Detail-oriented Utilization Review Specialist and Medical Record Reviewer with strong experience in analyzing complex data, preparing structured reports, and ensuring accuracy in high-volume workflows. Skilled in medical record summarization, medical necessity review, and claims support, with a proven ability to meet productivity and quality targets in a remote work environment.
Brings a solid foundation in data processing, analytical thinking, and process improvement, combined with excellent communication and collaboration skills. Committed to maintaining HIPAA compliance, data integrity, and operational excellence.
