Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Darlene Denton

Mount Juliet,TN

Summary

Driven professional with over 27 years in both healthcare and mortgage industries

Overview

16
16
years of professional experience
1
1
Certification

Work History

Mortgage Loan Officer

Pennymac
Franklin, TN
07.2024 - 02.2025
  • Educated customers on various aspects of mortgage refinance options: FHA, VA, and conventional loans
  • Prequalified applicants for loan options according to goals
  • Structured loans
  • Managed pipeline
  • Collaborated with team members to ensure successful funding and closing

Program Manager

Change Healthcare
Nashville, TN
05.2015 - 07.2020
  • Engaged with sales to align product offering to client needs
  • Managed all phases of implementation related efforts across business unit for hospital underpayment, AR, denial management and Transfer DRG engagements
  • Worked with health systems to understand business process and needs in order to drive additional revenue
  • Developed project timeline and project plan
  • Monitored progress and communicated status regularly to both internal and external clients
  • Worked closely with IT on development of required files, reports and SFTP setup
  • Developed technical specifications to support business requirements
  • Revised implementation process to increase efficiency and reduce implementation time frames
  • Created/revised internal and external process documents
  • Provided regular updates to management team
  • Participated in outsourcing initiative-creating/revising SOW, process and plan
  • Responsible for communication and resolution of data related issues post go-live.

Business Analyst III

Change Healthcare
Nashville, TN
06.2013 - 05.2015
  • Reviewed industry changes or mandates, produced documentation on the impact to existing systems, and provided detailed documentation for programmers
  • Responded to inquiries and educated internal and external clients on business process and company products/offerings
  • Ensured the development of business rules are in alignment with overall business strategies
  • Triaged all incoming requests from both Implementation and Support
  • Created specifications for edits as needed for new business initiatives
  • Performed analysis of client's business needs
  • Reviewed claims for accuracy - all benefit types
  • Programmed edits to ensure proper claim payment for clients billing Medicaid, Medicare, and various commercial plans
  • Communicated with clients and other internal departments including Implementation, Training, Client Support, and Engineering
  • Ensured accuracy, completeness and expedient coding and unit testing of new or revised edits
  • Assisted with updates/changes to code sets, payer edits, industry changes, etc
  • Reviewed EDI x12 files for providers to ensure proper editing
  • Provided testing support for HIPAA compliance
  • Determined operational objectives by studying business functions: gathering information: evaluating output requirements and formats
  • Improved systems by studying current practices: designing modifications
  • Provided references for users by writing and maintaining user documentation; providing help desk support; training users.

Implementation Specialists III

Change Healthcare
Nashville, TN
02.2009 - 05.2013
  • Implemented entire suite of Revenue Cycle products including claim scrubber, remit and denial application and Medicare application
  • Participated in project planning efforts involving the following: coordinate product configuration or adaptation to meet each client's needs; functional design guidance, accommodation of client rules, plans or procedures; pre and post implementation testing oversight; analysis of custom reporting and/or system interface requirements; participated in schedule development and monitoring and/or reporting the status to member of project team leadership
  • Oversaw accurate and timely installation and conversion of products through entire implementation cycle, involving the following: assessing appropriate method and identifying resources for the conversion of client data; testing the product or overseeing the testing process; consulting on the installation of client site software/equipment and coordinating technical support to resolve issues
  • Ensured successful 'hand-off' to appropriate departments for on-going support following implementation
  • Conducted end user training via WebEx or onsite.

Education

NMLS - Mortgage Origination

NMLS License
Nashville
08-2024

Columbia State Community College
01.1996

Skills

  • Sales
  • Organizational Development
  • Operations Management
  • Business Development
  • Process Improvement & Implementation
  • Legal and Regulatory Compliance

Certification

CRCR Certified, 2013

Accomplishments

2009 - Traveled to Chennai, India to train offshore team

Timeline

Mortgage Loan Officer

Pennymac
07.2024 - 02.2025

Program Manager

Change Healthcare
05.2015 - 07.2020

Business Analyst III

Change Healthcare
06.2013 - 05.2015

Implementation Specialists III

Change Healthcare
02.2009 - 05.2013

Columbia State Community College

NMLS - Mortgage Origination

NMLS License

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