Jessica Murawski
Centereach,NY
Summary
Detail-oriented Utilization Management and Appeals Coordinator adept at enhancing operational efficiency and patient satisfaction. Skilled in staff training and patient advocacy, promoting collaboration within teams. Strong relationship-building and communication abilities drive effective problem-solving and continuous improvement.
Overview
9
9
years of professional experience
Work History
Utilizationn Management & Appeals Coordinator
Catholic Health Services Long Island
Rockville Centre, New York
12.2022 - Current
- Reviewed denied claims for potential resubmission, contributing to increased approval rates.
- Collaborated with medical staff to gather essential information for appeals, enhancing case outcomes.
- Advised patients on the status of their appeals and any follow-up actions required.
- Reviewed and analyzed documentation to ensure accuracy and compliance with regulations, facilitating timely processing.
- Assisted in training new staff on operational workflows and best practices.
Nursing Assistant
Catholic Health Services
Port Jefferson Station, New York
01.2022 - 12.2022
- Monitored vital signs and reported changes to registered nurses.
- Assisted nursing staff with daily patient care and hygiene needs.
- Documented patient information accurately in electronic health records.
- Facilitated communication between patients and healthcare providers.
- Maintained cleanliness and organization of patient rooms and common areas.
- Delivered emotional support to residents and families, fostering a compassionate atmosphere during their stay.
- Maintained confidentiality of all patient information according to HIPAA guidelines.
- Participated in staff training sessions to enhance care techniques and knowledge.
Nursing Assistant
Bristol Assisted Living
Centereach, New York
05.2021 - 01.2022
- Assisted residents with their activities of daily living, including eating, grooming, toileting, ambulation, and hygiene.
- Supported patients with personal care tasks, enhancing their hygiene and contributing to overall wellness.
- Implemented fall prevention techniques outlined in the care plan.
- Performed regular safety rounds to monitor residents and promptly address any concerns.
- Delivered emotional support to residents and families, fostering a compassionate atmosphere during their stay.
- Maintained confidentiality of all patient information according to HIPAA guidelines.
- Participated in staff training sessions to enhance care techniques and knowledge.
Optical Assistant
Visionworks
East Setauket, New York
11.2017 - 05.2021
- Scheduled appointments and managed patient records using electronic systems.
- Provided support during eye examinations and assisted optometrists as needed.
- Processed insurance claims and verified coverage for vision services.
- Collaborated with team members to streamline workflow and improve efficiency.
- Reported any discrepancies or irregularities immediately to management personnel.
- Processed payments from customers using a Point Of Sale system.
Education
MBA -
University of Phoenix
Tempe, AZ01-2025
BS Healthcare Administration
Southern New Hampshire University
Hooksett, NH05-2022
Skills
- Claims processing
- Regulatory compliance
- Documentation review
- Health record management
- Quality assurance
- Patient communication
- Staff training
- Team collaboration
- Attention to detail
- Continuous learning mindset
Affiliations
- Yoga & Women's Circle-Sanctuary Health, Patchogue NY
Timeline
Utilizationn Management & Appeals Coordinator
Catholic Health Services Long Island
12.2022 - Current
Nursing Assistant
Catholic Health Services
01.2022 - 12.2022
Nursing Assistant
Bristol Assisted Living
05.2021 - 01.2022
Optical Assistant
Visionworks
11.2017 - 05.2021
MBA -
University of Phoenix
BS Healthcare Administration
Southern New Hampshire University