Elaine Obleness

About Elaine Obleness

As an Appeals Representative at UnitedHealth Group, I leverage my 30+ years of in-depth experience in the health information industry to review, research, investigate, and triage claims that were denied for Medicare and Retirement customers. I drive the action and communication with appropriate parties regarding appeals and grievance issues, using my healthcare knowledge and problem-solving skills.I am also the Founder and CEO of Health Information & Patient Advocacy Associates (HI & PAA), a consulting practice that offers advocacy and navigation services to patients, and health information management consulting services to healthcare providers and business owners. I am a certified contact tracer, a licensed health insurance producer, and a subject matter expert in medical coding, healthcare documentation, and clinical documentation improvement. My mission is to help my clients navigate the complex and challenging healthcare system, and to empower them with the information and tools they need to achieve optimal health outcomes.

Experience

1. Appeals Representive, Government Operations Appeals and Grievances

   UnitedHealth Group

   May 2022 — Present

   Using Healthcare knowledge and problem-solving skills to accept the responsibility for reviewing, researching, investigating and triaging claims that were denied to determine their correct status. Our Team drives the action and communication with appropriate parties regarding appeals and grievance issues in the Medicare and Retirement community. This is a challenging role with serious impact, requiring strong analytical skills and the ability to effectively interact with other stakeholders

Education

• Wichita State University

  BS, Medical Record Administration

• University of Texas at Tyler

  MBA, Business