Denesha Baylor
Fort Bragg
Summary
Support program operations by applying strong document management and resource coordination skills to day-to-day needs. Conscientiously address any need and resolve concerns to promote efficiency and maximize service outreach. Proven relationship-building and planning abilities.
Overview
3
3
years of professional experience
Work History
CYPA Youth Program Assistant
CYS
Fort Bragg
01.2025 - Current
- Maintained up-to-date knowledge of best practices in youth programming.
- Created an environment conducive to learning by providing a safe space for youth to express themselves.
- Facilitated workshops that focused on building self-esteem, problem solving skills, communication skills.
- Conducted assessments of each individual's needs and developed appropriate action plans to help them meet their goals.
- Established positive working relationships with staff, volunteers, parents and guardians, and external partners.
Reimbursement Specialist
CareCentrix
Remote
01.2022 - 01.2025
- - Reviewed and processed insurance claims ensuring accuracy and compliance with payer guidelines.
- Resolved denied and delayed claims by investigating root causes and appealing with proper documentation.
- Applied legal knowledge to interpret complex healthcare policies and contracts, ensured compliance with Medicare, Medicaid, and private insurer rules and regulations, and maintained detailed records of all reimbursement activities and patient account updates.
- Maintained a database of all reimbursements, payments, and other transactions.
- Generated reports summarizing daily activity related to reimbursements and payments.
- Ensured compliance with applicable laws and regulations when processing reimbursement requests.
Education
Bachelor of Arts - Law of Administration
University of Arizona Global Campus
Chandler, AZ09-2024
Skills
- Legal research
- Data management
- Critical thinking
- Problem solving
- Data collection and analysis
- Cultural competency awareness
- Effective communication
- Regulatory compliance
- Policy writing
- Organizational growth
- Team building exercises
- Volunteer recruitment
- Implementing client care plans
- Team collaboration
- Care coordination
- Substance Abuse Understanding
- Supportive counseling techniques
Timeline
CYPA Youth Program Assistant
CYS
01.2025 - Current
Reimbursement Specialist
CareCentrix
01.2022 - 01.2025
Bachelor of Arts - Law of Administration
University of Arizona Global Campus
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