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Sqa Analyst/team Lead, Midrange Development, It Department Resume

Clearwater, FloridA

SUMMARY

Obtain a position that will capitalize on acquired experience and expertise. Desire a position that will allow me to work remotely most of the time. Innovative SQA analyst with over 7 years of experience in testing deliverables on multiple platforms for a large healthcare corporation.

TECHNICAL SKILLS

  • SpiraTeam (Project and test management software),
  • ServicePro (Helpdesk software),
  • PVCS Version Manager (software version management),
  • Serena Business Manager (process management platform)
  • JIRA (issue tracking)
  • Beyond Compare (data comparison tool)
  • SQL Server 2005, 2008, 2012
  • Start SQL (IBMi interactive SQL)
  • SQL Navigator
  • AQT (Advanced Query Tool)
  • WRKQRY (query management on the IBMi/DB2 platform)
  • Turnover (IBMi Software Change Management)
  • S4i (electronic document storage)
  • Microsoft Office Suite

PROFESSIONAL EXPERIENCE

SQA Analyst/Team Lead, Midrange Development, IT Department

Confidential, Clearwater, Florida

Responsibilities:

  • Test new and updated software applications on multiple platforms to include IBMi/DB2, JAVA/Oracle, and web based applications designed for use in a large corporation that provides oxygen and respiratory services for patients in their home.
  • Develop and execute test cases for new and modified applications.
  • Regression testing, functional testing, performance testing, end to end testing, cross platform testing, manual testing of front end, back end, web based and mobile applications.
  • Review new and updated web pages for content and design prior to publishing.
  • Test IBM PTF’s (program temporary fixes), analyze data converted from offline systems to the IBMi.
  • Review and approve production data updates
  • Data Analysis
  • Participate in application specification design and review including screen design, and functionality for QA approval.
  • Participate in technical conferences and meetings with other members of the QA team, developers, and management.
  • Attend and participate in Management Meetings.
  • Prepare and review end user documents for new and updated applications.
  • Conduct end user training as required.
  • Demonstrate 404 compliance annually to the auditors (KPMG) by executing internal controls.
  • Complete semi annual HIPAA and Compliance training.
  • Required to remain current with medical coverage/documentation requirements for both government and private payors including electronic claim submission requirements, especially HIPAA Compliance, HCPCS (Healthcare Common Procedure Coding System), and ICD10 (International Classification of Diseases 10 th revision.)
  • Communicate verbally and in writing with all levels of management and the business in the field.
  • Supervise 8 member QA team
  • Review and approve test cases and documentation of my QA team members prior to approving the release of the new application, application change, or bug fix.

Regional Billing Collections Office Manager

Confidential, Clearwater, Florida

Responsibilities:

  • Required to have a strong hands - on knowledge of all aspects of medical billing and collections for all payor types.
  • Responsible for developing, documenting, implementing and managing processes to bill payors, government, private, and customers accurately and in a timely manner, and to collect the accounts receivable with limited supervision.
  • Assisted staff with resolution of claims submission issues, account issues and payor specific issues and develop processes to achieve the highest possible staff productivity.
  • Identified trends impacting billing and collections and develop resolutions.
  • Ensured confidentiality of protected health information and that HIPAA regulations were followed.
  • Communicated regularly with corporate management, other Regional Billing Collections office managers, sales staff, and IT/application support.
  • Hired, supervised and provided corrective counseling for 52 employees.
  • Managed labor costs for 52 employees and site operations for 11,000 square foot office space.

Accounts Receivable Supervisor

Confidential, Clearwater, Florida

Responsibilities:

  • Responsible billing and collections of accounts receivable.
  • Develop and implement processes to increase staff productivity, increase efficiency and reconcile the accounts receivable and meet company standards for collections.
  • Identify trends impacting collections and develop resolutions.
  • Communicate regularly with the Regional Billing and Collections manager, other management staff, and sales staff.
  • Hire, supervise, and provide corrective counseling for 15 employees.

Regional Trainer

Confidential, Clearwater, Florida

Responsibilities:

  • Responsible for all areas of training to include new hire, AS400 operations, compliance, safety, and HIPAA compliance.
  • Responsible for maintaining all price tables and fee schedules and payment responsibilities to ensure accurate billing and booking accurate accounts receivables.
  • Monitored electronic billing, worked error reports, identified and resolved billing issues.
  • Worked acquisitions. Reviewed and loaded new customers both manually and electronic conversions.
  • Special projects as required.

Regional Billing and Collections Office QA/Upfront Review

Confidential, Clearwater, Florida

Responsibilities:

  • Reviewed new customer accounts for completeness and accuracy and maintained customer accounts.
  • Knowledgeable in all aspects of government and private payor guidelines.
  • Ensured accounts were set up correctly for billing accuracy and all compliance standards met.
  • Knowledgeable all AS400 billing/collections applications.
  • Communicated regularly management and sales staff.

Patient Account Coordinator/Collector

Confidential, Clearwater, Florida

Responsibilities:

  • Worked denials, partial pays, and unadjudicated claims.
  • Identified trends and worked to resolve payment issues for Medicare and private payor accounts receivable.
  • Provided customer service for patients, explaining account balances, and worked with multiple government and private insurance payors to resolve billing/collection issues.

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