Megan Seiffert
Tampa,FL
Summary
Dynamic Quality Assurance Lead recognized for enhancing team performance through effective training and conducting QC audits. Proven expertise in credentialing and compliance, coupled with a keen attention to detail, has streamlined processes and improved client satisfaction. Committed to delivering exceptional customer service and fostering strong relationships.
Overview
6
6
years of professional experience
Work History
Quality Assurance Lead
New Editions Consulting, Inc
Falls Church, VA
06.2024 - Current
- Lead a team of 20 employees overseeing daily operations, coordinating workflow and ensuring task completion.
- Conduct new hire training sessions and refresher courses to ensure team proficiency with updated materials.
- Provide feedback and training to team based on QA findings.
- Work with internal management to discuss issues/improvements.
- Develop, implement, and maintain quality assurance frameworks, procedures, and audit schedules for helpdesk operations.
- Conduct regular call monitoring, ticket audits, and customer interaction reviews.
- Support the client with daily case requests as needed.
- Verifying medical provider credentials to certify new users.
- Primary Jira System Administrator, logging, tracking, and managing internal IT issues.
- Assisting with technical issues relating to the database.
- Assisting drivers with NRII processes and policies to properly guide stakeholders.
- Works with state DMVs and SDLA to troubleshoot technical issues.
- Works with Medical Providers, MEAA’s, TPO’s.
- Verifying state licensure off medical board sites.
- Assists with handling a large volume of support tickets, emails, & calls in a helpdesk environment.
- Working in cooperation with other staff members to ensure coverage of all tasks, providing seamless customer service to users and the client.
- Preparing daily/monthly reports & providing other information to the client as needed.
- Utilizes SharePoint and PowerBI to create reports.
- Updating SOP’s as well as creating new response language as necessary.
- Participating in team and client meetings as needed.
Medical Scheduling Representative
Florida Orthopedic Institute
Temple Terrace, FL
06.2024 - Current
- Completed skilled administrative work to support all office staff and operational requirements.
- Prior authorizations and referrals.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Successfully scheduled patient appointments and placed reminder calls to ensure exceptional customer experience.
- Managed master calendar and scheduled appointments for 40 physicians and 10 locations; providers based on optimal patient loads and clinician availability.
Compliance & Credentialing Specialist Tier III
Aya Healthcare
San Diego, CA
01.2022 - 05.2024
- Review credentialing files and work with healthcare providers to obtain missing, incomplete and expiring items.
- Establish and maintain long-term working relationships with healthcare providers to ensure customer satisfaction and retention.
- Maintain consistent contact with healthcare providers to ensure that expectations are clear and requirements are completed in a timely manner.
- Promoted to tier III which included a wide range of responsibilities and tasks including collecting weekly metrics and presenting to the team.
- Involved in high level management meetings to improve the overall quality of the department.
- Ideas were used to streamline the credentialing process.
- Received many recognitions and awards for my performance.
- Problem-solving skills to resolve conflicts.
- Review specific compliance documentation for accuracy to submit to our client facilities.
- Ensure travel nurses are on track to meeting the facility deadlines.
- Keeping up to date with state licensure and certifications/federal regulations – maintaining board expirations and ensure timely processing of renewal.
- Work with internal teams (recruitment, account managers & project managers) to ensure travel nurse starts on time at their designated facility/hospital.
- Verbal and written communication with travel nurses to reiterate standards and expectations of the facility/hospital placed at.
Patient Engagement Specialists
BioTelemetry, A Philips Company
Malvern, PA
01.2021 - 01.2022
- Work for 20+ cardiology clinics managing their patients home remote monitoring.
- Create schedules for patients and educate on when transmissions are due to make sure their data gets sent over to their clinic on time.
- Create excel spreadsheets for data analytics and metrics as well as lists of patients who need reminder calls to send a transmission.
- Troubleshoot Boston Scientific, Medtronic, Biotronik and St Jude/Abbott heart monitors.
- Maintaining the connectivity of patients ICD/ILR/Pacemaker, CRT-P and CRT-D to their cardiac monitor.
- Daily use of Microsoft Office, Quick Base, Cloud-based programs, UC One Phone system, Box, Care link, Geneva platform and Sharepoint.
- Ordering equipment such as transmitters and accessories if needed.
- Enroll new implants into the manufacturer portal.
- Update manufacturer portals with patient and device information.
Office Manager
Seminole/South Tampa Dentistry
Seminole, FL
01.2020 - 02.2021
- Office Management training position opening a brand new office expanding.
- Submit dental claims to insurance companies.
- Verify insurance eligibility.
- Checks and balancing.
- Creating treatment plans for patients and following up on claims.
- Answering high call volume of phones while checking patients in/out.
- Opening and closing the practices.
- Analytical problem-solving in this multitasking position.
Education
Bachelor of Science - Human Development Family Studies
The Ohio State University
05-2018
Skills
- Proofreading
- Attention to Detail
- License verifications
- Customer & client management
- Flexibility and adapting to change
- Insurance authorizations
- Customer service
- Conflict management & resolution
- Medical terminology
- Microsoft Office
- Excel
- PowerPoint
- Credentialing
- Licensing
- Compliance
- Client Services
Websites
Timeline
Quality Assurance Lead
New Editions Consulting, Inc
06.2024 - Current
Medical Scheduling Representative
Florida Orthopedic Institute
06.2024 - Current
Compliance & Credentialing Specialist Tier III
Aya Healthcare
01.2022 - 05.2024
Patient Engagement Specialists
BioTelemetry, A Philips Company
01.2021 - 01.2022
Office Manager
Seminole/South Tampa Dentistry
01.2020 - 02.2021
Bachelor of Science - Human Development Family Studies
The Ohio State University