Jade Pavageau
@jadepavageau
Detail-oriented healthcare auditor with a focus on compliance and efficiency.
United StatesWhat I'm looking for
I am a dedicated healthcare and quality auditor with a proven track record in ensuring compliance with regulations and enhancing operational efficiencies. My experience spans several years in the healthcare sector, where I have successfully identified discrepancies, implemented corrective actions, and collaborated with cross-functional teams to optimize financial performance.
In my most recent role at Gainwell Technologies, I served as an Assistant Service Representative and Healthcare Auditor, conducting comprehensive audits of medical records, billing, and coding processes. I pride myself on my ability to analyze data to identify trends and opportunities for process improvements, while also maintaining strong relationships with clients and team members. My commitment to accuracy and attention to detail has consistently contributed to meeting production targets and improving service delivery.
Throughout my career, I have developed excellent communication and interpersonal skills, allowing me to effectively coach team members and resolve client inquiries. I am passionate about promoting individual opportunity and professional growth within the healthcare sector, and I am eager to bring my expertise to a new challenge.
Experience
Work history, roles, and key accomplishments
Assistant Service Representative Healthcare Auditor
Gainwell Technologies -HMS
May 2019 - Nov 2024 (5 years 6 months)
Conducted comprehensive audits of medical records, billing, and coding processes to ensure compliance with state and federal regulations. Collaborated with healthcare providers to resolve audit findings and implement corrective measures.
Medical Quality Auditor
UnitedHealth Care
Dec 2017 - Apr 2019 (1 year 4 months)
Performed audits on member service representatives' calls regarding HIPAA compliance, benefits, product knowledge, claims, and correspondence. Maintained records and prepared reports on quality audit results, averaging 84 calls and audits per month.
Member Services Representative
UnitedHealth Care
Oct 2016 - Nov 2017 (1 year 1 month)
Serviced members regarding their healthcare coverage, eligibility, or reimbursement, answering 50-70 incoming phone calls per day. Documented required information in computer systems and assisted customers in navigating UnitedHealth Group websites.
Control Supervisor
Grandview Marketing
Jun 2015 - Oct 2016 (1 year 4 months)
Supervised all control agents while on shift, managing office opening procedures and handling calls in a fast-paced environment. Scheduled tours, worked with office equipment, and sent reports and production updates for all hotel locations.
Customer Service Representative
Nordstroms
Feb 2014 - Jun 2015 (1 year 4 months)
Provided a fast and efficient checkout experience for customers, resolving conflicts and making sales. Answered phones and ensured a positive customer interaction.
Sales Representative
Raven Arts
Jun 2011 - Aug 2013 (2 years 2 months)
Engaged with customers to promote and sell art products. Assisted with various sales-related tasks during seasonal and part-time employment.
Education
Degrees, certifications, and relevant coursework
University of Las Vegas, Nevada
Unknown, Unknown
Currently pursuing a degree at the University of Las Vegas, Nevada. The program focuses on [Field of Study - if known].
Junipero Serra High School
High School Diploma, General Studies
Completed high school education at Junipero Serra High School. Focused on a general curriculum.
Availability
Location
United StatesAuthorized to work in
Job categories
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