Connie Simms
@conniesimms1
Experienced denial management specialist optimizing healthcare claims and reimbursements.
What I'm looking for
I am an experienced denial management specialist with a proven record in healthcare claims processing, appeals, and reimbursement optimization. I have deep knowledge of ICD-10-CM, CPT, HCPCS, UB-04/CMS-1500 forms, and insurance protocols, and I consistently drive timely claim resolutions while maintaining compliance.
I excel at managing high-volume caseloads, improving financial performance by reducing denied claims, and collaborating effectively with providers and payers. I bring strong analytical skills, proficiency with medical billing software and Excel, and a results-driven, team-oriented approach that improves customer satisfaction and revenue recovery.
Experience
Work history, roles, and key accomplishments
Claims Data Analyst
International Paper
Jan 2022 - Jan 2025 (3 years)
Expedited claims resolutions and managed high-volume caseloads while ensuring accurate ICD-10-CM, CPT, and HCPCS coding; improved customer satisfaction and timely account delivery.
Denial Analyst
DuPont
Jan 2020 - Jan 2022 (2 years)
Researched root causes of claim denials and collaborated with providers and payers to obtain documentation, reducing denied revenue and improving resolution timelines.
Medical Claims Specialist
Dr Hardy
Jan 2018 - Jan 2020 (2 years)
Processed high volumes of medical claims accurately under tight deadlines, implemented improved examination practices, and resolved complex claim issues with patients and insurers.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
Bachelor of Science, Health Administration
Completed a Bachelor degree in Health Administration focused on healthcare operations, claims management, and administrative processes.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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