I worked as a QA Specialist, where I audited charts/calls handled by processors to ensure compliance with guidelines and HIPAA regulations. I also prepared weekly performance reports, collaborated with team leaders to align processes, and participated in monthly QA sessions to discuss updates and address opportunities for improvement.
Prior to taking on the QA Specialist role, I handled the end-to-end records retrieval process. My experience includes reviewing authorizations for completeness and authenticity before submitting records requests to facilities and providers, conducting follow-ups via phone to check the status of requests, and carefully reviewing the medical records received. I take pride in my strong attention to detail, ensuring that all records correspond to the correct patient and comply with HIPAA regulations, while also meeting client instructions and requirements.
I am detail-oriented, dedicated, and eager to continue learning and growing in the healthcare field. Thank you for your time and consideration. I look forward to hearing from you.