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Sra 1 Moores Cancer Center Univeristy Of California - Quality Service Analyst Resume Example

Emily Bell
XXXXX XXXXXXXXXX XXXX XXXXXX , San Digeo , CA 92127 | (H) XXXXXXXXXXXX | XXXXXXXXXXXXXXXXXXXX
Summary
Knowledge of Clinical Trials, Managed Care, IPA, PPO, Medicare, Medicaid delivery system, database management and billing processes. Strong communication, organizational, prioritization and time management skills. Ability to interact and establish positive rapport with team, patients, physicians, clinical and support staff.Skills Knowledge of EPIC, VELOS clinical Knowledge of Protection of Human trials database, Microsoft Office ( Subjects, HIPAA, research protocols Word, Excel, Power Point), MS and research processes. Outlook, SharePoint, FileMaker Pro, Ability to provide training to Access clinical staff. Ability to maintain database and Detailed oriented and high level of data entry professionalism. Knowledge of medical ,pharmaceutical and oncology terminology.
Skills
Experience
SRA-1 - Moores Cancer Center Univeristy of California San Diego, CA
  • Assist with data acquisition, compilation and accuracy review of patient data and database entry.
  • Follow research protocols,enter and maintain research databases Assist with tracking important protocol and participant data to ensure data is accurate and entered in timely manner.
  • Maintain Velos clinical trials database.
  • Assist with preparation of QA reports as needed.
  • Work in collaboration with clinical trails coordinators, project managers to ensure accuracy of data.
  • Assist with review of data corrections required and corrections completed in timely manner.
  • Work with Velos team to provide system feedback.
  • Assist with troubleshooting and resolving problems and issues related to Velos.
  • Attend staff meeting for information and training.
  • Review research bulk study accounts for accuracy and send corrections to Patient Financial Services.
Quality Service Analyst 10/2013 to 03/2014
AMN Healthcare San Diego, CA
  • Reviewed healthcare providers submitted requirements including licensure, certifications, health screenings and other critical documents using AMIE system to determine healthcare providers compliance with specific assignment requirements.
  • Communicated timely updates regarding healthcare providers document status to all stakeholders (e.g.
  • Recruitment, Account Management) via AMIE, email, phone,etc.
  • to facilitate a teacm approach to gathering all required documents.
  • Worked with multiple healthcare providers via phone and email to monitor document submission progress and established target dates to deliver comprehensive documentation to the client facility to ensure on-time assignment start date.
  • Coordinated response to assigned client regulatory audits, Joint Commission documentation and other requests by client facilities as required.
  • Coordinated with 3rd party vendors to determine appropriate dates, times and locations for healthcare provider to complete necessary compliance including drug screens, background checks, immunizations, etc.
  • Collaborated with QSA to review all incoming new clients contracts or contract revisions for Quality Service requirements, for assigned facilities in order to identify unique requirements.
  • Negotiated with client facility to reconsider unusual or uncustomary requirements by emphasizing the value and experience of Quality Service Department with client facilities in order to minimize disruption of placements and optimize fill rate.
  • Consulted with clients on Quality Services best practices by making recommendations on requirements and realistic start dates to streamline submission and placement processes in order to increase fill rate of qualified healthcare providers.
  • Maintained up-to-date and accurate facility database including contact information, new requirements and client correspondence by following-up with clients in order to optimize service coverage and prevent gaps in service delivery.
Rentention Specialist/ Provider Relations Coordinator 05/2010 to 08/2013
SynerMed,Inc - Management Service Organization San Diego, CA
  • Provided operational support to participating physicians and clinical staff.
  • Provided timely customer service and follow-up to physicians, patients and health plans.
  • Provided information to physicians to assist with their decisions impacting the membership and their practice.
  • Served as liaison between physicians, health plans, members and medical group.
  • Knowledge of IPA and medical group management.
  • Responsibilities included but not limited to physician/member relations, network development, physician and member marketing, customer service and retention, utilization management, health plan compliance, financial management, quality improvement, physician/vendor credentialing and contracting.
  • Worked on special projects as assigned by supervisor and met scheduled deadlines.
  • Provided high level of communication to internal and external departments.
  • Exhibited high level and independent problem solving and conflict resolution on a daily basis.
