Kevin Dunlap

Outlook Microsoft Office 365 Jira Atlassian Confluence Hubspot Barracuda Networks Render Remote AI

prior authorization complex medical claims & appeals external review iro independent dispute resolution specialized reports for appeals analysis automated claims review software idre legal adjudication medical necessity reviews internal review stateofthe art case docketing & management medicare government benefit programs health utilization management medical coverage determinations health plan reimbursements remote client case access medicaid malpractice reviews appeals & grievances independent review organization claims audits amp health plan reimbursements peer reviews government administration services pharmacy benefit reviews hospitals & health care idr services medical review claims adjudication urac certified healthcare providers health plans legal services social services insurance disputes no surprises act healthcare outcomes coverage determinations medical necessity hospital claims pharmacy claims analysis billing audits malpractice claims government contracting regulatory compliance federal agencies timely resolutions client support payment disputes arbitration process cost-effective solutions decision making medical specialty reviews claims submission administrative hearings medicaid eligibility entitlement disputes taxpayer services fair outcomes independent medical reviews comprehensive support data-driven approach personalized service risk management out-of-network billing expert arbitrators financial integrity quality assurance healthcare analytics evidence-based decisions root cause analysis integrity & ethics case tracking hospital & health care