Jennifer Belyeu
Montgomery,AL
Summary
At Optum, excelled as a Workers Compensation Senior Appeals Analyst, adeptly handling provider appeals and PPO disputes, ensuring compliance with state guidelines. Demonstrated exceptional legal research and verbal communication skills, leading training for new analysts and optimizing team efficiency. Achieved significant improvements in claims processing accuracy and speed, showcasing reliability and a strong ability to multitask.
Overview
24
24
years of professional experience
Work History
Workers Compensation Senior Appeals Analyst
Optum
06.2000 - 04.2024
Processed provider appeals for largest workers' compensation client ensuring state fee schedule/UCR guidelines were applied appropriately on the original processing of the claim..
Processed ppo disputes ensuring pop contracts were applied appropriately on the original claim processing.
Processed state disputes in multiple states - e.g. FL, WI, TX, NJ, MO, etc. Responded to state and/or attorney's office when appropriate to ensure timely resolution.
Provided training to new Appeals Analyst.
Ran appeals report and coordinated and distributed work amongst up to 5 different Appeals Analyst.
Education
Bachelor of Science - Business Administration
Troy University
Troy, ALCertified Professional Coder - Medical Coding
American Academy of Professional Coding (AAPC)
10.2005
Skills
- Teamwork and Collaboration
- Multitasking
- Reliability
- Excellent Communication
- Computer Skills
- Customer service and support
- Organizational Skills
- Multitasking Abilities
- Claims Investigation
Timeline
Workers Compensation Senior Appeals Analyst
Optum
06.2000 - 04.2024
Bachelor of Science - Business Administration
Troy University
Certified Professional Coder - Medical Coding
American Academy of Professional Coding (AAPC)