Quality Control Specialist 11/2007 to 02/2009
San Diego, CA
  • Performed quality control of all clinical data, ensured compliance with Good Clinical Practices, Standard Operating Procedures, and study protocols.
  • Ensured source documents were accurate and complete.
  • Queried internal and external clinical staff for any discrepancies, omissions or other errors and monitored resolution was completed in a timely manner.
  • Provided acceptable resolutions to deficient or errant data.
  • Worked with clinical staff and ensured all date was consistent between source documents and case report forms.
  • Organized and facilitated monthly quality review meeting with clinical staff.
  • Provided training to clinical staff on a continuous basis.
  • Provided support to study managers and clinical staff as required.
  • Served as liaison between sponsors, monitors and clinical staff.
Medical Billing & Insurance Coding Instructor 07/2005 to 07/2006
United Education Institute Chula Vista, CA
  • Instructed subjects within the Medical Billing and Insurance Coding curriculum.
  • Prepared and delivered lectures and lab demonstrations.
  • Ensured student's conceptual understanding of employability skills.
  • Researched and updated course curriculum material.
  • Participated in staff meetings and in-service trainings.
  • Supervised daily activities and tasks of students.
  • Conducted tutorial sessions as needed.
  • Organized and monitored field trips, guest speakers and curriculum enhancements.
  • Monitored and advised students of academic progress.
  • demonstrated effective teaching skills.
  • Assessed student achievement and maintained accurate student records.
  • Supported campus initiatives , company policies and procedures, goals and student outcomes.
University of California San Diego San Diego, CA
  • Worked independently.
  • Performed all data collection and data entry for Birth defect Study.
  • Maintained communication with study Principal Investigator and hospital staff.
  • Reviewed monthly reports from hospitals with San Diego County to identify potential study subjects.
  • Traveled to hospitals on a monthly basis to review and abstract data from study subjects medical records.
  • Requested consent from physicians to contact potential study subjects.
  • Coordinated all mailing communication, follow-up with physicians and study subjects.
  • Working knowledge of medical terminology, birth defect terminology, ICD-9/CPT coding and medical records data abstraction manually and electronic.
  • Worked with diverse population, prioritized and met scheduled deadlines.
  • Knowledge of Protection of Human Subjects, HIPPA Regulations and JCAHO.
  • Maintained high level of confidentiality.
Research Data Abstractor University of Texas Houston Health Science Center Corpus Christi, TX
  • Worked independently.
  • Prioritized and met scheduled deadlines.
  • Analyzed , abstracted and reviewed patient medical records manually and electronically.
  • Abstracted medical information related to Brain Surveillance Study ( Stroke).
  • Verified if subject qualified for study participation.
  • Interviewed 75% of study subjects and family members in various settings.
  • Presented case to Principal Investigator for determination of study eligibility.
  • Performed high level of data entry into Access database.
  • Created and maintained accurate study files.
  • Worked with diverse population.
  • Initiated and maintained frequent and supportive contact with study subjects.
  • Corresponded with field director on a weekly basis and attend staff meetings.
  • Participated in continuous quality improvement and training on a monthly basis.
  • Traveled as required.
Education
Bachelor of Arts: Health and Human Services Feb 2013 Ashford University - San Diego, CA Healthcare Administration Health & Human Services
Associate of Arts: Healthcare Administration Jul 2008 University of Phoenix - San Diego Campus - San Diego, CA Health and Human Services
Master of Science: Health and Human Services Capella University - San Diego, CA Health and Human Services
Master of Science: Health and Human Services Capella University - San Diego, CA
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Resume Details

This is a real resume for a Quality Service Analyst in San Digeo, California with experience working for such companies as Sra 1 Moores Cancer Center Univeristy Of California, Amn Healthcare, Synermed. This is one of the hundreds of Quality Service Analyst resumes available on our site for free. Use these resumes as templates to get help creating the best Quality Service Analyst resume.

Previous Companies:

  • SRA 1 Moores Cancer Center Univeristy of California
  • AMN Healthcare
  • SynerMed

Previous Job Positions:

  • Quality Service Analyst
  • Rentention Specialist
  • Provider Relations Coordinator
  • Quality Control Specialist
  • Medical Billing & Insurance Coding Instructor

Schools:

  • Ashford University
  • University of Phoenix - San Diego Campus
  • Capella University

Level of Education:

  • Bachelor of Arts
  • Associate of Arts
  • Master of Science

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