Genevieve Fleming
St. Petersburg,FL
Summary
Experienced Medical Quality Assurance Investigator skilled at investigations, supplementary documents. Skilled at working with other Government agencies and law enforcement. Focused professional knowledgeable about devising innovative solutions to diverse business concerns and goals. Strategic and forward-thinking leader with self-motivated and tactical mindset. Excellent relationship-building and critical thinking skills with determined and decisive nature.
Overview
19
19
years of professional experience
Work History
Medical Quality Assurance Investigator
The Florida Department of Health-Medical Quality Assurance-Investigative Services Unit
04.2021 - Current
- Investigate alleged violations for Florida Statutes and board rules involving professions under the jurisdiction of the Department
- Review and analyze complaint and documents received
- Prepare and serve Subpoenas to hospitals, private clinics and health care facility to obtain documentation required for the investigation
- Prepare and send subject notifications, patient notifications, status update letters and all documentation necessary to inform the necessary parties of the investigation being conducted
- Obtain patient records from various health care organizations and manage medical invoices sent for payment by preparing medical invoice forms, and sending the documents to the regulatory specialist as requested
- Contact and interview complainants, subject and any witnesses
- Use multiple online data base sites for additional research needed to verify identity or confirm place of residence etc
- Work with other investigators to perform undercover operations as necessary
- Prepare Final Investigative Report, pull time tracker report and complete all IRQA requirements based on type of case for final submission
- Complete any supplemental requests sent in from PSU for additional information
- Maintain professional contacts with hospital administrators, law enforcement, nursing directors and other health care providers
- Perform other related duties as required by Manager or Supervisor.
Account Manager
Fleming Advertising and Design, Inc.
07.2004 - Current
- Accounts Payable and receivable
- Generate monthly sales and use tax
- Quarterly tax reports
- Client support
- End of year business tax preparation
- Manage over 50 accounts by reviewing and mitigating discrepancies and collaborating with account holders
- Additional experience as Account Service Representative with Metro Call Paging, Sales Support Coordinator with Nokia Mobile Phones, Account Executive with Option One Mortgage and Customer Service Representative with Bankers Insurance.
Regulatory Specialist II
The Florida Department of Health-Medical Quality Assurance-Investigative Services Unit
10.2020 - 04.2021
- Maintain Current information on likenesses by reviewing documentation submitted
- Make changes as required using enforcement database and licensing websites for the state
- Update and maintain all inner office budget spreadsheets for monthly reviews
- Log and order office supplies, Pay vendors weekly or quarterly per contract
- Distribute all mail incoming and outgoing to and from Tallahassee and other health care agencies, manage all fleet vehicles by handling maintenance
- Log and track mileage and create monthly reports for supervisor of Fleet Vehicles in Tallahassee.
Office Manager
The Junior League of St. Petersburg
01.2009 - 01.2020
- Track and record expenses and reconcile accounts to maintain accurate, current and compliant financial records
- Worked close with finance council to keep data accurate among several data bases
- Manage committee needs and its members for events and meetings
- Set dates on web calendar for public and site user only (members)
- Coordinate fundraising events, overseeing management of volunteers, vendor relations and publicity to increase community outreach and awareness
- Kept physical files and digitized records organized for easy updating and retrieval by authorized team members
- Oversaw appointment scheduling and itinerary coordination for both council VP's and leadership teams
- Optimized organizational systems for payment collections, AP/AR, deposits and record keeping
- Oversee all office supplies and order as needed according to budget
- Review current expenditures with finance council and produce end of month reports for audit purposes
- Work with President and Executive Vice President on implementing new leadership roles and improvements.
Education
Bachelor of Arts - Criminology
University Of South Florida
St. Petersburg, FL05.1995
Skills
- Interpersonal skills
- Analytical mindset
- Regulatory compliance
- Risk assessment
Timeline
Medical Quality Assurance Investigator
The Florida Department of Health-Medical Quality Assurance-Investigative Services Unit
04.2021 - Current
Regulatory Specialist II
The Florida Department of Health-Medical Quality Assurance-Investigative Services Unit
10.2020 - 04.2021
Office Manager
The Junior League of St. Petersburg
01.2009 - 01.2020
Account Manager
Fleming Advertising and Design, Inc.
07.2004 - Current
Bachelor of Arts - Criminology
University Of South Florida
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