Carrie King is an accomplished Utilization Management Representative at Shield HealthCare, where she plays a pivotal role in ensuring that patients receive the medical supplies they need while navigating the complexities of reimbursement processes. With a robust background in billing operations and a Bachelor’s degree...
Carrie King is an accomplished Utilization Management Representative at Shield HealthCare, where she plays a pivotal role in ensuring that patients receive the medical supplies they need while navigating the complexities of reimbursement processes. With a robust background in billing operations and a Bachelor’s degree in Psychology from Brandman University, Carrie combines her strong analytical skills with a deep understanding of patient care dynamics. Her expertise in revenue cycle management and healthcare documentation allows her to efficiently process state documents for California Children's Services and Medi-Cal, ensuring timely reimbursement for essential medical supplies.
In her current role, Carrie is instrumental in the submission of medical documentation to state-funded programs, which requires meticulous attention to detail and a thorough understanding of regulatory requirements. She collaborates closely with healthcare providers, including physicians and nurse case managers, to obtain necessary documentation, demonstrating her exceptional professional communication skills. This collaboration not only enhances customer service but also streamlines the utilization management process, ultimately benefiting patients who rely on Shield HealthCare’s services.
Carrie’s proficiency in healthcare information technology and document management further supports her ability to maintain accurate electronic records and facilitate efficient workflows. Her commitment to patient safety and strategic planning ensures that Shield HealthCare continues to meet the evolving needs of its clients. As a dedicated team player, Carrie also contributes to team-building initiatives, fostering a collaborative environment that enhances overall operational efficiency. Through her work, Carrie exemplifies the core values of Shield HealthCare, making a significant impact on the lives of patients who depend on medical supplies for care at home.
