Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kelli Peter

Virginia Beach,VA

Summary

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.

Education

Medical Secretary, Medical Billing

Medical Career Institute
Newport News, VA
11-1998

High School Diploma -

North Rockland High School
Thiells, NY
06-1994

Skills

  • Quality control processes
  • Customer focus
  • Internal auditing
  • In-process inspection
  • Documentation management
  • Documentation review
  • Continuous improvement
  • Training and coaching

Timeline

Performance Quality Auditor I

Elevance Health
01.2025 - Current

Claims Analyst

Elevance Health
02.2013 - 12.2024

Medical Secretary, Billing Specialist

Sentara Medical Group
01.1999 - 11.2012

Medical Secretary, Medical Billing

Medical Career Institute

High School Diploma -

North Rockland High School
Kelli Peter