Liana Velez
@lianavelez
Quality assurance specialist with strong healthcare data and patient-access expertise.
What I'm looking for
I am a Quality Assurance Specialist with extensive experience ensuring data accuracy and compliance in healthcare information systems, particularly the New Jersey Immunization Information System (NJIIS). I conduct HL7-based audits, verify interface enrollments, evaluate patient duplications, and complete timely narrative progress reports.
Previously, I managed patient access and provider services in hospital and payer settings, handling appointment scheduling, insurance eligibility verification, authorization tracking, claims inquiries, and provider relations while maintaining confidentiality and excellent customer service.
I bring a detail-oriented, process-driven approach to quality assurance and patient/provider support, with a track record of meeting performance expectations, collaborating across teams, and improving data integrity for clinical systems.
Experience
Work history, roles, and key accomplishments
Quality Assurance Specialist
Partnership for Maternal & Child Health of Northern New Jers
Feb 2022 - Oct 2025 (3 years 8 months)
Managed QA for the New Jersey Immunization Information System across eight counties, conducting HL7 audit reviews, verifying interface enrollments, and resolving patient duplicates to improve registry data quality.
Centralized Access Representative
RWJ Barnabas Health
May 2019 - Dec 2022 (3 years 7 months)
Managed inbound calls and referrals for appointment scheduling, verified insurance eligibility, and ensured accurate patient registration data in the EMR while meeting call quality and productivity targets.
Provider Service Representative
Orthonet Inc.
Nov 2016 - Sep 2018 (1 year 10 months)
Served as liaison to network providers, resolving claims and billing inquiries, maintaining provider data, and coordinating with claims, contracting, and compliance teams to ensure operational continuity.
Education
Degrees, certifications, and relevant coursework
Nassau Community College
Associate degree
Completed an Associate degree at Nassau Community College.
Availability
Location
Authorized to work in
Job categories
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