Uniqui Fleming
@uniquifleming
I improve healthcare operations through claims analysis, authorizations, billing, and patient coordination.
What I'm looking for
I'm currently at Centene, where I analyze denied claims, prior authorizations, and coverage decisions for alignment with Medicaid guidelines, regulations, and applicable policies. I document case outcomes, communicate coverage decisions, and identify denial trends that improve consistency and operational efficiency.
Previously, I managed operations at ProjectMind ABA Therapy, coordinating RBT, family, and clinical schedules while overseeing insurance billing, claims, authorizations, credentialing, and staff onboarding. I improved workflows to support reliable ABA service delivery for children and families.
My background also includes dental billing at eASSIST, home health and hospice intake at Physician's Choice, and pediatric dental office operations at Sorenson Pediatric Dental. I bring careful documentation, healthcare terminology, privacy awareness, and responsive communication to fast-moving healthcare environments.
Experience
Work history, roles, and key accomplishments
Senior Healthcare Data Scientist
Centene
May 2025 - Present (1 year 4 months)
Analyzes denied claims, prior authorizations, and coverage decisions to determine denial rationale and ensure alignment with Medicaid guidelines. Maintains accurate documentation and collaborates with compliance, legal, and clinical teams.
Education
Degrees, certifications, and relevant coursework
DeVry University
Bachelor of Science, Healthcare Administration
Pursued a Bachelor of Science in Healthcare Administration.
Douglas County High School
High School Diploma, General Studies
Earned a High School Diploma.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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