Senior Quality Analyst
Current- Collaborated with 20+ agents to support production quality checks for pre-authorization, eligibility verification, and ATS.
- Rectified errors within 24 hours TAT and shared feedback with users about opportunities found in the cases.
- Discussion of Key Result Area(KRA) about target, leave, performance, Rebuttal of Error and rating P3MS for specific Auditor.
- Scheduled quality meets twice a month to summarize the RCA of errors and to discuss client updates
- Reviewed chart documentation to ensure patients met medical policy guidelines.
- Prioritized incoming authorization requests according to urgency.