United States
I am a Market Access and Medical Device Reimbursement professional with a clinical foundation as a Doctor of Physical Therapy and more than four years of experience supporting coverage, reimbursement, and patient access strategies for innovative healthcare technologies. My experience spans reimbursement strategy, payer policy analysis, claims review, denials and appeals management, coding support, and coverage expansion across commercial and government payers. I have led cross-functional initiatives, developed payer-facing value communications, and contributed to coverage expansion. My motivation comes from a desire to build better systems—whether that means improving processes, developing new coverage pathways, or helping organizations navigate complex healthcare challenges to improve patient outcomes. I enjoy translating complex clinical and reimbursement challenges into practical solutions that benefit patients, providers, and healthcare organizations. My clinical background allows me to bridge conversations between providers, payers, and business stakeholders while maintaining a strong focus on patient outcomes. I am particularly interested in the intersection of reimbursement, market access, health economics, and medical technology, where thoughtful strategy can improve affordability, expand coverage pathways, and help bring innovative therapies to the patients who need them most.
• Develop reimbursement strategies informed by payer policy, coverage trends, utilization data, and clinical evidence. • Co-authored the MyoPro Value Dossier and Executive Summary, contributing to coverage expansion representing more than 20 million covered lives. • Developed payer-specific appeals templates and reimbursement resources supporting Commercial and Medicare Advantage plans. • Ensured compliance with CMS regulations, payer requirements, and internal processes, successfully passing 50+ Medicare UPIC audits. • Present reimbursement performance metrics and payer insights to executive leadership, including the Chief Medical Officer.
• Translated complex clinical and healthcare policy information into clear, actionable content for patients, providers, and healthcare stakeholders. • Developed scientifically accurate, evidence-based medical communications tailored to diverse healthcare, patient, and professional audiences. • Conducted literature reviews and incorporated clinical evidence, references, and SEO best practices to support content accuracy, visibility, and engagement. • Performed comprehensive editing and quality review to ensure scientific accuracy, clarity, consistency, and adherence to client and publication standards.
• Partnered with physicians, hospital personnel, and multidisciplinary care teams to support patient access, care coordination, and evidence-based treatment decisions. • Utilized Epic and healthcare information systems to document medical necessity, support billing workflows, and ensure compliance with organizational and regulatory requirements.
• Directed clinical and operational performance, overseeing clinic P&L, revenue cycle operations, and payer mix optimization. • Supervised a cross-functional team of clinicians and front-office billing staff, providing coaching and oversight related to documentation standards, coding accuracy, payer requirements, and revenue cycle operations. • Built relationships with physicians, hospital personnel, and referral sources to support patient access, provider engagement, and business development. • Improved annual profitability to $35K through KPI tracking, financial forecasting, workflow optimization, and operational analysis.
• Provided formal mentorship and onboarding support for new clinicians across four regional sites, contributing to staff development and clinical excellence. • Served as a public speaker, continuing education instructor, and conference panelist, delivering evidence-based presentations on healthcare trends, reimbursement, clinical outcomes, and patient care. • Recognized as a subject matter expert in orthopedic rehabilitation and post-operative care, including joint replacement and musculoskeletal conditions. • Designed and delivered accredited continuing education programs, including curriculum development, course materials, and instructional presentations. • Consistently achieved patient outcomes exceeding company and industry benchmarks on standardized functional outcome measures. • Maintained exceptional patient satisfaction and engagement, including a Net Promoter Score (NPS) of 100 in 2019.
• Conducted utilization and medical necessity reviews, applying payer policies, coverage criteria, and clinical evidence to support authorization and reimbursement decisions. • Interpreted complex clinical documentation and mentored new reviewers on policy interpretation, compliance requirements, and review process.