Myshia Simon
Danville,IN
Summary
Results-driven Quality Assurance Analyst with a robust background in data security and quality control. Expert in streamlining processes and team collaboration, with a keen ability in time management and multitasking. Proven track record of enhancing data accuracy and driving operational efficiency. Articulate Credentialing Coordinator with exemplary critical thinking and decision making talents. An energetic professional with more than seven years' requesting credentialing documents from providers. Ready to apply talents in credentialing and document workflows with a new organization. Multitasking professional skilled in file efficiency and database integrity. A resourceful Credentialing Coordinator with a background in tracking the expiration of practitioner documents.
Overview
17
17
years of professional experience
Work History
Quality Assurance Analyst
Safe Hiring Solutions
2023.09 - Current
- Implemented self-audits, documenting results and analysis
- Collaborated with cross-functional teams to ensure product quality and compliance with regulatory standards
- Completed and delivered quality audits and reviews for assigned populations and colleagues
- Coordinated quality analyses driving accurate results, timely completion and proper responses and notification
- Assisted with research into new technologies, components and frameworks.
- Complete on average 20-22 reports per hour.
Credentialing Specialist
K1ds Count Therapy, LLC
2016.09 - 2023.08
- Documented detailed descriptions of each task assigned within departments to maintain consistency across teams
- Utilized advanced Excel skills to create spreadsheets for tracking customer information and analyzing trends
- Implemented Central Reach and trained office personnel on day-to-day utilization of the software.
- Developed strategies for optimizing existing processes for faster data entry
- Developed user manuals outlining step-by-step instructions for completing various roles.
- Reviewed incoming documents before processing them to determine if additional information is required
- Created reports summarizing key performance indicators such as turnaround time, and accuracy rate.
- Conducted primary source verifications such as background checks and board certifications.
- Received and evaluated applications to look for missing and inaccurate information.
- Prepared records for site visits and file audits.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Obtained/Updated CAQH numbers/profiles.
- Developed and implemented onboarding and orientation programs for new employees.
- Improved office efficiency by effectively managing internal communications and correspondence.
- Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
- Completed 25 audits a week.
- Submitted multiple provider applications to obtain in-network status.
Occupational Therapy Assistance
Wellbrooke of Crawfordsville
2016.04 - 2016.09
- Verified confidentiality of sensitive data for fulfilling information security obligations
- Managed paper and electronic filing systems by recording information, updating paperwork, and maintaining documents, such as attendance records and correspondence.
- Assisted patients with completing basic daily living activities such as grooming, dressing and self-feeding.
- Helped improve fine motor, visual perception and sensory processing skills.
- Educated patients and families on conditions, treatments and home exercises.
- Educated patients on safe and effective use of therapy equipment, such as pulleys, weights and inclined surfaces.
- Evaluated treatment progress and adjusted to achieve maximum benefit.
- Provided compassionate care to patients with debilitating conditions.
- Assisted patients with functional mobility and daily tasks to increase comfort and reduce disability.
- Supported and built caring relationships with patients with developmental and cognitive disorders, such as Autism Spectrum Disorders, Down Syndrome, developmental delay and dementia.
- Advocated for all patients' health, safety, and rights.
- Assisted patients with activities of daily living (ADL) and functional mobility to increase comfort and quality of life.
- Administered tests to assess nature of disabilities and limits of function and personal capacities.
- Provided support to help patients adjust to new physical or cognitive limitations.
- Maintained and promoted positive attitude toward clients and treatment programs.
- Provided interventions and treatments to improve patient abilities to perform daily activities, manage symptoms and prevent injury.
- Helped patients with cognitive and mental health conditions to improve ability to think, learn and memorize.
Data Entry Clerk
Thrifty Supply
2007.05 - 2014.10
- Maintained database by entering new and updated customer and account information
- Updated existing databases with new entries regularly
- Developed organizational skills to effectively manage large amounts of paperwork and records efficiently
- Collaborated closely with colleagues within the organization to ensure timely completion of projects
- Performed daily maintenance activities such as backing up files and archiving old records
- Preserved customer confidence and protected operations by keeping information confidential.
- Organized, sorted, and checked input data against original documents.
- Followed established procedures to enter and process data correctly.
- Maintained files, records, and chronologies of entry activities.
- Used computer software to store and retrieve data.
Education
Associate of Science - Paralegal
Penn Foster Career School
Scranton, PA05.2026
Associate in Science (A.S.) in Occupational Therapy - undefined
Brown Mackie College - Indianpolis
Indianapolis, IN04.2016
High School Diploma - undefined
South Montgomery High School
Crawfordsville, IN05.2006
Skills
- File Management
- Word Processing
- Proofreading
- Data Security
- Quality Assurance
- Data Entry
- Document Scanning
- Order Processing
- Medical Terminology
- Quality Control
- Strong Problem Solver
- Time Management Abilities
- Fast Typing Speed
- Critical Thinking
- Multitasking Capabilities
Volunteer Experience
Horse Riding Coach, 01/2021, Present, Myself, North Salem, IN
References
References available upon request
Timeline
Quality Assurance Analyst
Safe Hiring Solutions
2023.09 - Current
Credentialing Specialist
K1ds Count Therapy, LLC
2016.09 - 2023.08
Occupational Therapy Assistance
Wellbrooke of Crawfordsville
2016.04 - 2016.09
Data Entry Clerk
Thrifty Supply
2007.05 - 2014.10
Associate of Science - Paralegal
Penn Foster Career School
Associate in Science (A.S.) in Occupational Therapy - undefined
Brown Mackie College - Indianpolis
High School Diploma - undefined
South Montgomery High School
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