Breanna Young

I am a dedicated healthcare professional with over 5 years of experience in Utilization Management (UM), prior authorizations, case coordination, and healthcare administration. My journey in the healthcare field has equipped me with the skills to work independently in remote roles while effectively collaborating with cross-functional clinical teams and payers.

At Blue Shield of California, I conduct medical necessity reviews using InterQual criteria, processing over 100 prior authorization requests weekly with a remarkable 98% accuracy. My previous role as a Healthcare Administrator at Summit Medical Group allowed me to manage the day-to-day operations of a busy outpatient clinic, where I improved reimbursement rates by 15% through effective appeals and audits. I am passionate about streamlining workflows and ensuring regulatory compliance to enhance patient outcomes.