Mareeta White
Aurora,OH
Summary
Detail-oriented Healthcare Analyst with 9+ years of experience in healthcare operations, eligibility processing, and quality auditing. Skilled in reviewing complex data, ensuring compliance, and improving process accuracy.
Overview
11
11
years of professional experience
Work History
Prior Authorization Representative/Quality Auditor
Cigna
01.2023 - Current
- Process eligibility and authorization requests while ensuring adherence to clinical and policy guidelines. Audit member records and documentation for accuracy and compliance with HIPAA and internal standards. Review data from multiple sources to identify discrepancies, resolve errors, and recommend process improvements. Maintain a 95%+ accuracy rate while meeting turnaround times in a fast-paced, dynamic environment. Communicate professionally with leadership and team members to support business operations and compliance.
Customer Service Representative
New York Life Insurance
01.2017 - 01.2020
- Processed policy and eligibility data with a high degree of accuracy and confidentiality. Conducted detailed record audits to ensure compliance with internal and regulatory requirements. Communicated effectively with customers and management to resolve issues and clarify complex information. Contributed to process improvements that enhanced data accuracy and reduced processing time.
Quality Auditor
University Hospitals
Cleveland, OH
01.2015 - 01.2017
- Verified insurance eligibility and maintained accurate patient records. Audited scheduling data to prevent billing errors and ensure compliance with hospital procedures. Supported operational efficiency by identifying workflow gaps and proposing corrective actions.
Education
Bachelor’s - human resource management
DeVry University
Skills
Eligibility & Claims Processing
Data Auditing & Quality Assurance
Microsoft Office (Excel, Word, Access, Outlook)
Healthcare Software (Epic, Salesforce, CRM Systems)
Analytical Thinking & Problem Solving
Compliance & Confidentiality (HIPAA)
Proofreading & Documentation Accuracy
Time Management & Prioritization
Communication with Leadership & Cross-Functional Teams
Independent Decision-Making & Troubleshooting
Timeline
Prior Authorization Representative/Quality Auditor
Cigna
01.2023 - Current
Customer Service Representative
New York Life Insurance
01.2017 - 01.2020
Quality Auditor
University Hospitals
01.2015 - 01.2017
Bachelor’s - human resource management
DeVry University