Jaya HArdrick
West Helena
Summary
Experienced denial management specialist with strong track record in healthcare claims processing and
resolution. Skilled in analyzing and addressing claim denials, ensuring compliance with industry
regulations, and optimizing reimbursement processes. Known for effective team collaboration,
adaptability to changing needs, and results-driven approach. Proficient in utilizing medical coding
systems, insurance protocols, and data analysis tools.
Overview
7
7
years of professional experience
Work History
Claims Data Analyst
Broadpath
12.2023 - 01.2026
- Expedited claims resolutions through thorough investigations and timely communications, enhancing customer satisfaction.
- Managed high-volume caseloads for optimal productivity while maintaining strict attention to detail.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignment.
- Managed a portfolio of key accounts, ensuring all claims data analysis needs were met in a timely and accurate
fashion.
Denial Analyst
Conduent
09.2020 - 12.2023
- Updated knowledge of insurance coverage benefit levels and verification processes to ensure accurate claims handling.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Expedited claims resolution by effectively collaborating with providers and payers to obtain necessary documentation or missing information.
- Contributed to financial performance by minimizing lost revenue from denied claims through effective denial analysis.
Medical Claims Examiner
Alorica
11.2018 - 08.2020
- Enhanced claims processing efficiency by conducting thorough investigations and maintaining accurate documentation.
- Guided team members during high workload periods, facilitating resolution of challenging cases.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for service rendered.
- Implemented new medical claims examination practices, enhancing processing efficiency and accuracy.
- Handled complex claims issues, effectively communicating with patients, providers, and insurance, companies to ensure resolution.
Education
Central High School
West Helena, ARCoahoma Community College
Clarksdale, MSSkills
- Claims analysis
- Denial management
- Claims resolution
- Medical coding
- ICD-10-CM coding
- HCPCS coding
- Documentation accuracy
- Regulatory compliance
- Healthcare compliance
- Data analysis
- Data management
- Microsoft Excel proficiency
- Customer relationship management
- Microsoft Excel proficiency
Timeline
Claims Data Analyst
Broadpath
12.2023 - 01.2026
Denial Analyst
Conduent
09.2020 - 12.2023
Medical Claims Examiner
Alorica
11.2018 - 08.2020
Central High School
Coahoma Community College