Dynamic healthcare professional with a proven track record at Fairview Hospital, excelling in patient care and medication administration. Leveraged analytical thinking and decision-making skills to enhance patient outcomes and satisfaction. As a Supervisor at Medical Mutual, implemented process improvements that boosted team productivity and streamlined workflows, achieving significant operational efficiency.
Reviewed clinical documentation submitted by providers and utilized my critical and clinical thinking skills along with Corporate Medical Policies and Interqual and MCG to make appropriate decisions on pended claims and appeals.