Jasmin Melendez
Margate,FL
Summary
Quality assurance professional with proven track record in software testing and quality control. Adept at identifying issues, implementing solutions, and streamlining workflows to enhance product reliability. Strong emphasis on teamwork, adaptability, and delivering consistent results. Skilled in test automation, bug tracking, and documentation, ensuring high standards in every project.
Overview
13
13
years of professional experience
Work History
QA ANALYST
ICARE HEALTH SOLUTIONS
02.2018 - Current
- Analyze the behavior of various applications, report issues, test changes and functionality.
- Design and implement testing plans for product deployments and projects.
- Communicate quantitative and qualitative findings from test results to the development team.
- Monitor efforts to resolve product issues and track progress.
- Ensure that the final product satisfies the product requirements and meet end-user expectations.
- Spot areas for improvement to enhance the product's efficiency.
- Acted as the primary QA liaison for client engagements, consistently receiving positive feedback for clear communication and thorough issue resolution.
EDI BATCH CLAIMS SPECIALIST
ICARE HEALTH SOLUTIONS
04.2017 - 01.2018
- Assist in analyzing, testing, and documenting the implementation of EDI solutions
- Manage the imports and exports of all electronic files which include: 837's, 834's, 835's, 277's, 999's, 270/271.
- Responsible for documenting corrective actions and resolution of carrier rejection reports.
- Creating reports for reconciliation and auditing as needed to ensure compliance.
- Communicating directly with departments including Provider Relations, IT, Credentialing, Enrollment, Claims.
- Maintaining HIPAA compliance while reducing clean claim turnaround time.
CLAIMS PROCESSOR
ICARE HEALTH SOLUTIONS
12.2016 - 03.2017
- High accuracy in data entry of paper claims.
- Verified completeness and of provider claim submissions.
- Assisted other departments on projects to correct or void claims to be reprocessed.
SHIFT MANAGER
BOSTON MARKET
08.2012 - 11.2016
- Managed inventory while utilizing company software to monitor and track trends.
- Delivered excellent customer service; addressed customer inquiries and resolved complaints.
- Trained staff to exceed company expectations and to follow corporate policies and procedures.
Education
High School Diploma -
Freedom High School
Tampa, FL06.2012
Skills
- Availity
- Change Healthcare
- Core FTP
- Zirmed
- Microsoft office
- Employee training
- Customer service focus
- Opening and closing procedures
- Test documentation creation
- Interpersonal skills
- Regression testing expertise
- User acceptance testing
- Collaboration and communication
- Agile methodology
- Project planning
Timeline
QA ANALYST
ICARE HEALTH SOLUTIONS
02.2018 - Current
EDI BATCH CLAIMS SPECIALIST
ICARE HEALTH SOLUTIONS
04.2017 - 01.2018
CLAIMS PROCESSOR
ICARE HEALTH SOLUTIONS
12.2016 - 03.2017
SHIFT MANAGER
BOSTON MARKET
08.2012 - 11.2016
High School Diploma -
Freedom High School
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