuality Assurance Specialist & Quality Analysis at Hungerstation