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Johann PradaJP
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Johann Prada

@johannprada

Data analyst and QA/process improvement specialist focused on high-quality healthcare billing and measurable operational gains.

Colombia
Message

What I'm looking for

I’m looking for a role where I can combine QA rigor and data analysis to improve healthcare billing processes, use Power BI/Excel, and mentor teams—working with clear KPIs, continuous improvement, and supportive collaboration.

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

HP
Current

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.

SI

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.

FE

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.

UV

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.

UV

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 logoUI

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 logoCO

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 logoUV

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).

Tech stack

Software and tools used professionally

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