Patricia Thomas
10347 E Boulder Dr. ,AZ
Summary
Experienced and compassionate nurse with a strong background in appeals and utilization management. Detail-oriented nurse with a dedication to ensuring accurate documentation for appeals processes. Skilled appeals nurse with a proven track record of successfully advocating for patients and their healthcare needs. Results-driven nurse with expertise in reviewing medical records and communicating effectively with insurance providers for appeals.
Overview
17
17
years of professional experience
Work History
Appeals Nurse
Evolent Health
Arlington, Va
05.2008 - Current
- Provided case management for patients in need of appeals for denied insurance claims.
- Reviewed medical records and billing information to support appeals process.
- Collaborated with healthcare providers and insurance companies to gather necessary documentation for appeals.
- Managed a caseload of appeals cases and ensured timely resolution.
- Maintained accurate records and documentation related to appeals process.
- Utilized knowledge of healthcare regulations and insurance policies to navigate appeals process effectively.
Education
Licensed Practical Nurse -
MacDowell VOTEC
Welch, W/VaSkills
- Critical thinking
- Interpersonal communication
- Attention to detail
- Medical knowledge
- Teamwork
- Time management
- Medical procedure proficiency
Timeline
Appeals Nurse
Evolent Health
05.2008 - Current
Licensed Practical Nurse -
MacDowell VOTEC