A registered nurse with over 8 years of experience in a diverse healthcare system, specializing in utilization review, claims management, patient care coordination, and quality assurance.
Clinical Experience:
3-4 years in utilization review ( Prior authorization - fast track approval and escalation) and claims, HMO specialist in US Healthcare Insurance
1 year and 6 months Patient care coordinator, refills and Insurance verification in US Healthcare Insurance
1 year in Case Abstraction in the US Healthcare System
1 year clinical experience
6-month to 1-year Local Telehealth company
3-6-months experience as a part-time nurse in hotels and companies and as a Private Duty Nurse
6-month in Claim Summarization
had training exposure of Medical Billing/ AR specialist
6 months Home health review
In addition to my clinical background, I bring 3 years
of corporate experience in master data and workforce management, where
I served as a point of contact, TTKF author for SOP, subject matter expert, and process associate for global MDM operations.
Verified
