Rochelle Ramey

• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Self-motivated, with a strong sense of personal responsibility.
• Proven ability to learn quickly and adapt to new situations.
• Excellent communication skills, both verbal and written.
• Worked well in a team setting, providing support and guidance.
• Passionate about learning and committed to continual improvement.
• Managed time efficiently in order to complete all tasks within deadlines.
• Organized and detail-oriented with a strong work ethic.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Adaptable and proficient in learning new concepts quickly and efficiently.
• Learned and adapted quickly to new technology and software applications.
• Demonstrated strong organizational and time management skills while managing multiple projects.

Reviewed member and provider appeal claims for Aetna insurance using company programs. Proficient with word, excel, outlook, sharepoint, Skype, Webex. Efficient verbal and written skills.

• Adaptable and proficient in learning new concepts quickly and efficiently.
• Proven ability to learn quickly and adapt to new situations.
• Managed time efficiently in order to complete all tasks within deadlines.
• Demonstrated strong organizational and time management skills while managing multiple projects.
• Organized and detail-oriented with a strong work ethic.
• Excellent communication skills, both verbal and written.
• Worked well in a team setting, providing support and guidance.
• Learned and adapted quickly to new technology and software applications.
• Proved successful working within tight deadlines and a fast-paced environment.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Assisted with day-to-day operations, working efficiently and productively with all team members.

Performed and trained on Facility and Implant review for validation of billed coding. Trained stateside and offshore staff. Completed audits of staff and entered results into company program system.

Worked as the team lead and SME for the facility bill review team. Reviewed bills for undocumented, unrelated or unbundled charges for savings for our company and clients.

Performed utilization reviews for workers compensation outpatient services. Included peer review referrals. URAC certified department.

Started RN career in Med-Surg hospital work for 5 years. Then transitioned to Home Health for 4 years. Moved out of state and worked for Anthem Blue Cross doing Utilization Review for 2 years. Moved back to Fl and worked in Home Health and Work Comp case management.