Rachel Ann A Amandy

I am a healthcare appeals professional with experience in CMS Medicare appeals, denial management, claims review, and appeals operations. I specialize in analyzing denied claims, identifying applicable Medicare guidelines, preparing appeal recommendations, and supporting accurate, timely resolutions.

My background also includes supervising appeal operations, monitoring productivity and quality, improving workflows, and coaching team members to maintain high standards of accuracy and compliance.

Appeal supervisor.

Medicare Part A & Part B Appeals CMS Redeterminations Denial Analysis Medical Necessity Reviews Appeal Letter Preparation Prior Authorization Support Medical Claims Review Revenue Cycle Management (RCM) Appeals Quality Assurance Appeals Team Supervision KPI & Productivity Monitoring SOP Development Process Improvement Excel Reporting & Dashboard Creation