Kayla Ferrell
Liberty
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, highly adaptable, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Values working for a team that promotes organizational health. Passionate about contributing meaningful work and helping others do the same.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Supervisor Prior Authorization
Blue Cross and Blue Shield Kansas City
01.2020 - Current
- Prior to being promoted to supervisor, worked as a clinical review nurse on the prior authorization team.
- Experience includes (not limited to) clinical review for inpatient stay, durable medical equipment (DME), outpatient surgery and services for commercial, ACA, and FEP lines of business.
- Lead my team in completing high quality and accurate prior authorization clinical review.
- Communicate effectively with my team, leadership, and other departments striving for clarity and to build strong, collaborative relationships.
- Create and implement performance management metrics.
- Monitor employee productivity to provide constructive feedback and coaching/performance improvement measures when necessary.
- Review completed work to verify consistency, quality, and process compliance by way of monthly audits.
- Provide ongoing training to address staff needs.
- Comply with company policies, objectives, and communication goals.
- Review post-service claims to ensure accurate processing, monitor and report potential inappropriate billing, and use multiple platforms to verify information related to claims processing.
Registered Nurse
Ideal Image
09.2018 - 12.2019
Registered Nurse - NICU/Obstetrics and Gynecology Registered Nurse
Liberty Hospital
07.2014 - 08.2018
Registered Nurse - Medical/Surgical
Research Medical Center
03.2013 - 07.2014
Education
MBA - Leadership And Organizational Health
University of Saint Mary
Leavenworth, KS03.2023
Bachelor of Science - Nursing
University of Central Missouri
Warrensburg, MO12.2015
Associate of Science - Nursing
Metropolitan Community College - Kansas City
Kansas City, MO12.2012
Skills
- Create and Implement New Processes
- Conflict Resolution / Solution Focused
- Exceptional Time Management
- Use of MCG, Evicore, Avalon, FEP, Turning Point local medical policies
- Claims review in Facets
- Other relevant systems experience: Tableau, ServiceNow, Perceptive, PowerBi, Workday, GuidingCare
Certification
- Registered Nurse in the State of Missouri, License number: 2013002884
- MCG Certification Utilization Management, Completed December 2023
Timeline
Supervisor Prior Authorization
Blue Cross and Blue Shield Kansas City
01.2020 - Current
Registered Nurse
Ideal Image
09.2018 - 12.2019
Registered Nurse - NICU/Obstetrics and Gynecology Registered Nurse
Liberty Hospital
07.2014 - 08.2018
Registered Nurse - Medical/Surgical
Research Medical Center
03.2013 - 07.2014
Bachelor of Science - Nursing
University of Central Missouri
Associate of Science - Nursing
Metropolitan Community College - Kansas City
MBA - Leadership And Organizational Health
University of Saint Mary
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