Experience

Arkansas Heart Hospital

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Senior Director of Case Management and Denials

  • Jul 2020 - Present

  Little Rock, Arkansas, United States

• Director of Case Management

  • Feb 2019 - Jul 2020

  Little Rock, Arkansas, United States

• Clinical Appeals and Denials Manager

  • Sep 2013 - Feb 2019

  Little Rock, Arkansas Area Implemented new denial management program including tracking & trending all claims denials to identify root cause of denials & implement corrective action plans in effort to prevent recurrent denials. Responsible for managing all RAC, CERT, ZPIC, MAC, & probe audits & denials. Personally responsible for appeal of medical necessity denials.

• RN Case Manager

  • Mar 2013 - Sep 2013

  Little Rock, Arkansas Area Acute care case management with primary focus on utilization review and management/appeal of medical necessity denials.



Coventry Healthcare

• IT Services and IT Consulting
• 1 - 100 Employee

• Workers Compensation Case Manager

  • Jul 2011 - Apr 2012

  Remote



Arkansas Heart Hospital

• RN Case Manager

  • Jul 2009 - Jul 2011

  Acute care case management including utilization review, discharge planning, progression of care, and working closely with physicians & practitioners in ensuring proper admission status assignment. Limited work with appealing medical necessity denials.

• Registered Nurse

  • May 2007 - Jul 2009

  Cardiac Critical Care