Detail-oriented Performance Quality Auditor skilled in internal auditing, quality control, and documentation management. Proven ability to identify trends and recommend improvements to enhance organizational efficiency.
Overview
27
27
years of professional experience
Work History
Performance Quality Auditor I
Elevance Health
Virginia Beach, VA
01.2025 - Current
Conducted comprehensive audits to ensure compliance with organizational standards and regulatory requirements.
Developed and implemented quality control processes to enhance operational efficiency.
Analyzed audit findings to identify trends and recommend corrective actions for quality improvement.
Claims Analyst
Elevance Health
Virginia Beach, VA
02.2013 - 12.2024
Analyzed claims data to identify trends and discrepancies, ensuring accuracy in processing.
Collaborated with cross-functional teams to streamline claims resolution processes and improve customer satisfaction.
Developed training materials for new analysts, enhancing team performance and knowledge retention.
Evaluated complex claims cases to determine eligibility and benefits according to policy guidelines.
Medical Secretary, Billing Specialist
Sentara Medical Group
Virginia Beach, VA
01.1999 - 11.2012
Managed patient scheduling and appointment confirmations to enhance clinic efficiency.
Coordinated communication between healthcare providers and patients, ensuring prompt information exchange.
Processed medical records and maintained confidentiality in compliance with HIPAA regulations.
Assisted in the preparation of patient charts, ensuring accuracy and completeness for daily operations.