Quality Assurance professional with strong background in ensuring integrity and compliance. Skilled in identifying documentation inefficiencies, implementing effective quality control measures, and enhancing operational processes. Known for fostering team collaboration and adapting to evolving demands while consistently achieving high-quality results. Equipped with analytical skills, attention to detail, and commitment to continuous improvement.
Overview
18
18
years of professional experience
Work History
Quality Assurance Specialist
Quality Assurance Specialist Mental Health Services
10.2007 - Current
Supervised QA staff and mental health billing clerks
Managed the flow and distribution of all mental health billing and all client files
Conducted internal audits to verify compliance with state and federal regulations
Managed data entry into computer programs
Conducted training programs for staff in regards to all aspects of quality assurance performance
Created, updated and implemented company wide forms, training manuals, and informational brochures
Provided administrative support to the Director of Quality Assurance and Licensing and the Director of Mental Health
Provided clerical support to Corporate General Counsel as the Corporate Custodian of Records
Scheduled depositions and court appearances of medical doctors and other staff as expert witnesses
Advised counsel on witness fees, created invoices, and performed collections of legal fees
Optimized workflow efficiency by introducing automation tools into the QA process where appropriate.
Mentored junior QA specialists, fostering a culture of continuous learning and professional growth.
Educated employees on specific QA standards and confirmed maintenance of standards
Achieved timely resolution of non-conformance issues by implementing corrective action plans working closely with relevant departments.
Promoted a culture of continuous improvement within the organization by leading training sessions on various aspects of quality assurance.
Enhanced team collaboration, leading cross-functional meetings to discuss quality assurance findings and improvements.
Fostered culture of continuous improvement, organizing training sessions on latest quality assurance best practices.
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Front Office Assistant
Memorial Care Medical Group
08.2013 - 03.2025
Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
Maintained a professional and welcoming environment for clients, contributing to an overall positive experience.
Reviewed and updated customer information in database for accuracy.
Increased client retention by providing exceptional service while managing check-in and check-out processes.
Handled financial transactions accurately by processing payments, issuing receipts, and maintaining detailed records of all transactions.
Enhanced customer satisfaction by promptly addressing inquiries and concerns at the front desk.
Collaborated with team members to improve overall front office performance through consistent feedback and process improvement suggestions.
Completed patient check-in processes by verifying insurance and submitting forms to nursing team.
Ensured confidentiality and security of sensitive information through diligent record-keeping and data entry.
Improved patient satisfaction with courteous and efficient handling of appointment scheduling.
Education
General Education, Medical Assisting
Orange Coast College
Costa Mesa, CA
01.1993
General Education
La Quinta High School
Westminster, CA
01.1984
Skills
Detail-oriented
Quality assurance
Analytical thinking
Problem-solving skills
Decision-making
Team collaboration
Customer service
Quality improvements
Documentation and reporting
Internal audits
Correction action planning
Regulatory compliance
Technical reporting
Staff mentoring
Issue resolution
Standards interpretation
Performance monitoring
Audit reports
Communication proficiency
Front Office
Greet patients, assist patients with insurance, medical group, plan, and benefit questions and information
Verify insurance demographics are correct in Epic
Verify insurance eligibility
Collect Co Pays
Answer phones, schedule/re-schedule/cancel appointments in Epic
Managerial/Supervision
Managed daily operations of outpatient treatment center with client base of 650+ patients.
Implemented processes and monitored the collection of client fees in excess of over $1.2 million per year.
Responsible for recruiting, orienting, training and supervising 25+ staff.
Oversight of all aspects of staff performance; performance evaluation, progressive discipline, mediation of staff disputes and grievance procedures in accordance with state and federal laws.
Provided training to enhance workplace performance at all levels of staffing.
Conducted internal audits to insure compliance of both State and Federal Rules and Regulations
Chair for Medi-Cal URC
General Office
Provided administrative support to the Director of the South Orange County Region as well as all Clinical Social Workers and Psychiatrists in the region.
Greeted patients and their families, answered phones, filed patient documents into charts, ordered supplies, and data entry.
Audited patient charts to insure compliance with state and federal rules and regulations.
Created reports for Social Workers and Psychiatrists to insure timely documentation of treatment plans, annual reviews, and other time sensitive documents.
Timeline
Front Office Assistant
Memorial Care Medical Group
08.2013 - 03.2025
Quality Assurance Specialist
Quality Assurance Specialist Mental Health Services
10.2007 - Current
General Education
La Quinta High School
General Education, Medical Assisting
Orange Coast College
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