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Connie Simms

@conniesimms1

Experienced denial management specialist optimizing healthcare claims and reimbursements.

United States
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What I'm looking for

I seek a role focused on denial management and claims resolution within a collaborative, process-driven team where I can reduce denials, optimize reimbursement, and grow professionally.

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

IP

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.

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

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

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