Experience

Lydecker LLP

• United States
• Law Practice
• 100 - 200 Employee

• Medical Paralegal

  • Jul 2023 - Present



HealthCare Appraisers, Inc.

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Senior Associate

  • Feb 2023 - Jun 2023

  Applied generally accepted valuation approaches (cost, market and income approaches) to value healthcare co-management compensation arrangements under the “fair market value” standard. Identified, solicited, organized, summarized, and analyzed information (including financial and/or operational data) from healthcare entities as necessary to perform the requisite valuation utilizing the appropriate valuation technique. Developed written reports, in a concise, professional, and meaningful manner. Maintained regular, professional communication with clients regarding data needs, status of projects, and all other ongoing issues. Managed multiple projects throughout various stages of the project lifecycle, including documenting time logs, and ensuring project budgets and deadlines are met. Show less



Aspirion

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Associate

  • Mar 2017 - Feb 2023

  Handle high-volume caseload of complex health insurance claims denials for inpatient and outpatient cases, overseeing administrative appeals process from filing to resolution while applying in-depth knowledge of health care and regulatory compliance as well as contract law. • Assess complex denials and draft both procedural arguments and medical necessity arguments for hospitals nationwide. • Ensure proper compliance and adherence to denial procedures by reviewing contracts between healthcare facilities and insurance providers. • Apply strong understanding and in-depth knowledge of CMS guidelines to commercial, Medicare, and Medicaid denials nationwide. • Analyze and provide guidance for billing procedures, pre-authorization process, level of care denials, readmission denials, DRG downgrades, timely filing issues, underpayment, VA appeals, Worker’s Compensation, capitation claims, experimental denials, behavioral health claims, and coordination of benefits. • Safeguard protected health information with advanced understanding of HIPAA law, compliance and procedures. Show less



School Board of Broward County

• Education Administration Programs
• 700 & Above Employee

• Educator and Administrator

  • Oct 2003 - Jun 2012

  Prepared individualized, detailed education plans and developed and adapted curricula for diverse body of students and teachers. Implemented general education plans with staff of 25 educators, developed remediation plans, and ensured students, parents, and faculty alike experienced an exceptional educational experience. Prepared individualized, detailed education plans and developed and adapted curricula for diverse body of students and teachers. Implemented general education plans with staff of 25 educators, developed remediation plans, and ensured students, parents, and faculty alike experienced an exceptional educational experience.