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Jennicah GarlitosJG
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Jennicah Garlitos

@jennicahgarlitos

Healthcare claims specialist and supervisor skilled in adjudication and team leadership.

Philippines
Message

What I'm looking for

I am seeking a role where I can lead claims operations, reduce denials, mentor teams, and improve revenue cycle performance while contributing to organizational goals.

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

RR

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.

WN

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

UN

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

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