Detail-oriented Senior Review Analyst with expertise in case review and appeals for major healthcare providers. Proven ability to mentor analysts and enhance quality through effective training and leadership.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior Review Analyst
Optum
Eden Prairie, MN
01.2020 - Current
Review cases for Florida Blue, Health First, Humana, and HPHC
Escalations
Mentor other analysts in data interpretation and best practices for reviews.
Appeals Review
Pricing for Humana
Training other analysts
Coding Supervisor
Tenet Healthcare Corporation
Modesto
05.2018 - 11.2019
Gastroenterology Coding
Gener Surgery Coding
Internal Medicine Coding
Appeals
Quality Review Audits
Physician's Education
Assistant to Office Manager
Quality Care Transportation
Modesto, CA
04.2017 - 04.2018
Coordinated transportation schedules to optimize efficiency and meet client needs.
Managed documentation processes, ensuring compliance with regulatory standards.