Infinidy Faulk
Florence,SC
Summary
Results-driven healthcare administration professional with expertise in healthcare operations, quality assurance, and revenue cycle workflows. Demonstrates strong capabilities in compliance auditing and workflow optimization, enhancing operational efficiency and supporting value-based care initiatives through data-driven process improvements.
Overview
5
5
years of post-secondary education
5
5
years of professional experience
Work History
Quality Assurance Analyst
Blue Cross Blue Shield of South Carolina
Florence, SC
08.2025 - Current
- Conduct quality assurance validation for CMS-regulated claims, enrollment, and operational workflows.
- Analyze claims processing workflows, identifying operational risks and reimbursement issues to enhance compliance.
- Develop audit-ready testing documentation and quality control procedures, ensuring adherence to regulatory standards.
- Collaborate cross-functionally to implement workflow improvements and corrective actions.
- Support quality improvement initiatives by tracking and reporting data, contributing to informed decision-making.
Medication Access Specialist
HopeHealth
Florence, SC
01.2024 - 08.2025
- Collaborated with providers and payers to identify and resolve medication access barriers, enhancing patient access to necessary treatments.
- Managed denial and appeal workflows, ensuring compliance with payer regulations and improving overall process accuracy.
- Coordinated prior authorizations and medication access workflows to facilitate timely patient access within a federally qualified health center.
- Collaborated with providers and payers to identify and eliminate medication access barriers.
Pharmacy Operations Coordinator
CVS Pharmacy
Charleston, SC
03.2022 - 01.2024
- Coordinated high-volume pharmacy operations processing 500+ prescriptions weekly, ensuring timely service.
- Resolved insurance claim rejections and prior authorization issues, streamlining reimbursement processes.
- Oversaw inventory management, achieving 98% accuracy and ensuring optimal stock availability.
- Optimized workflows, reducing patient wait times by 20% and improving overall service efficiency.
Education
Master of Science - Health Administration
Western Governors University
Salt Lake City, UT 08.2024 - 04.2026
Bachelor of Science - Psychology
University of South Carolina
Columbia, SC 08.2017 - 04.2021
Skills
- Health information management, revenue cycle, coding, healthcare, customer service, adaptability, analytical, audit, quality assurance, organization, verbal and written communication, compliance, medical terminology, prior authorization, Microsoft Suite
- Compliance auditing
- Healthcare operations
- Data analysis
- Claims analysis
Personal Information
Title: Healthcare Administration Professional
Timeline
Quality Assurance Analyst
Blue Cross Blue Shield of South Carolina
08.2025 - Current
Master of Science - Health Administration
Western Governors University
08.2024 - 04.2026
Medication Access Specialist
HopeHealth
01.2024 - 08.2025
Pharmacy Operations Coordinator
CVS Pharmacy
03.2022 - 01.2024
Bachelor of Science - Psychology
University of South Carolina
08.2017 - 04.2021