Kathleen Strehlow
Madison,WI
Summary
Ambitious Quality Analyst with track record of dependability and leadership. Knowledgeable in QA methodology with proven history of reducing errors to increase quality. Proficient in preparing test cases, plans and scripts. Dedicated to analyzing and resolving defects.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
22
22
years of professional experience
Work History
Quality Assurance Analyst
WPS Health Solutions
10.2016 - 08.2023
- Supported company in maintaining work environment focused on quality, communication, collaboration, integration, and teamwork.
- Mentored and coached team members on QA topics and strategies.
- Organized and maintained work environment to allow for maximum productivity.
- Fixed identified issues to improve workflows.
- Created audit forms.
- Wrote work instructions.
Medicare Provider Enrollment Analyst
WPS Health Insurance
10.2012 - 10.2016
- Entering 855I/855R/855B applications for Medicare providers.
- Checked documentation for accuracy and validity on updated systems.
- Entered provider applications into the PECOS systems.
- Maintained confidentiality of provider information.
- Answering Provider phone calls on the provider hotline.
- Using OnBase to look and view applications
- Making calls to provider offices to verify information.
Medicare Unit Coordinator III
WPS Health Insurance
10.2008 - 09.2012
- Identified and facilitated resolution of unit operational problems independently, collaborating with manager to resolve complex problems.
- Auditing 50 Claims per month on each agent in the claims department.
- Helped process claims when needed.
Medicare Claims Examiner III
WPS Health Insurance
01.2005 - 10.2008
- Investigated and processed 1490, 1500 paper and electronic claims Medicare claims.
- Examined claims forms and other records to determine insurance coverage.
- Corrected edits and audits that would hit on claims.
- Corrected miss keyed information.
- Entered paper Medicare claims into the MCS system.
- Used Filenet to view paper and electronic claims.
Pharmacy Technician
Shopko Pharmacy
07.2003 - 01.2005
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Counted and labeled prescriptions with correct item and quantity.
- Entered and processed patients' prescriptions into internal system.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Cashier
Shopko
09.2001 - 01.2005
- Greeted customers entering store and responded promptly to customer needs.
- Built relationships with customers to encourage repeat business.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Worked flexible schedule and extra shifts to meet business needs.
Education
High School Diploma -
James Madison Memorial High School
Madison, WI06.2002
Skills
- Judgment and Decision-Making
- Deductive Reasoning
- Develop Test Cases
- Report Analysis
- Product Optimization
- Database Querying
- Mentoring
- Critical Thinking
Timeline
Quality Assurance Analyst
WPS Health Solutions
10.2016 - 08.2023
Medicare Provider Enrollment Analyst
WPS Health Insurance
10.2012 - 10.2016
Medicare Unit Coordinator III
WPS Health Insurance
10.2008 - 09.2012
Medicare Claims Examiner III
WPS Health Insurance
01.2005 - 10.2008
Pharmacy Technician
Shopko Pharmacy
07.2003 - 01.2005
Cashier
Shopko
09.2001 - 01.2005
High School Diploma -
James Madison Memorial High School
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