Denise Lefebvre Email & Phone Number

Salem, New Hampshire, United States

Lewiston, Maine, United States

• Resolved incorrectly excluded Medicaid claims in audit reports.
• Identified claims that were excluded due to incorrect primary Medicare eligibility within Medicaid system. Analyzed report and identified additional monies that were due to facility.
• Prepared Medicare and Medicaid cost reports and materials in accordance with all regulations under the guidance of the manager.
• Implemented new process of electronic communication for physician time studies.
• Built and sustained relationships with office managers to obtain necessary documentation for current cost reporting period.
• Managed time studies and statistics used to file cost reports at end of fiscal year.

Lewiston, Maine, United States

• Developed rapport with team and helped resolve third party payer issues and denials.
• Reorganized workflow as necessary to resolve payor issues.
• Oversaw daily departmental functions and processes.
• Mentored, motivated and coached team of eight.
• Designed and created workflows to better meet team goals and integrate all payors in resolving common issues.
• Facilitated training with team on implementation of workflows.

Lewiston, Maine, United States

• Identified claims issues and rejections and worked to resolve the issue in order to ensure timely insurance payment. Displayed sound judgement in follow up to include appeals and denials.
• Detected payor issues as they pertained to denials. Reviewed denials and identified opportunities for additional reimbursement.
• Communicated issues to management, including payer, system, or escalated account issues.

Farmington, Maine, United States

• Utilized leadership skills in a fast-paced office.
• Managed billing and follow up on daily charges and provided backup to office staff.
• Facilitated implementation of new software program and training. Trained staff on new computer system.
• Resolved complex patient complaints.