Adrienne Liu
@adrienneliu
Revenue cycle and denials specialist driving recoveries and denial-rate reductions in healthcare.
What I'm looking for
I am a results-driven revenue cycle and denials management specialist with 10+ years of experience in healthcare claims, appeals, and payer relations. I have a proven track record reducing facility denial rates, recovering high-dollar claims (averaging $2M annually), and implementing process improvements and training that safeguard revenue and improve first-pass accuracy.
I partner with clinical and operational leaders, present denial dashboards using Epic and payer portals, and serve as a subject matter expert on denial mitigation and payer escalation. I am compliance-focused—experienced with DMAS, CMS, and HIPAA—and I leverage data-driven reporting and cross-functional collaboration to transform payer challenges into opportunities for financial stability and improved patient access.
Experience
Work history, roles, and key accomplishments
Denials & Appeals Specialist
Chesapeake Regional Medical Center
Oct 2022 - Present (2 years 11 months)
Reduced facility denial rate by 8% through trend analysis and payer collaboration and recovered on average $2,000,000 annually by leading high-dollar appeals and root-cause prevention strategies.
Appeals & Grievance Coordinator
Optima Health
Jan 2019 - Oct 2022 (3 years 9 months)
Coordinated and resolved hundreds of member appeals annually in compliance with DMAS, CMS, and HIPAA, improving appeal turnaround compliance through streamlined intake and tracking processes.
Customer Service Representative III
Anthem, Inc.
Sep 2016 - Jan 2019 (2 years 4 months)
Served as SME and trainer for Medicaid claims resolution, processing high-volume claims across 16 states and improving claim accuracy using Facets and Macess.
Customer Care Representative I
Anthem, Inc.
Sep 2014 - Sep 2016 (2 years)
Provided frontline support for 50–70 daily inquiries on Medicaid eligibility, benefits, and claims, achieving top call center metrics for first-call resolution and satisfaction.
Education
Degrees, certifications, and relevant coursework
Adrienne hasn't added their education
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Tech stack
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