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Seasoned Denial Specialist with solid experience in medical billing and insurance claims. Strong understanding of denial management processes, claim reviews, and appeals procedures. Demonstrated ability to work well under pressure while maintaining high attention to detail and accuracy. Proven record of improving efficiency within healthcare revenue cycle management

Accomplished Denials Specialist with a proven track record for enhancing claim resolution processes and optimizing team workflows. Expert in denial management and ICD-10, coupled with exceptional communication skills. Demonstrated success in training and cross-departmental collaboration, significantly minimizing future claim denials and fostering a knowledgeable workforce.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Consistently met and exceeded hourly requirements of resolving 20 claims per hour productivity requirement, by completing accurately, on average 45-50 claims per hour.
Achieved 95% or higher audit results through internal and external reviews.

Dynamic RN Program Manager with extensive experience in Care Management and Utilization Review, specializing in denial management and regulatory compliance. Proven track record in developing evidence-based standards and leading multidisciplinary teams. Skilled in InterQual and strong in communication, ensuring optimal patient outcomes and efficient resource utilization. Recognized for thorough documentation and critical thinking in complex cases.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Results-driven Denials Specialist at Providence Health & Services with expertise in claim analysis and denial resolution. Proven ability to enhance payment accuracy and streamline processes through effective communication and data analysis. Skilled in navigating payer portals and maintaining compliance, contributing to improved reimbursement outcomes.

Jennifer Dee Lesley

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Denials Specialist

Medical Coding Specialist

Denials Specialist

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Associate of Applied Science - Health Information Technology

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Denials Specialist

Medical Coding Specialist

Denials Specialist

Associate of Applied Science - Health Information Technology

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