Tricia joined HLS in the summer of 2023 as a Clinical Reviewer and now leads the clinical review team. She assists clients nationwide in resolving claim denials from Medicaid, Medicare, and commercial insurers. Her work focuses on training and supervising clinical staff, as well as drafting and overseeing appeals involving medical necessity, level-of-care determinations, and complex reimbursement issues, including statutory and contractual underpayments and technical denials.
Tricia brings nearly two decades of diverse nursing experience across acute and specialty care settings. She has extensive expertise in neonatal intensive care (NICU) and has served as an educator for NICU, pediatric, and PICU staff, in addition to holding multiple nursing leadership roles. She also contributes to nursing education as a writer for a large publishing company, ensuring content reflects current best practices and up-to-date clinical standards.
Across all roles, she advances patient-centered care, interdisciplinary collaboration, and evidence-based decision-making, while leading the development of high-quality, defensible appeals and fostering clinical excellence across the team.