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Debra L Clark
9 Middle Way #236  Stephentown, NY 12168  H:(518)733-0201  C:(518)522-6958  debbie4665@yahoo.com
Objective
Profile
Quality Control Administrator
Proven experience in Quality and Linking documents. Detailedoriented, excelledin learning new skills and
pay attention to details.
Key Skills  100% Accuracy
 Exceeds requiredtasks per hour
 Knowledgeable in Oracle Job Aids
 Telephone skills with members
 Front End Sorting and Processing
 Returned Mail
 Medicare Part D
 Data Entry average 14,000ksp/hr
Experience MAXIMUS INC. –11 Corporate Woods Blvd., Albany NY 12211
HSDE QC/LDS Administrator 07/2014 - Present
Link and perform Quality Control for documents submittedby Consumers that apply for affordable
health insurance in the New York State Marketplace.
Specific job duties include::
 Link documents via proximal search and linking in MAXe.
 Quality Control for high speed data entry on all documents and applications submitted via mail and
fax.
 Determines and takes appropriate corrective actions. Reprocesses applications, including case repair,
and missing information responses in an accurate and timely manner.
CSC – 327 Columbia Turnpike, Rensselaer NY 12144
Coordinationof Benefits (COB) 9/011-1/2013
Chosen to perform all tasks assignedrelating to a Medicare Part D contract. This includes Coordination
of Benefits, and direct contact with the client and its members to retrieve accurate information.
Outcomes:
 Applied self-taught knowledge of CMS (Centers for Medicare and Medicaid) access to all activities
involvedwith Medicare Part D members using internet andresearch tools available on the job. This
includes learning aspects of the Health Care industry as a whole.
 Excelled in communication with members via telephone skills when assignedthe task of Coordination
of Benefits June 2011.
Returned Mail/Front End Processing 3/2009-12/2010
Learned the aspects of the Returned Mail process Assigned to sort correspondence receivedby the
distribution department. Opening mail, research, and computing to Citrix and Access systems. Also
reporting completedwork to spreadsheets and emaileddaily to manager.
Data Entry Clerk 2/01-06/2014
Meets/Consistently Exceeds performance standards for timeliness andaccuracy in the processing of
eMedNY claim forms. This includes having knowledge of all policies andprocedures, knowledge of
assignedproduct types, relatedsystem, and internal infrastructure.
Processed Docs for eMedNY contract:
 Key from Paper: with Overall accuracy: 99.8% Speed: 14,000 ksp/hr.
 Dakota Imaging (OCR): Meets/Consistently Exceeds department standards
 Keyedand processedcorrespondence for the Medicare Part D contract.
Education Berlin High School Diploma 1983
Computers MAXe, Back Office, Oracle Knowledge, IBM Lotus Notes, Citrix Market Prominence, File Net, Queue Worker,
Pega, Microsoft Office Word, Excel, Dakota Imaging- OCR, Viking Data Entry, Tartan Systems, all WinX
platforms

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06-2015 Debra Clark Resume

  • 1. Debra L Clark 9 Middle Way #236  Stephentown, NY 12168  H:(518)733-0201  C:(518)522-6958  debbie4665@yahoo.com Objective Profile Quality Control Administrator Proven experience in Quality and Linking documents. Detailedoriented, excelledin learning new skills and pay attention to details. Key Skills  100% Accuracy  Exceeds requiredtasks per hour  Knowledgeable in Oracle Job Aids  Telephone skills with members  Front End Sorting and Processing  Returned Mail  Medicare Part D  Data Entry average 14,000ksp/hr Experience MAXIMUS INC. –11 Corporate Woods Blvd., Albany NY 12211 HSDE QC/LDS Administrator 07/2014 - Present Link and perform Quality Control for documents submittedby Consumers that apply for affordable health insurance in the New York State Marketplace. Specific job duties include::  Link documents via proximal search and linking in MAXe.  Quality Control for high speed data entry on all documents and applications submitted via mail and fax.  Determines and takes appropriate corrective actions. Reprocesses applications, including case repair, and missing information responses in an accurate and timely manner. CSC – 327 Columbia Turnpike, Rensselaer NY 12144 Coordinationof Benefits (COB) 9/011-1/2013 Chosen to perform all tasks assignedrelating to a Medicare Part D contract. This includes Coordination of Benefits, and direct contact with the client and its members to retrieve accurate information. Outcomes:  Applied self-taught knowledge of CMS (Centers for Medicare and Medicaid) access to all activities involvedwith Medicare Part D members using internet andresearch tools available on the job. This includes learning aspects of the Health Care industry as a whole.  Excelled in communication with members via telephone skills when assignedthe task of Coordination of Benefits June 2011. Returned Mail/Front End Processing 3/2009-12/2010 Learned the aspects of the Returned Mail process Assigned to sort correspondence receivedby the distribution department. Opening mail, research, and computing to Citrix and Access systems. Also reporting completedwork to spreadsheets and emaileddaily to manager. Data Entry Clerk 2/01-06/2014 Meets/Consistently Exceeds performance standards for timeliness andaccuracy in the processing of eMedNY claim forms. This includes having knowledge of all policies andprocedures, knowledge of assignedproduct types, relatedsystem, and internal infrastructure. Processed Docs for eMedNY contract:  Key from Paper: with Overall accuracy: 99.8% Speed: 14,000 ksp/hr.  Dakota Imaging (OCR): Meets/Consistently Exceeds department standards  Keyedand processedcorrespondence for the Medicare Part D contract. Education Berlin High School Diploma 1983 Computers MAXe, Back Office, Oracle Knowledge, IBM Lotus Notes, Citrix Market Prominence, File Net, Queue Worker, Pega, Microsoft Office Word, Excel, Dakota Imaging- OCR, Viking Data Entry, Tartan Systems, all WinX platforms