Jaime Hester
Spring Hill,TN
Summary
Dynamic Senior Work Comp Analyst with a proven track record at Revecore, excelling in data analysis and risk assessment. Adept at maximizing claim payments through strategic negotiations and effective team mentorship. Recognized for enhancing operational efficiency and fostering strong relationships with clients and medical professionals.
Overview
24
24
years of professional experience
Work History
Senior Work Comp Analyst
Revecore
10.2018 - Current
- Reviews and analyzes all workers' compensation claim documents. Investigate and evaluate all claims.
- Make high volume, outbound calls to maximize payments on medical claims to insurance companies, on behalf of our clients.
- Works with the ICR team to assist our clients in closure of accounts.
- Reviews denials and appeals insurance claims.
Patient Care Coordinator
Benchmark Physical Therapy
09.2017 - 09.2018
- Greets everyone who enters the clinic in a welcoming manner.
- Schedules new referrals received from patients and physician offices.
- Verifies insurance coverage for patients.
- Collects patient payments.
- Maintains an orderly and organized front office workspace.
- Other duties as assigned.
Coding Supervisor
Optum
11.2015 - 08.2017
- Monitors assigned work queues to ensure all records are charged/coded in a timely manner.
- Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision.
- Supervised a team of 50 coders by email.
- Additional responsibilities as identified by manager.
Work Comp Supervisor
CHS/PASI
02.2001 - 09.2015
- Supervise and mentor claims staff, providing guidance on best practices in claims processing.
- Improved team performance by providing regular feedback and coaching.
- Managed schedules for ensuring optimal coverage during peak hours.
- Collaborates with medical professionals to ensure proper documentation is maintained, including ICD-9 and HCPCS codes.
- Negotiates settlements with claimants or their representatives when necessary.
Education
High School Diploma -
Franklin High School
Franklin, TN05-1996
Skills
- Data analysis
- Market research
- Financial modeling
- Risk assessment
Languages
English
Timeline
Senior Work Comp Analyst
Revecore
10.2018 - Current
Patient Care Coordinator
Benchmark Physical Therapy
09.2017 - 09.2018
Coding Supervisor
Optum
11.2015 - 08.2017
Work Comp Supervisor
CHS/PASI
02.2001 - 09.2015
High School Diploma -
Franklin High School
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