Parker Wishneff

adzmmv@r.postjobfree.com 540-***-****

EXPERIENCE

MES Peer Review Services Charleston, SC

Clinical Peer Reviewer August 2023 – Present

Skills gained: communication, quality assurance, expert opinion formation, review coordination, communication proficiency.

●Facilitate the preparation of paper-based peer reviews by independent, credentialed physicians to establish expert opinions regarding the appropriateness of care, medical necessity, and related issues.

●Coordinate different types of reviews, including prospective, medical-legal, appeal, and peer-to-peer reviews, matching the appropriate expert to each case.

●Oversee the production of final review reports that are customized to meet state-specific content requirements and adhere to specified turnaround times.

●Continuously monitor and ensure adherence to healthcare regulations and requirements, making necessary adjustments to processes and procedures as needed.

●Implement quality assurance measures to maintain superior quality services in line with industry standards.

GENEX – An Enlyte Company Charleston, SC

Independent Clinical Reviewer March 2015 – Present

Skills gained: self-management, collaboration, strong decision-making abilities, proficient with healthcare/insurance guidelines, clinical research.

Accomplishments: consistently completing 80-90+ utilization reviews weekly.

●Evaluating requests for medical treatments submitted by treating providers to determine medical necessity.

●Conducted comprehensive medical reviews to assess treatment appropriateness and necessity.

●Analyzed complex clinical data and interpreted date to determine adherence to established guidelines and protocols and communicated effectively with providers.

●Updated knowledge of medical coding and insurance guidelines.

●Efficiently managed caseloads and prioritized tasks to meet deadlines and maintain high-quality reviews.

Advanced Chiropractic & Wellness Mount Pleasant, SC

Owner/CEO 2014-2018

Skills gained: clinical experience, insurance billing, marketing, problem-solving, diagnostic expertise, communication, adaptability.

Accomplishments: Treated +100 patients weekly.

●Knowledge of basic business principles, including budgeting, financial management, and strategic planning.

●Gained experience providing chiropractic care and understanding patient needs and preferences.

●Skills in marketing the practice to attract new patients and maintaining relationships with existing ones, and networking within the community.

●Familiarity with insurance billing processes and coding to handle patients claims efficiently.

●Dedication to ongoing professional development to stay updated on latest research and industry trends.

Active Family Chiropractic Reston, VA

Associate Chiropractor 2012-2014

Skills gained: ethics/professionalism, patient-focused approach, problem-solving, interpersonal skills, technology proficiency, and leadership abilities.

Accomplishments: Treated 250-300 patients weekly.

●Involved in treating patients with acute/chronic symptoms and creating future treatment plans.

●Responsible for creating care plans including physical medicine treatment options, therapy, and nutrition.

●Assisted in producing new patients through marketing, screening, and advertising techniques.

●Responsible for billing patient’s insurance.

Wellsource Chiropractic & Rehabilitation Tucker, GA

Chiropractic Intern 2012

Skills gained: patient care experience, insurance/billing knowledge, time management, organization, risk management, and multitasking.

●Worked as a student intern to gain initial clinical experience by treating patients.

●Gained experience providing care and understanding patient needs and preferences.

●Involved in marketing events and gaining experience with billing processes and coding to handle patient claims efficiently.

Virginia Polytechnic & State University Blacksburg, VA

Strength and Conditioning Coach 2007-2008

Skills gained: coaching experience, program design and implementation, safety/injury prevention, motivation, communication, and continuous learning.

●Assisted in training student athletes in following sports: basketball, football, baseball, swimming, track & field, and wrestling.

●Led and guided athletes towards improving performance while ensuring safety and well-being throughout training process.

Carilion Roanoke Memorial Hospital Roanoke, VA

Anesthesia Technician 2006-2007

Skills gained: medical terminology, attention to detail, safety protocols, stress management, patient care, teamwork, regulatory compliance, and professionalism.

●Responsible for assisting Anesthesiologist during surgical procedures.

●Involved in preparing patients for surgery.

Physical Therapy Assistant Roanoke, VA

2004-2006

●Assisted physical therapists in implementing treatment plans, providing hands-on therapeutic exercises, and conducting modalities under the therapist’s guidance.

EDUCATION

Life University Marietta, GA

Doctor of Chiropractic (Cum Laude) May 2012

VIRGINIA POLYTECHNIC INSTITUTE AND STATE UNIVERSITY Blacksburg, VA

BS of Science in Human Nutrition, Foods and Exercise (GPA: 3.4) May 2008

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