Denesha Baylor
Fort Bragg,NC
Summary
Support program operations by applying strong document management and resource coordination skills to day-to-day needs. Conscientiously address any need and resolve concerns to promote efficiency and maximize service outreach. Proven relationship-building and planning abilities.
Overview
6
6
years of professional experience
Work History
Data Entry Clerk
Home Depot
remote, NC
01.2020 - 06.2021
- Entered data into inventory management systems to maintain accurate inventory records.
- Reviewed and verified incoming shipments for discrepancies to ensure accurate inventory levels.
- Organized product information for online catalog updates to enhance user experience.
- Maintained filing systems for documents and records to ensure accessibility.
Reimbursement Specialist
CareCentrix
Remote, NC
01.2022 - 01.2025
- - Reviewed and processed insurance claims for accuracy and compliance with payer guidelines, facilitating timely reimbursements.
- Resolved denied and delayed claims by investigating root causes and appealing with proper documentation.
- Ensured compliance with applicable laws and regulations in processing reimbursement requests, minimizing risk of claim denials.
- Applied legal knowledge to interpret complex healthcare policies and contracts, ensured compliance with Medicare, Medicaid, and private insurer rules and regulations, and maintained detailed records of all reimbursement activities and patient account updates.
- Maintained a database of all reimbursements, payments, and other transactions.
- Generated reports summarizing daily reimbursement and payment activities, supporting informed decision-making.
CYPA Youth Program Assistant
CYS
Fort Bragg, NC
01.2025 - 12.2025
- Updated knowledge of best practices in youth programming to enhance program effectiveness.
- Fostered a safe space for youth to express themselves, promoting engagement and learning.
- Facilitated workshops that focused on building self-esteem, problem solving skills, communication skills.
- Conducted assessments of each individual's needs and developed appropriate action plans to help them meet their goals.
- Built positive relationships with staff, volunteers, parents, guardians, and external partners to support program objectives.
Reviewer/Paralegal Assistant
Stack's
Fort Bragg, North Carolina
09.2025 - 01.2026
- Reviewed software documentation for clarity and compliance with company standards, ensuring alignment with regulatory requirements.
- Collaborated with development teams to ensure accurate implementation of review findings.
- Maintained detailed records of review processes and findings, supporting continuous improvement efforts.
- Evaluated user feedback to identify areas for improvement in product features.
- Facilitated meetings to discuss review outcomes, providing actionable recommendations for necessary changes.
Education
Bachelor of Arts - Law of Administration
University of Arizona Global Campus
Chandler, AZ09-2024
Skills
- Legal research
- Data management
- Critical thinking
- Problem solving
- Data collection and analysis
- Cultural competency awareness
- Effective communication
- Regulatory compliance
- Policy writing
- Organizational growth
- Team building exercises
- Volunteer recruitment
- Implementing client care plans
- Team collaboration
- Care coordination
- Substance Abuse Understanding
- Supportive counseling techniques
Education and Training
other
Timeline
Reviewer/Paralegal Assistant
Stack's
09.2025 - 01.2026
CYPA Youth Program Assistant
CYS
01.2025 - 12.2025
Reimbursement Specialist
CareCentrix
01.2022 - 01.2025
Data Entry Clerk
Home Depot
01.2020 - 06.2021
Bachelor of Arts - Law of Administration
University of Arizona Global Campus