Experience with utilization management/prior authorization. I adjudicate multiple cases daily in the fields of orthopedic surgery, pain management, and advanced radiology imaging, & physical/occupational therapy. Responsibilities include LOS, etc., using evidenced-based guidelines. Skills include MS Office, Cisco WebEx & desk phone., Citrix, Workday, etc.
Innate knowledge of evidenced based guidelines
acceptable to many insurance carriers.
Musculoskeletal Connected Solutions.
Adjudicate cases for Prior Authorization,
advanced imaging
orthopedic surgery
pain management
physical therapy
Active medical license
New York(inacfive)
Illinois(inactive)
American Board of Orthopedic Surgery-1980-present
American Academy fo Orthopedic Surgeons-1977-present(emeritus)
American Association of Hip adn Knee Surgeons 2015-present(active)