Quality Assurance Analyst

Overview

Looking for part-time work (4 hours/day)

at $6.00/hour ($528.00/month)

Bachelors degree

Last Active

December 1st, 2024 (today)

Member Since

May 22nd, 2022

Profile Description

I have been in the Healthcare Industry for almost 8 years now. I started my career with Conduent in 2014 as a Level I Representative where I handled provider calls and inquiries regarding eligibility, benefits, authorization, referral, and claim status. I was promoted to a Level II Representative in August 2015 where I handled complex claim issues, the status of medical records, appeal status, pricing issues, and the reconsideration process. I became part of the Escalation Team in October 2016 where I handled escalated and supervisor calls. I was promoted to a Quality Assurance Analyst Assist in December 2016 where I assisted in doing the quality audits for the account. I was promoted to Quality Assurance Analyst III in May 2017 where I spearheaded the Training and Quality Team. I led the client calibration and provided feedback to calls and written inquiries. I have also facilitated several classes from Level I to Level II Representative. I also handled a team as part of the Operations Team. I assumed the role of the Quality Supervisor in February 2020 where I led the account in reaching the target quality score of 99.00%. I dUpgrade to see actual info to leave Conduent in May 2021 to explore and see what’s in it for me outside Conduent.
After my stint with Conduent, I became part of Microsourcing Philippines where I worked as a Customer Care Specialist for a Durable Medical Equipment Provider. My job was to process orders and requests for oxygen tanks, equipment, and supplies. I parted ways with Microsourcing Philippines after 5 months because I wanted to grow more as a professional. I joined UST Global in October 2021 as a Quality Assurance Analyst where I evaluated member calls which include bills, payments, claims, benefits, etc. I also facilitated calibration sessions with the on- shore team. I dUpgrade to see actual info to leave UST Global because they required all employees to work on- site and their location is too far from where I reside and transportation is not that accessible. Currently, I am with AS White Global in which I'm employed as a Quality Officer. My task is to review clinical notes and doctor reports and make sure to identify privacy breaches.