Sheila Green
Oakley
Summary
Results-driven Clinical Appeal Reviewer with strong attention to detail, critical thinking, and clear communication skills. Proven ability to mentor junior reviewers and enhance operational efficiency in healthcare documentation evaluations.
Overview
11
11
years of professional experience
Work History
Clinical Appeal Reviewer
UnitedHealthcare
04.2015 - 02.2026
- Evaluated healthcare documentation for compliance with regulatory standards and internal policies.
- Collaborated with cross-functional teams to streamline review processes and enhance operational efficiency.
- Provided feedback on policy changes, ensuring alignment with best practices in healthcare management.
- Mentored junior reviewers, fostering skill development and maintaining high-quality standards in evaluations.
Education
GED -
Berkeley Adult
Berkeley, CASkills
- Editing
- Proofreading
- Attention to detail
- Data entry
- Document editing
- Claims processing
- Clear communication
- Customer service
- Patient advocacy
- Adaptability
- Clinical assessment
- Content review
Timeline
Clinical Appeal Reviewer
UnitedHealthcare
04.2015 - 02.2026
GED -
Berkeley Adult