Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
11
11
years of professional experience
Work History
Quality Assurance Manager
Department Of Defense Air Force
03.2019 - Current
Plan, organize, and lead a team of 7 Quality Assurance members.
Prepare reports and follow-up correspondence for inspections, audits, and staff visits.
Obtain and analyze statistical data to identify causes, develop solutions, and provide recommendations to solve discrepancies.
Monitor staff organization and suggests improvements to daily functionality.
Examine Logistics Readiness operations by conducting internal surveillance and special reviews.
Analyze trends for effectiveness and efficiency.
Perform root cause analysis to identify and resolve quality issues and defects
Apply coaching techniques and tools to support managers and team members in improving performance. 98% inspection pass rate sustained.
Recorded, analyzed, and distributed statistical information.
Conduct risk assessments to identify and mitigate potential quality issues.
Denials Coordinator
Jackson County Memorial Hospital Home Health Products
11.2014 - 03.2019
Responsible for analyzing and identifying trends of all denials.
Examined medical treatment records and medical bills to gauge overall extent of liability.
Resolved medical claims by approving or denying documentation, calculating benefit due and initiating payment or composing denial letter.
Performed billing functions for hospice patients.
Trained new employees on multiple medical billing programs and data entry software.
Facilitated successful internal and external audits through sound and thorough documentation.
Balanced monthly general ledger accounts to accurately record cost and month end accruals.
Worked accounts receivable for over 400 insurance entities.
Education
Master of Science - Counseling, Applied Behavioral Science
Mid-America Christian University
Oklahoma City, OK
11-2021
Bachelor's Degree - Psychology and Ethics
Mid-America Christian University
Oklahoma City, OK
05.2017
Associate's Degree - Liberal Arts
Western Oklahoma State College
Altus, OK
05.2015
Skills
Leadership
Communication
Adaptability
Active Listening
Customer Service
MS Office Applications
Management
Additional Information
Honorable Discharge
USAF SCI/TK security clearance at the National Reconnaissance Office (NRO)
Timeline
Quality Assurance Manager
Department Of Defense Air Force
03.2019 - Current
Denials Coordinator
Jackson County Memorial Hospital Home Health Products
11.2014 - 03.2019
Bachelor's Degree - Psychology and Ethics
Mid-America Christian University
Associate's Degree - Liberal Arts
Western Oklahoma State College
Master of Science - Counseling, Applied Behavioral Science