Tiffany Hobbs
Riverview,FL
Summary
Experienced Quality Assurance Supervisor with over four years of expertise in quality management, specializing in healthcare and health insurance sectors. Proven ability to lead cross-functional teams, improve process efficiency, and ensure regulatory compliance. Adept at conducting quality audits, developing data-driven solutions, and enhancing customer satisfaction through continuous process improvements. Strong background in managing healthcare claims and compliance, with a focus on operational excellence and team development.
Overview
12
12
years of professional experience
Work History
Quality Assurance Supervisor
Together Health, LLC.
Tampa, FL
02.2022 - Current
- Oversee quality assurance processes for health insurance claims, ensuring compliance with industry standards and enhancing claim accuracy.
- Implement quality control procedures to improve workflow efficiency while adhering to healthcare regulations.
- Conduct detailed quality audits, identifying opportunities for process improvements, and ensuring compliance with regulatory requirements.
- Collaborate with cross-functional teams to address quality concerns in healthcare claims and drive process optimization.
- Lead training sessions on quality assurance best practices, emphasizing healthcare and insurance compliance.
- Stay updated on health insurance regulations to ensure consistent application of quality standards across teams.
Member Service Representative
USAA Federal Savings Bank
Tampa, FL
01.2018 - 02.2022
- Reviewed credit reports and financial information to evaluate creditworthiness of applicants.
- Performed detailed calculations to verify income, assets, liabilities and other data provided by applicants.
- Analyzed loan applications and supporting documents to determine eligibility for approval.
- Assisted customers with deposits, withdrawals, transfers, loan payments and other banking transactions.
- Cross-sold banking products such as credit cards, loans and investments.
- Developed relationships with customers by providing exceptional service in order to increase sales opportunities.
- Identified potential fraud risks on accounts and reported suspicious activities to management.
Care Manager Assistant
Humana
Saint Petersburg, FL
09.2012 - 01.2018
- Assisted clients in developing and achieving short-term and long-term goals.
- Provided advocacy for clients to ensure their needs are met through appropriate services.
- Coordinated with other health care providers, such as physicians and psychiatrists, to develop comprehensive treatment plans.
- Documented changes in claim statuses using specialized software systems.
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
Skills
Quality Assurance & Analytics:Quality Audits Risk Assessments Process Optimization Regulatory Compliance Data Analysis Root Cause Analysis Performance Metrics
Design & Software Proficiency:
Microsoft Word Excel PowerPoint Google Docs Salesforce Tableau
Project Management & Collaboration Tools:
JIRA Mondaycom Trello Slack
Core Competencies:
Quality Control Healthcare Compliance Leadership Strategic Planning Process Improvements Project Management Cross-Functional Collaboration Time Management Communication
Qualification Highlights
- Proven Leadership: Successfully managed and mentored quality assurance teams to enhance operational efficiency and performance.
- Extensive QA Expertise: Over four years of quality assurance experience with a strong emphasis on healthcare and health insurance processes.
- Regulatory Compliance Specialist: In-depth knowledge of health insurance regulations and best practices, ensuring full compliance and reduced errors.
- Data-Driven Decision Making: Skilled in analyzing performance metrics and implementing corrective actions to optimize process flows and improve outcomes.
Training & Certification
- 240 Health Agent Insurance License – State of Florida, Certified Health Insurance Specialist.
- Quality Assurance Process Improvement Training – Specialized training in QA methodologies, process optimization, and regulatory compliance.
- American Red Cross CPR & Standard First Aid Certification – Certified in life-saving skills, including first aid techniques and emergency response.
- Automated External Defibrillator (AED) Certification – Certified in AED use for emergency cardiac care.
Timeline
Quality Assurance Supervisor
Together Health, LLC.
02.2022 - Current
Member Service Representative
USAA Federal Savings Bank
01.2018 - 02.2022
Care Manager Assistant
Humana
09.2012 - 01.2018