Rebecca Young
Buffalo,NY
Summary
Results-driven Appeals Specialist II at Fidelis Care with a strong background in regulatory compliance and effective communication. Expert in processing appeal cases and collaborating with healthcare providers, ensuring timely resolutions. Proficient in data entry and committed to HIPAA compliance, demonstrating professionalism and ethics in all interactions.
Overview
6
6
years of professional experience
Work History
Appeals Specialist II
Fidelis Care
Buffalo, NY
02.2020 - Current
- Analyzed appeal requests to ensure compliance with regulatory standards.
- Collaborated with healthcare providers to gather necessary documentation for appeals.
- Processed appeal cases, ensuring timely resolutions for members.
- Developed and maintained knowledge of state and federal regulations impacting appeals.
Education
Associate of Science - Health Information Technology
Erie Community College
Buffalo, NY01.2018
Skills
- Effective communication
- Data entry proficiency
- HIPAA compliance
- Professionalism and ethics
Timeline
Appeals Specialist II
Fidelis Care
02.2020 - Current
Associate of Science - Health Information Technology
Erie Community College