Detail oriented, RAC-CT certified Claims and Denials Specialist and licensed occupational therapist with 20 years of successful experience in Medicare/Managed Care regulatory requirements and therapy program management. Recognized consistently for performance excellence and contributions to success in contract therapy industry. Strengths in process improvement, team management, and quality assurance/improvement activities.
· Co-developed company-wide internal auditing process, facilitating communication and review for independent review organization (IRO) and Corporate Integrity Agreement (CIA).
· Developed centralized ADR/documentation request process and implementated training; resulting in 40% decrease in costly technical denials company wide, and increased efficiency and accuracy of responses to Medicare, Managed Care, and external auditing entities.
|
|
Recognitions include:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
Companies Worked For:
School Attended
Job Titles Held:
Degrees
© 2021, Bold Limited. All rights reserved.