Laura Semmar
Portsmouth,NH
Summary
Strategic and results-driven reimbursement professional with a proven track record of optimizing revenue cycle operations. Brings a forward-thinking, analytical approach to problem-solving, using data insights, KPI trends, and emerging technologies like AI to inform decisions and enhance efficiency. Committed to delivering measurable outcomes and supporting organizational growth through proactive leadership and continuous process improvement.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior Denials Specialist
Novocure
04.2024 - Current
- Promoted to Senior Denials Specialist for consistently exceeding performance benchmarks and demonstrating leadership within the Reimbursement team.
- Lead daily operations related to Waystar denials, rejections, and CRM interactions, ensuring timely resolution and alignment with KPIs.
- Spearhead testing and evaluation of new systems and enhancements; provide actionable feedback to improve automation and design efficient workflow opportunities.
- Cultivate a high-performance team culture by mentoring peers, sharing best practices, and leading by example.
- Manage a high-volume caseload while maintaining top-tier accuracy and productivity; recognized as the top performer in collections for two consecutive years.
- Collaborate cross-functionally on process documentation, training initiatives, continuous improvement projects and knowledge sharing.
Reimbursement / Denials Specialist
Novocure
09.2019 - 04.2024
- Resolved complex reimbursement issues using advanced financial systems and payer knowledge.
- Contributed to process standardization, staff training, and system improvement initiatives across the department.
- Maintained high accuracy and efficiency in a fast-paced, production-driven environment.
- Communicated effectively with internal teams and external payers to resolve coding, coverage, and claim disputes.
Digital Marketing Specialist
UNH InterOperability Lab
12.2018 - 06.2019
- Managed multiple digital campaigns and marketing projects under tight deadlines.
- Analyzed campaign performance and web traffic data to identify optimization opportunities.
- Delegated creative tasks to interns and ensured timely delivery through clear communication and project oversight.
Call Center Support Specialist
Paradigm Health Plans
04.2018 - 10.2018
- Interpreted plan documents and remittance data to determine benefit coverage and claim accuracy.
- Recommended cost-effective treatment alternatives to reduce client and patient expenses.
- Handled high-pressure calls with professionalism, applying critical thinking and empathy to resolve complex issues.
Liability Services Advocate
Advanced Patient Advocacy
09.2014 - 02.2018
- Investigated liability claims and negotiated settlements to recover emergency room costs.
- Compiled and presented detailed case documentation to attorneys and insurance adjusters.
- Secured payments through persuasive communication and thorough understanding of legal agreements.
Digital Marketing & Communications Roles
IMS-21 / Plixer LLC
06.2012 - 09.2014
- Collaborated across departments to support strategic initiatives and improve user experience through data-informed content and process enhancements.
- Demonstrated strong self-motivation and accountability in independently managing projects and meeting performance goals without direct oversight.
- Conducted audits and interpreted web performance data to identify optimization opportunities and exceed engagement targets.
- Contributed to cross-functional efforts by creating and organizing digital assets, supporting training events, and streamlining communication workflows.
Education
Bachelor of Arts - Psychology
University of Maine
05.2011
Skills
- Team supervision & coaching
- KPI tracking & performance analysis
- Cross-functional collaboration
- Workflow optimization
- Root-cause analysis
- Data-driven decision-making
- Payer policies and regulatory healthcare guidelines
- Single case agreement negotiation
- Medical necessity investigation
- Negotiation and persuasion
- Stakeholder engagement
Technology & Tools
- Revenue Cycle Management systems
- Microsoft Office
- AI tools for automation and analytics
- Content Management Systems
- Customer Relationship Management platforms
- Software-as-a-Service platforms
Certification
- Certified Associate in Project Management, Project Management Institute- Dec 2023
Timeline
Senior Denials Specialist
Novocure
04.2024 - Current
Reimbursement / Denials Specialist
Novocure
09.2019 - 04.2024
Digital Marketing Specialist
UNH InterOperability Lab
12.2018 - 06.2019
Call Center Support Specialist
Paradigm Health Plans
04.2018 - 10.2018
Liability Services Advocate
Advanced Patient Advocacy
09.2014 - 02.2018
Digital Marketing & Communications Roles
IMS-21 / Plixer LLC
06.2012 - 09.2014
Bachelor of Arts - Psychology
University of Maine
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