Michael Murray
Utica,NY
Summary
Accomplished Senior Appeals Analyst with a proven track record at HCA Healthcare Inc., adept in legal research and fostering cross-departmental collaboration. Leveraged case evaluation and verbal communication skills to enhance strategic decision-making and appeals management, significantly improving case outcome trends.
Overview
5
5
years of professional experience
Work History
Senior Appeals Analyst
HCA Healthcare Inc.
Nashville, TN
08.2022 - Current
- Facilitated cross-departmental collaboration by working closely with clinical staff and legal personnel during case reviews.
- Conducted thorough research on industry trends, staying informed on best practices for effective appeals management.
- Leveraged data analysis tools to track performance metrics, identifying trends in case outcomes that informed strategic decision-making efforts.
Reimbursement Analyst
CloudMed Solutions
Atlanta, GA
03.2021 - 08.2022
- Maintained a detailed understanding of the organization''s payer mix and reimbursement rates, providing key insights during budget planning or forecasting discussions.
- Managed high volume caseloads effectively while maintaining strict deadlines for submission of claims or appeals documentation.
- Maintained updated knowledge on insurance policies, coding guidelines, and industry regulations to maximize reimbursement potential.
- Served as a subject matter expert on specific payers or types of claims, contributing specialized knowledge during internal meetings or presentations aimed at improving overall team effectiveness in handling reimbursement matters.
Office Coordinator
Memorial Sloan Kettering Cancer Center
New York, NY
09.2019 - 04.2020
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Enhanced communication within the team through regular meetings and detailed reporting.
Education
Bachelor Of Science - Health Administration
Rutgers, The State University of New Jersey
New Brunswick, NJ01.2020
Skills
- Case Evaluation
- Verbal Communication
- Legal Research
- Policy Interpretation
- Claims Investigation
- Insurance policy coverage knowledge
Timeline
Senior Appeals Analyst
HCA Healthcare Inc.
08.2022 - Current
Reimbursement Analyst
CloudMed Solutions
03.2021 - 08.2022
Office Coordinator
Memorial Sloan Kettering Cancer Center
09.2019 - 04.2020
Bachelor Of Science - Health Administration
Rutgers, The State University of New Jersey