Looking for a job

Dodie Minor

@dodieminor

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I resolve complex healthcare claims, appeals, underpayments, and payer issues across commercial and government plans.

United States

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What I'm looking for

I'm looking to apply my healthcare claims, appeals, reimbursement, and payer-resolution experience in a role where I can resolve complex account issues, identify trends, support operational improvements, and meet quality and compliance requirements.

I've supported healthcare claims and revenue-cycle operations across UHG/Alere Health, HCA PAS, Tenet Patient Financial Services, The Jacobson Group, and Great West Life & Annuity Insurance.

At UHG/Alere Health, I coordinated Medicare, Medicaid, managed care, and commercial-plan workflows involving referrals, eligibility, authorizations, clinical reviews, documentation, client reporting, and SLA-driven data entry.

I've investigated appeals, grievances, underpayments, denials, unpaid claims, reimbursement discrepancies, and payer-contract issues. My work includes root-cause analysis, trend reporting, escalations, claim submissions, compliance review, and detailed case documentation.

I'm a subject matter resource who supports training, client-specific processes, and cross-functional issue resolution while meeting quality, production, regulatory, and case-resolution requirements.

Experience

Work history, roles, and key accomplishments

NICU Care Management Operations Admin II / Clinical Care Coordinator

UHG / Alere Health

May 2010 - Jan 2024 (13 years 8 months)

Supported Medicare, Medicaid, managed care, and commercial health plan workflows involving referrals, eligibility, authorizations, clinical reviews, and client reporting. Served as a subject matter expert, analyzed client trends, and produced recurring reports.

Medicare Medicaid Managed Care Commercial Insurance Referrals Eligibility Authorization Clinical Review Client Reporting Data Entry SLA Subject Matter Expert Trend Analysis Reporting Training

Appeals & Grievances Specialist

The Jacobson Group

Nov 2021 - Apr 2022 (5 months)

Researched and resolved written complaints and appeals submitted by patients, physicians, and providers using analytical, fact-based decision making. Maintained meticulous case documentation and performed root-cause analysis.

Appeals Grievances Research Documentation Root Cause Analysis Medical Coding Regulatory Compliance Case Management

Senior Underpayment Analyst

HCA PAS

Nov 2016 - Jan 2019 (2 years 2 months)

Analyzed healthcare claims and insurance contracts to identify underpayments, denial causes, payment delays, and reimbursement discrepancies. Interpreted negotiated contract language and escalated inconsistencies to leadership.

Claims Analysis Contract Interpretation Underpayment Analysis Denial Management Reimbursement Payer Trend Analysis Escalation Management Regulatory Compliance

Managed Care / Commercial / Government Insurance Services Representative

Tenet Patient Financial Services

Mar 2006 - May 2010 (4 years 2 months)

Verified claim adjudication, researched rejected or unpaid claims, and resolved account issues using payer systems. Performed manual rebills and electronic claim submissions, and appealed claims involving timely filing, authorizations, and medical necessity.

Claim Adjudication Claims Research Payer Systems Claim Rebilling Electronic Claims Processing Billing Compliance Appeals Authorization Medical Necessity Criteria Provider Contracting Payment Accuracy

Claims Examiner III / Client Service Specialist III

Great West Life & Annuity Insurance

Nov 1998 - Aug 2001 (2 years 9 months)

Processed high-dollar medical claims and managed care/indemnity PPO, HMO, subrogation auto med-pay, dental, and vision claims. Resolved eligibility and provider-contract issues while meeting quality and production expectations.