Johann Prada
@johannprada
Data analyst and QA/process improvement specialist focused on high-quality healthcare billing and measurable operational gains.
What I'm looking for
I’m a QA Analyst and data-focused problem solver who audits complex healthcare billing claims and turns QA findings into targeted action plans. At Health Prime (Remote), I’ve audited an average of 60 medical billing cases per day, helped resolve complex claim denials using RCM and Physician Revenue Cycle AR knowledge, and supported weekly client performance cycles through reporting and coaching. I also led two QA teams simultaneously—driving sustained quality scores of 98+ out of 100 while maintaining strong operational outcomes across U.S. hospital partners.
My foundation is grounded in psychology and research: I hold a Psychology degree from University del Valle and conduct structured, measurement-driven thinking. I bring that same approach to improvement work—identifying audit trends, applying psychometrics/research methods to data, and leveraging tools like SharePoint, PrimeFlow, Excel, Power BI, and Slack. I’m currently strengthening my Excel and Power BI skills and using AI tools (Claude by Anthropic) to automate workflows and support QA analysis in healthcare billing environments.
Experience
Work history, roles, and key accomplishments
QA Analyst
Health Prime
Aug 2024 - Present (1 year 9 months)
Audited an average of 60 medical billing cases per day across payers in South Carolina, Virginia, and Tennessee, supporting denied and unanswered claims. Led two concurrent QA teams, sustaining a 98+ quality score for the Ballad Health team and using RCM/AR knowledge to investigate and resolve complex claim denials.
Merchant Support Agent
Alorica
Aug 2023 - Jul 2024 (11 months)
Ranked #1 in quality scores across the campaign, achieving 100/100 in QA evaluations while maintaining top averages in Hold Time and AHT. Handled 70–100 inbound calls per day for Progressive Leasing, creating and explaining leasing contracts, advising on eligibility, and training ~35 new agents across onboarding waves.
Customer Service Agent
TaskUs
Apr 2022 - Aug 2023 (1 year 4 months)
Managed 50–60 inbound calls per day for Turo, handling reservations, cancellations, and vehicle-related complaints. Resolved damage, breakdown, and cleanliness disputes while serving as a Wellness Hero by delivering psychological first-aid sessions to 5 agents experiencing burnout and stress.
Customer Service Agent
Sitel
Apr 2021 - Dec 2021 (8 months)
Handled 200+ calls per day on peak days for FedEx package tracking, managing a high-volume back-to-back inbound queue and providing accurate delivery expectations. Filed 30+ lost package investigation cases per shift and de-escalated complaints related to delays, damages, and unmet expectations.
Intern Psychologist
Fedut
Mar 2019 - Mar 2020 (1 year)
Conducted 60+ selection interviews and 60+ home visits for scholarship applicants, assessing personal background and socioeconomic status to support admission decisions. Planned and delivered educational content for the Proyecto de Vida course and provided individual accompaniment and feedback for learners across a personal caseload.
Creative & Narrative Contributor
University Del Valle
Aug 2017 - Feb 2019 (1 year 6 months)
Contributed to Relatos de Medith, an educational videogame developed by the Language and Cognition group at University del Valle, providing narrative, visual, and conceptual input. Led and recorded pilot sessions with children aged 6–8 to gather behavioral data supporting iterative game design.
Professor Assistant
University Del Valle
Feb 2017 - Jun 2017 (4 months)
Planned and taught complete classes on written culture for the University Life course, taking full ownership of lesson design and classroom delivery. Evaluated essays and biographical texts across a full semester, providing detailed feedback throughout.
Education
Degrees, certifications, and relevant coursework
Università di Napoli Federico II
English Language Proficiency (C1), English
Grade: C1
Completed an English Advanced C1 proficiency credential via Coursera, certified by Università di Napoli Federico II. Credential date: March 2026.
Coursera
AI Applications with Claude: Automation, Projects & Data Analysis, Artificial Intelligence
Completed the Coursera online course “AI Applications with Claude: Automation, Projects & Data Analysis.” Course date: March 2026.
University del Valle
Psychology Degree, Psychology
Completed a Psychology degree at the University del Valle in Cali, Colombia. Thesis: “Video Game Stories of Medith, in Search of Lost Magic” (Language and Cognition Research Group).
Availability
Location
Authorized to work in
Job categories
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