Rebecca Paluch
Canby,Minnesota
Summary
Dedicated and results-driven healthcare professional with over 20 years of experience in specialized task execution and strategic implementation. Proven ability to leverage effective problem-solving techniques to enhance operational processes and drive efficiency. Strong track record of fostering team collaboration, ensuring project success, and delivering high-quality patient care in dynamic environments. Committed to continuous improvement and adapting to the evolving needs of the healthcare industry.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Senior Appeals and Denials Specialist
Sanford Health
Sioux Falls, SD
03.2026 - Current
- Formulated and instituted patient care protocols aimed at improving service quality and patient outcomes.
- Engaged with cross-functional teams to refine health service processes and improve overall patient satisfaction.
- Developed and executed training programs focused on effective patient communication and adherence to care standards.
- Assessed operational processes to uncover inefficiencies and devise actionable improvement strategies.
- Analyzed and prioritized neglected queues, resulting in improved response times and overall departmental effectiveness.
Ambulance Director
City of Ivanhoe
Ivanhoe, MN
08.2010 - Current
- Oversaw training, coordination, and deployment of volunteer personnel in municipal ambulance service, providing critical pre-hospital emergency medical care to underserved populations.
- Conducted hands-on training sessions and competency assessments to ensure EMS personnel meet operational standards and improve service delivery.
- Managed operational budget to ensure efficient distribution of city and service resources.
- Monitored and enforced compliance with city policies, state regulations, and national EMS standards to improve emergency care services.
- Synthesized operational and clinical data to facilitate service authorization and enhance performance improvement initiatives.
Supervisor Operations – Part B Appeals
Noridian Healthcare Solutions, LLC
Fargo, ND
11.2022 - 01.2026
- Facilitated employee growth by implementing coaching strategies and acknowledging achievements, while maintaining performance benchmarks.
- Managed recruitment and performance monitoring to facilitate employee development and resolve performance-related issues.
- Analyzed training initiatives and team quality metrics to support continuous improvement in operations.
- Led initiatives for process improvements via operational system innovations and technological developments. Cultivated a culture of teamwork and recognition, reflecting organizational values.
- Successfully implemented new initiatives through a flexible and positive approach to change. Elevated customer service responsiveness by offering expert guidance on inquiries from internal and external stakeholders.
- Ensured effective stakeholder engagement by delivering clear and concise communication in both verbal and written formats.
- Led budgeting initiatives for the area to optimize financial allocation. Cultivated a comprehensive understanding of interrelated business systems and their operations. Drove the establishment of internal controls to uphold contractual compliance and performance criteria.
- Facilitated communication and support for internal and external clients, ensuring alignment with Centers for Medicare & Medicaid Services (CMS) requirements.
CMA (AAMA)
Sanford Canby
Canby, MN
08.2020 - 01.2026
- Managed comprehensive patient care operations in a dynamic family and emergency medicine setting to enhance provider efficiency during procedures and urgent medical responses.
- Executed thorough documentation of vital signs, medical histories, and chief complaints to ensure comprehensive patient records in electronic systems.
- Enhanced patient outcomes through proficient support in procedures like wound care and EKGs, contributing to swift recovery. Improved operational efficiency by conducting point-of-care testing and managing specimen collection in line with infection control standards.
- Delivered medications as prescribed by healthcare providers to ensure patient safety and compliance with medical standards.
- Facilitated efficient patient care through effective coordination of room preparation, equipment sterilization, and supply management.
- Promoted collaboration and information exchange among patients, healthcare providers, and diverse care teams to enhance patient outcomes.
- Demonstrated professionalism and resilience by upholding HIPAA standards and clinical guidelines in demanding circumstances.
Provider Outreach Educator
Noridian Healthcare Solutions, LLC
Fargo, ND
03.2022 - 11.2022
- Analyzed data to create and deliver educational programs for providers and suppliers, aimed at reducing errors in comprehensive error rate testing and claim submissions.
- Designed and managed educational content creation on enrollment billing coding and new initiatives to enhance user understanding on web platforms.
- Implemented various technological solutions to facilitate education delivery and optimize learning outcomes.
- Coordinated efforts with diverse teams to ensure outreach strategies effectively supported organizational objectives.
- Interpreted participant data to design targeted educational experiences that address specific community requirements.
CMA
Pipestone County Medical Center
Pipestone, MN
02.2010 - 05.2020
- Facilitated patient readiness for examinations and procedures to enhance overall healthcare delivery within a family practice setting.
- Partnered with physicians to streamline in-office procedures, optimizing patient flow while maintaining high-quality care standards.
- Managed patient data collection and analysis efforts to enhance diabetic outcomes and identify care gaps.
- Coordinated patient care and assisted in medical examinations, focusing on enhancing the quality of patient interactions.
- Maintained and secured electronic health records, prioritizing accuracy and safeguarding sensitive patient information.
- Facilitated training and mentorship for junior medical assistants to enhance proficiency in clinical procedures and protocols.
- Developed and implemented streamlined administrative processes to enhance overall clinic operations.
- Spearheaded quality assurance initiatives to ensure compliance with healthcare regulations and enhance service delivery standards.
Education
MBA - Health Care Administration
University of Minnesota
Minneapolis12-2027
Bachelor of Science - Health Care Administration
Kaplan University
Davenport, IA01-2014
Associate of Applied Science - Medical Assistant
Minnesota West Community And Technical College
Worthington12-2009
High School Diploma -
Lincoln HI High School
Ivanhoe05-2005
Skills
- Detail Orientated – Punctual
- Type approximately 155 wpm
- Excellent multi-tasking skills
- Quality assurance
- Customer relations
- Expert problem solving
- Analytical thinking
- Documentation management
- Root-cause analysis
- Expert in Microsoft 365, EPIC
- Team leadership
- Time management
Accomplishments
- Achieved Stroke Quality Improvement Award through effectively helping with implementing new stroke protocols for EMS.
- Supervised team of 26 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- 2022 Top Emergency Medicine Specialist Awardee
Affiliations
- Chairperson, St. John Cantius Church Fundraiser
- Chairwoman, Lincoln Elementary School Board
- Church organist, St. John Cantius Church
- Director Religious Education, Christ the King AFC
- Member, Minnesota EMSRB (Emergency Medical Services Regulatory Board)
- Member, AAMA (American Association of Medical Assistants)
- Board Director, Minnesota Rural Education Association
- Board Director, Southwest-West Central (SW/WC) Co-op
- Piano Teacher, Lincoln Elementary School
- EMT-B, National Registry Emergency Medical Technicians (NREMT)
Certification
- Licensed EMT
- Licensed CMA (AAMA)
- CPR/AED/First Aid Certified
- ACLS Provider
- CALS Provider
- PHTLS Provider
- NRP Provider
- PALS Certified
- PEPP Certified
- AAPC-CPC Certified (Inactive)
Timeline
Senior Appeals and Denials Specialist
Sanford Health
03.2026 - Current
Supervisor Operations – Part B Appeals
Noridian Healthcare Solutions, LLC
11.2022 - 01.2026
Provider Outreach Educator
Noridian Healthcare Solutions, LLC
03.2022 - 11.2022
CMA (AAMA)
Sanford Canby
08.2020 - 01.2026
Ambulance Director
City of Ivanhoe
08.2010 - Current
CMA
Pipestone County Medical Center
02.2010 - 05.2020
MBA - Health Care Administration
University of Minnesota
Bachelor of Science - Health Care Administration
Kaplan University
Associate of Applied Science - Medical Assistant
Minnesota West Community And Technical College
High School Diploma -
Lincoln HI High School
Awards
2022 Top Emergency Medicine Specialist Award