Nurse Analyst

Overview

Looking for full-time work (8 hours/day)

at $1.70/hour ($300.00/month)

Bachelors Degree Graduate

Last Active

June 16th, 2017 (2818 days ago)

Member Since

July 14th, 2014

Profile Description

A Registered Nurse with an in depth knowledge regarding Health and Sciences. Expert in Maternal and Child care as well as Medical and Surgical Nursing. Worked as an Analyst for a top health insurance company in the US, Mainly in the Prior Authorization department.Worked as a Medical Claims Specialist as well that ensures medically appropriate high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services focused surgical procedures, out of network services and appropriateness of treatment by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products. Verifies and analyzes data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures. A Company Nurse that promotes health and work ability, by focusing on non-occupational, workplace
preventable conditions that, whilst not caused
directly by work, may affect the employees ability to
maintain attendance or performance at work, through a comprehensive workplace health promotion strategy