Haley
About Candidate
Healthcare professional looking for medical record review opportunities. Over 18 years experience in healthcare from clinics to hospitals to health plans and workman’s comp claims.
Proficient in Word, Excel, PDF and chart reviews. Over 15+ years in the medical field as a nursing type role.
Location
Education
H
Healthcare Management
2016
University of Alabama at Birmingham
BS degree in Healthcare Management, Certified Risk Coder, Certified Professional Coder, Medical Records review for insurance company and malpractice
L
Licensed Practical Nurse
2005
East Mississippi Community College
Graduated from EMCC College of Nursing
Work & Experience
M
Medical Review
2018 - 2021
Blue Cross and Blue Shield of Alabama
Managed the medical review, claims pricing department within Professional Reimbursement at Blue Cross and Blue Shield of Alabama
P
Provider Consultant
2017 - 2018
Blue Cross and Blue Shield of Alabama
Met with practices to review reimbursement, claims appeals and medical record requirements
Skills
Certified Professional Coder
Medical Review Claims
Certified Risk Coder
Microsoft Word and Excel
PDF editor
Medical Review of Claims
Awards
T
Top Clinical Skills
2005
In nursing school, won the highest average for nursing clinicals.