Jessica Fleming
@jessicafleming
Motivated LPN with strong administrative and analytical skills.
What I'm looking for
I am a dedicated Licensed Practical Nurse (LPN) with a strong background in medical coding and data quality. My experience spans various roles, including Utilization Medical Review Nurse and Benefits Coordinator, where I have honed my skills in clinical reviews, data collection, and administrative support. I am committed to delivering high-quality results through accuracy and efficiency.
Throughout my career, I have demonstrated my ability to work collaboratively with healthcare professionals to improve services and processes. I have a proven track record of managing health insurance benefits, ensuring compliance with federal and state laws, and providing exceptional support to employees. My analytical skills enable me to identify trends and implement improvements, ultimately enhancing patient care and operational efficiency.
Experience
Work history, roles, and key accomplishments
Utilization Medical Review Nurse
Lymphacare
Aug 2024 - Present (11 months)
Performs clinical and medical reviews, data collection, and database entry. Provides supporting reference documentation to the reviewer and applies state laws during the Quality Assurance process.
Licensed Practical Nurse
Spring Mill Pointe-HumanGood
Jul 2023 - Present (2 years)
Oversaw the care of residents, including medication administration, wound care, and supervision of labs. Communicated resident needs and concerns to the Director of Nursing, resident assistant staff, and family members.
Benefits Coordinator
The Mazzoni Health Center
Apr 2021 - Present (4 years 3 months)
Managed health insurance, dental, vision, life insurance, disability, retirement plans, and wellness programs. Ensured benefit plans complied with federal and state laws such as ERISA, ACA, COBRA, and HIPAA.
Bus Operator
Septa
Dec 2019 - Present (5 years 7 months)
Operated passenger vehicles while adhering to all safety procedures and performed pre-trip inspections. Assisted passengers, including elderly or disabled individuals, on and off the bus.
Claims Resolution Specialist
Children’s Hospital of Philadelphia
Aug 2018 - Present (6 years 11 months)
Reviewed remittance advice and explanation of benefits, contacting payors to resolve inappropriate denials. Collaborated with other departments to appeal legitimate denials and advised supervisors of contractual problems.
Senior Billing Representative
Quest Diagnostics
Feb 2013 - Present (12 years 5 months)
Generated, reviewed, and processed complex or high-volume invoices, ensuring accuracy and compliance with company policies. Reconciled billing records with accounting and payment data, resolving discrepancies.
Education
Degrees, certifications, and relevant coursework
Thomas Jefferson University
Medical Coding & Data Quality, Medical Coding & Data Quality
Currently pursuing studies in Medical Coding & Data Quality, focusing on the principles and practices of medical data management and quality assurance. Developing expertise in coding systems and data integrity within healthcare.
Prism Career Institute
Licensed Practical Nurse, Nursing
Completed a comprehensive program to become a Licensed Practical Nurse, acquiring essential skills in patient care, medication administration, and clinical procedures. Obtained PA PN# 319980 and Multistate Licensed Practical Nurse- PN #319980.
Availability
Location
Authorized to work in
Job categories
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