• Executed 5+ years of experience as a Quality Auditing Associate in Healthcare. • Proficient in Structure, Eligibility, Proclaim Automation, Benefits Coding, and Claims review. • Demonstrated outstanding skills in non-clinical roles, supporting healthcare operations. • Exhibited exceptional office skills. • Expertise in insurance billing. • Extensive knowledge of medical codes and terminology. • Highly knowledgeable about HIPAA compliance. • Demonstrated proficiency in scheduling software. • Exhibited exceptional data entry skills. • Expertise in ICD-9, ICD-10 HCPCS (procedural and diagnostic codes), U.S Health Mandates, and HIPAA. • Audited medical transactions completed by automation analysts to ensure approved medical benefits and costs reflected in the profile are loaded correctly in the database. • Handled complex national accounts with multiple/high-cost claims. • Conducted POC and checked inventories that may be due and need urgent review. • Assumed the role of Technical Coach, creating decks for monthly error trends, process updates, and inventory assignments. • Conducted Quality Training, trained at least 20 people for quality processes, and provided Cross-Skill training (random selection of analysts & auditors to be trained for agile needs). • Demonstrated exceptional expertise as an SME (subject matter expert) and SLA (service level agreement) auditor, producing high-quality output

• Demonstrated five years of experience as a Health Care Data Analyst, ensuring accurate and timely data entry and research across various systems and tracking tools. • Applied extensive knowledge of processes and related systems to identify, assess, and resolve issues and problems. • Conducted electronic profile checks for customers, scanned benefit amounts per standard offering, and verified client pre-approved medical benefits. • Served as an Assistant Technical Coach, organizing inventories, assessing aging and escalated accounts, and creating decks for monthly roll-out of error trends and process updates. • Acted as POD lead and POC, providing assistance to other analysts on processes and other operational work. • Conducted research and resolved issues regarding the integrity of data flow into databases. • Extracted and interpreted data patterns to translate findings into actionable outcomes. • Identified, analyzed, and interpreted trends or patterns in complex data sets. •Analyzed transactions to build logical business intelligence models for real-time reporting needs.

• Provided timely and accurate responses to customer inquiries via phone, email, and chat. • Used technical knowledge to diagnose and troubleshoot issues with satellite dish and TV box products. • Validated customer issues and determined the root cause of problems to resolve product or service complaints. • Provided customers with accurate and relevant information about products and services. • Upsold products and services to maximize sales revenue. • Accurately recorded all customer interactions and inquiries in a CRM system