Professional with experience in medical appeals, claims management, and clinical documentation review. Strong ability to interpret coverage policies, coordinate with providers and clinical staff, and ensure compliance with applicable regulations, including Medicare and HIPAA. Highly organized, results-driven, with advanced proficiency in Microsoft Office.
Manejo de apelaciones médicas y reclamacionesInterpretación de políticas y criterios de coberturaComunicación con proveedores y personal clínico+9
