Katherine Enriquez, RN, CRCR, currently serves as a Clinical Payment Resolution Specialist at Trinity Health, focusing on appealing denied claims and identifying denial trends to enhance operational efficiency. Prior experience includes roles as Associate Vice President of Utilization Management at EXL Healthcare, where Katherine designed a comprehensive UM program, and Director of Utilization Management at Molina Healthcare, overseeing clinical operations with significant direct reports. Additionally, Katherine worked as a Clinical Account Manager at Blue Cross Blue Shield Association, providing consultative support for the Federal Employee Program, and held management positions at Family Health Network and Aetna, demonstrating a strong background in care coordination and utilization management. Katherine's earlier career involved staff nursing and case management roles in various healthcare settings, complemented by a Bachelor of Science in Nursing from Chamberlain University and an Associate of Science in Nursing from State College of Florida-Manatee-Sarasota.
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