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Skills

  • Documentation process optimization
  • Compliance issue identification
  • Customer service
  • QMSoftware Receivables Management
  • System equipment
  • Siemens Soarian Financials
  • MS Office
  • Records review
  • Customer satisfaction strategies
  • Corrective action planning

Work Experiences

  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Aligned review findings with compliance goals.
  • Achieved industry-leading audit accuracy of 83% for 2022 by initiating a new data validation protocol.
  • Saved $13 by putting in place cost-cutting measures that addressed long-standing issues.
  • Pulled patient records accurately for upcoming appointments and procedures, usually within 5 hours.
  • Ensured that medical records and health information were accurate, complete, and secure.
  • Analyzed review data.
  • Achieved a 71% increase in overall team efficiency.
  • Looked for industry trends on social media and through online sources.

Summaries

  • Adept at revamping workflows for critical tasks, resulting in a 24% reduction in manual processing and improved delivery accuracy.
  • Achieved a 54% reduction in manual processing.
  • Accomplished Field Reviewer with significant experience in overseeing multi-site assessments, ensuring compliance and reducing review deficiencies.
  • Authored comprehensive reports.
  • Aligned teams towards a common goal.
  • Adopted organization-wide.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Adopted a client-centric approach to field reviews, resulting in 35% increased customer satisfaction and better project delivery outcomes.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the process business.
  • Field Reviewer with over 7 years of experience in the healthcare field.

Accomplishments

  • Delivered training on emerging review techniques, resulting in a 46% improvement in cross-department understanding and cooperation.
  • Drove continuous professional development for the review team, resulting in 66% better performance on key review metrics within 6 months.
  • Collected and compiled necessary field data for comprehensive post-assessment reports used by budget management, streamlining evaluation processes.
  • Effectively managed project timelines, ensuring completion of field reviews within designated periods while maintaining high accuracy standards.
  • Drove cost reduction initiatives within the review process, achieving a 59% reduction in operational expenses without compromising quality.
  • Created an internal report scoring system that helped track review performance metrics, increasing accountability and improvement by 26%.
  • Executed multiple compliance walkthroughs for Chicago, leading to zero non-conformance findings during ISO initiative audits.
  • Reduced average review completion time by 52% through the application of optimized data analysis techniques and project management tools.
  • Communicated critical review findings with senior management, resulting in immediate corrective actions that prevented compliance issues at Phoenix.
  • Coordinated with 4 field operators to ensure smooth data collection and analysis, leading to timely review completion for category.

Affiliations

  • Supply Chain Risk Management Consortium
  • Institute of Internal Auditors (IIA)
  • Association of Information Technology Professionals
  • Society of Human Resource Management
  • Toastmasters
  • National Association of Field Examiners (NAFE)
  • Association for Computing Machinery
  • American Marketing Association
  • Vendor Management and Audit Network (VMAN)
  • Society of Risk and Compliance Managers (SRCM)

Certifications

  • Project Management Professional (PMP)
  • Lean Six Sigma Green Belt - Brightline - 2023
  • CompTIA A+ Technician
  • Advanced Risk Management Certification - Miscellaneous
  • Data Analytics Certification - method
  • Auditing and Assurance Certificate - Northwind
  • Certified Public Accountant
  • Operational Risk Management Certification - program
  • OSHA Hazard Recognition Certification - 2020
  • First Aid/CPR Certified

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