Jennicah Garlitos
@jennicahgarlitos
Healthcare claims specialist and supervisor skilled in adjudication and team leadership.
What I'm looking for
I am a healthcare administration professional with deep expertise in claims processing, adjudication, and revenue cycle analysis, built across roles in member services, provider claims, and escalation teams. I have specialized knowledge in professional and dental billing across multiple specialties and in applying ICD-10, CPT, and HCPCS coding to improve first-pass claim acceptance.
I progressed rapidly into leadership positions—becoming an SME and then a Tier 1 Supervisor—where I led teams, performed quality assurance through live call monitoring, and resolved complex escalations and supervisory calls. I have a proven track record troubleshooting claim submission failures, investigating client software and clearinghouse issues, and driving process improvements that increase claims acceptance and payments.
I bring strong multi-channel communication, training, and conflict-resolution skills, along with hands-on experience using EHR/EMR tools and payer portals such as Epic, Availity, Navinet, and various dental software. I seek to apply my claims expertise and leadership to help an organization optimize revenue cycle outcomes and deliver excellent client service.
Experience
Work history, roles, and key accomplishments
Healthcare Supervisor
Imagenet
Sep 2024 - Present (1 year 4 months)
Promoted rapidly to Tier 1 Supervisor and SME, supervising T1 agents, leading root-cause analysis for rejected dental claims, improving claim acceptance rates and enforcing quality through live monitoring.
Medical Claims Analyst
R1 RCM
Jan 2023 - May 2024 (1 year 4 months)
Performed claims verification and adjustment for professional and hospital billing, conducted claims analysis to identify and rectify denials, and managed appeals and corrected submissions to secure payments.
Healthcare Associate
ResultsCX
Jan 2020 - Dec 2022 (2 years 11 months)
Advanced from Member Services to Provider Claims Support, adjudicating professional billing across multiple specialties and resolving high-stakes escalations via multi-channel client communication.
Customer Service Representative
WNS
Apr 2019 - Dec 2019 (8 months)
Resolved high-stress customer issues and overbooking incidents for Expedia, rectified complex billing discrepancies, and maintained brand loyalty through effective de-escalation and financial accuracy.
Education
Degrees, certifications, and relevant coursework
Unknown
Bachelor of Secondary Education, English
2015 - 2019
Completed a Bachelor of Secondary Education majoring in English between 2015 and 2019.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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