Teresa Zepeda Email & Phone Number

Greater Minneapolis-St. Paul Area

Analyze clinical production, financial and system information while focusing on improving efficiencies in support of complex case management’s service level agreementsResponsible for the creation and maintenance of reports that provide relevant management information to department leaders Work with department leaders, under the direction of Manager, to assist with the achievement of department goals as applicable and in the creation and execution of ad hoc reports, queries, analysis and reporting as needed

Greater Minneapolis-St. Paul Area

Review and manage referral qualifications of all new referrals through the established process for case intake Research diagnoses, disposition, and medication profile of each referral to properly designate issue type and category of all referrals Initiate movement of case into care managementProvide additional research and support for team as neededCollect data for end of month reporting

Boise, Idaho Area

Analyze and authorize for payment physical medicine treatment requestsDetermine accepted body regions for chiropractic manipulation based on submitted documentation from providers and CPT guidelinesResearch and create medical reviews for nurse consultant considerationGenerate authorization denialsEvaluate date extension requests and adjust date ranges according to available documentationAssist providers with requests and questions pertinent to scope of departmentTrain incoming coworkersAssist in development of unit procedures

Bachelor’S Degree, Health Information/Medical Records Administration/Administrator, Cum Laude

Certificate Of Paralegal Studies