Shandell Kretzer

Provides support for the Prior Authorization/Appeals Operational and Client Support teams, creates and maintains PA System and process documentation, and submits requests based on client, operations, and regulatory requirements.

Process prior authorization request using CPT and ICD-10 codes, process concurrent review request, make outbound calls to request clinical documents, and take inbound calls for authorization status.

Process prior authorization request using CPT and ICD-10 codes, process concurrent review request, make outbound calls to request clinical documents, and take inbound calls for authorization status.

Complete telephone calls with members of Medicare Advantage or Medicaid programs to schedule wellness exams, respond to the needs and requests of clients and Exam One management and staff.

Observe and monitor children's play activities, keep records on individual children, instruct children in health and personal habits, and organize and participate in recreational activities.

Answered telephone calls and responded to inquiries, assigned patrons to tables, trained new employees, and requested and recorded customer orders.

Changed sterile dressings, cooked meals and snacks, helped patients move in and out of bed, baths, wheelchairs and automobiles, and assisted patients with bathing, oral hygiene, grooming, feeding and elimination.