Summary
Overview
Work History
Education
Skills
Timeline
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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
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/Va

Skills

  • 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

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Patricia Thomas