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A specialized, results-oriented lead nurse with over 25 successful years of experience in auditing hospital and provider bills for numerous auto carriers. Deliver expertise in leadership, training, and team performance while securing customer loyalty and forging valuable relationships with internal and external partners. Strong background of the NJ banking and insurance personal injury statutes and medical record review. Proven ability to prioritize claims and communicate with the team, medical staff, and auto carrier agents to ensure complete and accurate payment recommendations. Strong coding experience coupled with skills in quality assurance, utilization review, and case management. Full time Audit Nurse Part-time as a Travel Consultant since 2005. All aspects of travel including Destination Weddings, Honeymoons, International Travel, Business Travel, Cruises, Family vacations, Worldwide Travel cheryl@rubystravel.com
Rubystravel.Com, Llc
View- Website:
- rubystravel.com
- Employees:
- 18
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Owner3C World Travel Feb 2017 - PresentUnited States
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Travel ConsultantRubystravel.Com, Llc Jan 2011 - PresentWayne, NjTravel Consultant / RubysTravel.com, LLC
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Travel SpecialistRubystravel, Llc 2005 - Jan 2011Anywhere Usa
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Former Senior Audit Nurse At AisAuto Injury Solutions May 1999 - Jan 2021Laid off due to company sale -
Registered NurseAuto Injury Solutions Mar 1999 - Jan 2021Auto Injury Solutions provides auto injury medical review solutions that cater to the property and casualty insurance industry with $6.45M sales.Senior Nurse Auditor and Arbitration Review SpecialistReviewed provider and hospital bills for N.J. personal insurance protection (PIP) insurance to identify medical necessity of services. Reviewed for unrelated and undocumented charges, conducted re-reviews for disputed claims and appeals, and testified at arbitration hearings. Utilized knowledge of diagnosis-related group (DRG), International Classification of Diseases Tenth Revision (ICD-10), CPT, Healthcare Common Procedure Coding System (HCPCS) codes, and dental and durable medical equipment (DME) codes. Collaborated with multiple specialty physicians for prehospital advance directives (PHAD) reviews, independent medical exam (IMEs), and peer reviews. Certified ABQAURP American Board of Quality Assurance and Utilization Review PhysiciansInterQual
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Senior Audit NurseConcentra - Auto Injury Solutions Mar 1999 - Dec 2020AUDIT NURSE SPECIALIST FOR HOSPITAL AND PROVIDER BILLING.
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Audit SpecialistConcentra - Auto Injury Solutions 1998 - Mar 1999
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Registered NurseAis 1999 - Jan 2021Senior Audit Nurse
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Nurse Auditor /ConsultantFirst Mco Jul 1994 - Dec 1998
Cheryl Agodini Skills
Frequently Asked Questions about Cheryl Agodini
What company does Cheryl Agodini work for?
Cheryl Agodini works for Rubystravel.com, Llc
What is Cheryl Agodini's role at the current company?
Cheryl Agodini's current role is RN.
What is Cheryl Agodini's email address?
Cheryl Agodini's email address is ce****@****ine.net
What is Cheryl Agodini's direct phone number?
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What are some of Cheryl Agodini's interests?
Cheryl Agodini has interest in Travel.
What skills is Cheryl Agodini known for?
Cheryl Agodini has skills like Healthcare, Icd 9, Hospitals, Hotels, Cpt, Auditing, Cruises, Claim, Audit, Online Travel, Inclusive Resorts, Ime.
Who are Cheryl Agodini's colleagues?
Cheryl Agodini's colleagues are Ruby Stanfield, Cindy Romano, Darren Mckenzie, Kelley Simone, Nancy Ackerman, Mabel Rodriguez, Kim Essen.
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