Karrie Crews-Dunn
Senior Recovery Resolution Analyst @Optum
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WORK HISTORY
Senior Recovery Resolution Analyst @Optum
Perform clinical review of professional claims vs. medical records to determine if the claim is supported or unsupported.Maintain standards for productivity and accuracy. Standards are defined by the department.Provide clear and concise clinical logic to the providers when necessary.Attend and provide feedback during monthly meetings with assigned internal customer department.Provide continuous feedback on how to improve the department relationships with internal team members and departments.Keep up required Coding Certificate and/or Nursing Licensure.Complete compliance hours as required by the department.Working knowledge of the healthcare insurance and/or managed care industry.Previous experience in claim processing, healthcare provider information or healthcare billing practicesWorking knowledge of medical terminology and claim coding.Knowledge of claims processing systems and guidelines/processesProficient with personal computers, including Microsoft Suite of products.(Open, create, edit, send)Medical record coding experience with experience in Evaluation and Management Services in the outpatient/ medical office setting.
EDUCATION
Faulkner University
Bachelor's degree, Human Resources Management and Services
Faulkner University
Bachelor's Degree, Management of Human Resourses
ABOUT KARRIE CREWS-DUNN
Experienced medical professional with over 20 years of experience in coding, medical…
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