India Borczyk
Nashville
Summary
Dynamic UR Specialist with a proven track record at Carolina House, excelling in utilization review and compliance. Skilled in data analysis and staff leadership, I advocate for patients while enhancing operational efficiency. Recognized for training new employees and driving strategic decision-making through comprehensive reporting and quality assurance initiatives.
Overview
15
15
years of professional experience
1
1
Certification
Work History
UR Specialist
Carolina House Eating Disorder Treatment
06.2025 - Current
- Conduct telephonic authorizations, retro reviews, denials, and appeals.
- Maintain document compliance and quality assurance.
- Train and mentor new employees.
- Advocate for patients via chart appeals.
- Prepare reports, spreadsheets, and special tasks for leadership.
Assistant Director of Utilization Management/Intake Coordinator
Timberline Knolls
06.2010 - 03.2025
- Oversaw telephonic authorizations, retro reviews, denials, appeals, and compliance documentation while ensuring quality assurance and efficiency.
- Supported executive leadership with reports, spreadsheets, and special projects to drive strategic decision-making.
- Trained and mentored employees, managed payroll, and fostered collaboration to strengthen departmental performance.
- Acted as liaison between clinical staff, medical directors, insurance providers, external partners, and billing companies while advocating for patients through appeals.
Clinical Site Instructor
Midwestern College
05.2017 - 09.2017
- Developed and implemented engaging curriculum aligned with educational standards.
- Facilitated interactive learning experiences to enhance student understanding and retention.
- Mentored junior instructors, promoting teaching best practices and effective classroom management techniques.
- Evaluated student performance through assessments, providing constructive feedback for improvement.
Education
Associate of Science - Nursing Administration
Midwest Technical Institute
ILBachelor of Science - Nursing Administration
College of DuPage
Glen Ellyn, ILSkills
- Operations Management & Strategic Planning
- Contract Management & Negotiation
- Utilization Review & Case Management
- Discharge Planning & Patient Care Plans
- Regulatory Compliance & Documentation
- Data Analysis & Reporting
- Staff Leadership & Coordination
- Time Management & Efficiency
Certification
- Certified Yoga Instructor RYT 500
- Certified Surgical Technologist BLS and Restraint
- Certified Nursing Assistant
- Certified Phlebotomy Tech
Timeline
UR Specialist
Carolina House Eating Disorder Treatment
06.2025 - Current
Clinical Site Instructor
Midwestern College
05.2017 - 09.2017
Assistant Director of Utilization Management/Intake Coordinator
Timberline Knolls
06.2010 - 03.2025
Associate of Science - Nursing Administration
Midwest Technical Institute
Bachelor of Science - Nursing Administration
College of DuPage