Cory Sifrit
Lima,OH
Summary
Experienced healthcare professional prepared for this role with strong background in managing insurance claims and denials. Focus on team collaboration and achieving results, ensuring reliability and adaptability to changing needs. Expertise in claims analysis, problem-solving, and process optimization, backed by clear communication and organizational skills essential for driving efficient outcomes.
Overview
19
19
years of professional experience
Work History
Case Management Denials Coordinator
Kindred Hospital, LTAC
Lima, OH
06.2021 - Current
- Identified patterns in payer denials, implementing corrective actions to prevent future occurrences.
- Leveraged data analytics tools to monitor denial trends over time, proactively addressing emerging issues before they impacted revenue streams significantly.
- Continuously optimized appeal templates based on feedback from payers, leading to more successful resolutions of disputed claims.
- Played a key role in improving the organization''s overall financial performance, minimizing lost revenue due to denied claims.
- Identified root cause of denials to provide plans for denial resolution.
Case Management Coordinator
HCF, INC
Lima, OH
01.2016 - 06.2021
- Reviewed and developed intake and discharge planning strategies to encourage client engagement and retention.
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Collaborated with insurance companies to obtain authorizations for needed services while minimizing out-of-pocket costs for patients.
- Managed high caseloads, prioritizing tasks and maintaining organized records for timely follow-ups and accurate reporting.
- Served as a mentor to new case management coordinators, providing guidance and support throughout the onboarding process.
Licensed Practical Nurse
Shawnee Manor, HCF Management
Lima, OH
10.2006 - 01.2016
- Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
- Cared for wounds, provided treatments, and assisted with procedures.
- Assisted with admissions, appointments, transfers, and discharges.
- Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Facilitated efficient communication between patients, families, and healthcare providers to promote continuity of care across settings.
Education
Licensed Practical Nurse - Nursing
Rhodes State College
Lima, OH08-2006
High School
Perry High School
Cridersville, OH05-2003
Skills
- Denial resolution
- ICD-10 proficiency
- HCPCS coding
- HIPAA compliance
- Clinical documentation
- Insurance verification
- Utilization review
- Revenue cycle management
- Appeals processing
- Claims analysis
- Eligibility determination
- Insurance policy knowledge
Timeline
Case Management Denials Coordinator
Kindred Hospital, LTAC
06.2021 - Current
Case Management Coordinator
HCF, INC
01.2016 - 06.2021
Licensed Practical Nurse
Shawnee Manor, HCF Management
10.2006 - 01.2016
Licensed Practical Nurse - Nursing
Rhodes State College
High School
Perry High School