MANDIE SWEAT

Led a team performing complex 1040X quality review casework, ensuring accuracy and compliance with established procedures. Balanced and monitored workloads, managed rebuttals and tracking logs, and served as liaison for escalated cases while training and evaluating employees.

Assigned, directed, and reviewed employee work for Quality Review (Detail) teams. Planned schedules and priorities, provided coaching and feedback, resolved employee concerns, and identified process improvements to increase productivity and quality.

Reviewed and processed complex domestic and international tax returns for the Foreign Team, analyzing accounts and resolving discrepancies. Served as a Subject Matter Expert and on-the-job instructor, responding to taxpayer inquiries with accurate guidance and training others on specialized forms and processes.

Oversaw workflow distribution and performance tracking across departments for Code & Edit Quality Review (Detail). Generated quality metrics for leadership and provided technical guidance and training while ensuring adherence to procedures and quality standards.

Processed prior authorization requests and verified eligibility for rehabilitation services. Ensured compliance with Medicaid guidelines and communicated with providers to resolve issues and deliver updates.

Assisted members with prescription benefit inquiries and verified eligibility to provide accurate information. Maintained high-quality customer service in a fast-paced, high-volume environment.

Reviewed loan documentation for accuracy and completeness and verified employment and applicant information. Coordinated with dealerships to resolve discrepancies and ensured compliance with company policies and funding requirements.

Managed patient accounts, billing, and insurance verification while resolving account issues to support timely processing. Maintained compliance with organizational policies and quality standards.

Processed and adjudicated Medicaid and Medicare claims and resolved discrepancies in accordance with applicable regulations. Maintained productivity and accuracy standards while ensuring claim documentation quality.

Managed front desk operations including scheduling, billing, and verification of insurance information. Processed patient payments, maintained accurate records, and ensured HIPAA compliance.

Completed Criminal Justice studies at College of Western Idaho from 2012 to 2013.

Earned a Phlebotomy Certification in 2012 through College of Western Idaho.

Completed a Medical Billing certification program at Apollo College from 2006 to 2007.

Attended Boise State University from 2003 to 2005.

Attended Southwest Texas State University from 2000 to 2002.