Jennifer Chiesa
Waterford,MI
Summary
Detail-oriented Claims Denial and Appeals Writing Specialist with expertise in analyzing claim denials, interpreting payer policies and medical documentation, and developing clear, persuasive appeal letters. Skilled in identifying denial root causes, researching clinical and coding guidelines, and presenting well-supported arguments to maximize reimbursement and overturn inappropriate denials. Strong written communication, analytical, and problem-solving skills with a proven ability to manage high-volume claims while maintaining accuracy, compliance, and timely resolution.
Overview
18
18
years of professional experience
Work History
Insurance Claims Specialist
Revco Solutions
Durham, NC
04.2022 - Current
- Successfully resolved high-dollar and complex insurance denials, contributing to increased revenue recovery
- Executed denial follow-up for two hospital organizations, enhancing reimbursement rates and minimizing outstanding balances
- Facilitated communication with payers and cross-functional teams to accelerate claim resolution and maintain regulatory compliance
- Utilized Sorian and Artiva systems to optimize claim tracking and resolution processes
- Analyze denied claims to identify denial reasons, billing errors, and documentation gaps.
- Draft and submit high-quality appeal letters in accordance with payer requirements and organizational guidelines.
- Review and correct claim discrepancies to support accurate and timely claim resubmission
- Ensure appeals are thoroughly documented, compliant, and submitted within established payer deadlines.
- Consistently met productivity and accuracy targets in a high-volume billing environment
Billing Specialist
Advanced Care Chiropractic
Holly, MI
03.2018 - 01.2022
- Managed full-cycle medical billing operations for two chiropractic offices, overseeing claims from submission through final resolution
- Prepared and submitted accurate insurance claims, ensuring timely processing for optimal reimbursement
- Conducted thorough denial follow-up to identify root causes, securing successful resolutions for denied claims
- Drafted and submitted appeals for claim denials, advocating for appropriate reimbursements
- Generated and managed patient statements, ensuring clear communication and timely collections
- Maintained compliance with insurance guidelines and billing regulations while handling multiple responsibilities independently
Office Manager
Advanced Care Chiropractic
Holly, MI
03.2015 - 08.2017
- Managed employee scheduling and addressed staff concerns, supporting smooth daily operations
- Managed employee scheduling and resolved staff concerns to maintain smooth daily operations
- Delivered exceptional patient service by addressing inquiries, resolving concerns, and ensuring a positive overall experience
- Verified insurance coverage and processed billing to ensure accurate, timely claims submission
- Prepared and mailed patient statements to facilitate efficient collections and enhance communication
- Conducted X-rays in compliance with safety standards and clinical protocols
Salon Manager
Jamaica Tan
Holly, MI
11.2014 - 03.2015
- Managed daily salon operations, ensuring smooth and efficient business performance
- Scheduled staff and coordinated shifts to ensure optimal coverage and service delivery
- Led hiring and training of new employees, supporting team development and performance
- Delivered excellent customer service by greeting clients and resolving concerns professionally
- Delivered excellent customer service by greeting clients and professionally resolving concerns, fostering client loyalty
- Maintained cleanliness and organization of the salon in line with health and safety standards
- Promoted services and specials, enhancing client engagement and driving revenue growth
- Processed payroll accurately and on time
Conversions Technician
Palace Sports and Entertainment
Auburn Hills, MI
11.2013 - 09.2014
- Collaborated with team members to adapt to changing tasks and responsibilities in a fast-paced, outdoor work environment
- Assisted skilled tradesmen with tasks to facilitate timely project completion
- Maintained grounds daily to ensure cleanliness and safety for all visitors.
Chiropractic Assistant
Hamilton Chiropractic
Clarkston, MI
12.2010 - 01.2012
- Provided patient care and support, delivering a positive and professional experience
- Managed comprehensive front- and back-office responsibilities, ensuring efficient daily operations
- Verified insurance eligibility and processed billing to ensure accurate and timely reimbursement
- Managed patient billing and collections, ensuring clear communication and efficient account resolution
- Handled high-volume phone communications, addressing inquiries and efficiently scheduling appointments
- Maintained accurate patient records, ensuring compliance with privacy regulations and supporting streamlined operations
Chiropractic Assistant
Advanced Care Chiropractic
Holly, MI
08.2008 - 06.2010
- Answered multi-line phones and greeted patients, delivering friendly and professional front-desk support to enhance patient experience
- Verified insurance coverage and processed billing, ensuring accurate and timely claim submission for effective revenue cycle management
- Prepared and mailed patient statements, supporting billing and collections processes
- Prepared and mailed patient statements, facilitating billing and collections processes to maintain financial accuracy
- Answered multi-line phones and greeted patients, providing professional and friendly front-desk support
Education
High school diploma or GED -
Waterford Kettering High School
Waterford, MISome college -
Western Michigan University
Kalamazoo, MISkills
- Insurance Claim Appeals
- Denial Analysis & Root-Cause Identification
- Appeal Letter Writing
- Coding & Billing Review
- Clinical Documentation Review
- Payer Policy & Medical Policy Research
- Reimbursement & Claims Resolution
- Underpayment & Payment Dispute Resolution
- EOB/ERA Review and Interpretation
- Medical Record Review
- Regulatory & Payer Compliance
- HIPAA Compliance
- Revenue Cycle Management (RCM)
- Account Follow-Up & Resolution
- Appeals Tracking & Documentation
- Electronic Health Records
- Provider-Payer Communication
- Written & Verbal Communication
- Attention to Detail
- Research & Analytical Skills
- Time Management & Prioritization
Personal Information
- Title: Your Claims Denial and Appeal Writing Specialist
- Work Permit: Authorized to work in the US for any employer
- Visa Status: Authorized to work in the US for any employer
Timeline
Insurance Claims Specialist
Revco Solutions
04.2022 - Current
Billing Specialist
Advanced Care Chiropractic
03.2018 - 01.2022
Office Manager
Advanced Care Chiropractic
03.2015 - 08.2017
Salon Manager
Jamaica Tan
11.2014 - 03.2015
Conversions Technician
Palace Sports and Entertainment
11.2013 - 09.2014
Chiropractic Assistant
Hamilton Chiropractic
12.2010 - 01.2012
Chiropractic Assistant
Advanced Care Chiropractic
08.2008 - 06.2010
High school diploma or GED -
Waterford Kettering High School
Some college -
Western Michigan University