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Jennifer Kelly
Appeals Analyst - Mercy Health System
Media, PA 19063
jmk5369@gmail.com - (610)-609-1159
WORK EXPERIENCE
Appeals Analyst
Mercy Health System - August 2012 to Present
An original member of a Central Appeals Unit within the Managed Care department that has
recovered over $10 million in egregious payer downgrades and denials and has grown to a
department comprised of two physicians, 4 registered nurses, and an administrative assistant
• Provide quarterly, monthly, and ad hoc reports to executive leadership comprised of the financial and clinical
status of the organization in regards to denials and downgrades from both commercial and government payers
• Built, maintained, and coded a centralized Microsoft Access database that houses over 10,000
entries of appeals data
• Incorporate and update the Access database based on updates to payers' contracts, fee
schedules, and/or government legislation
• Integrate data from a number of sources and EMRs that house clinical, financial, and/or denials
data (i.e. Meditech, Midas, Veracity)
Administrative Assistant, Executive Health Resources
- August 2011 to August 2012
• Collected clinical data from hospital EMRs including Meditech and Epic
• Ensured accuracy and completeness of the EHR database
• Established and maintained permanent electronic files
Summer Intern, Drs. Bernstein & Meller
Summers Only - May 2008 to July 2011
Assisted illiterate and mentally disabled patients fill out medical form
• Established and maintained permanent patient records
• Developed a working knowledge of NexGen EMR
EDUCATION
Master of Science in Health Administration
Saint Joseph's University
January 2012 to December 2013
Bachelor of Science in Biobehavioral Health
The Pennsylvania State University
August 2007 to May 2011
ADDITIONAL INFORMATION
Skills
• Technical
o Proficient in Microsoft Suite including Access, Excel, Word, and Outlook
o Experience using a variety of EMRs and financial software
o Experience using ArcGIS and SPSS
• Personal
o Solicits input from a multitude of sources to effectively solve problems and achieve
common goals
o Highly organized and punctual with a self-starter attitude

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Resume

  • 1. Jennifer Kelly Appeals Analyst - Mercy Health System Media, PA 19063 jmk5369@gmail.com - (610)-609-1159 WORK EXPERIENCE Appeals Analyst Mercy Health System - August 2012 to Present An original member of a Central Appeals Unit within the Managed Care department that has recovered over $10 million in egregious payer downgrades and denials and has grown to a department comprised of two physicians, 4 registered nurses, and an administrative assistant • Provide quarterly, monthly, and ad hoc reports to executive leadership comprised of the financial and clinical status of the organization in regards to denials and downgrades from both commercial and government payers • Built, maintained, and coded a centralized Microsoft Access database that houses over 10,000 entries of appeals data • Incorporate and update the Access database based on updates to payers' contracts, fee schedules, and/or government legislation • Integrate data from a number of sources and EMRs that house clinical, financial, and/or denials data (i.e. Meditech, Midas, Veracity) Administrative Assistant, Executive Health Resources - August 2011 to August 2012 • Collected clinical data from hospital EMRs including Meditech and Epic • Ensured accuracy and completeness of the EHR database • Established and maintained permanent electronic files Summer Intern, Drs. Bernstein & Meller Summers Only - May 2008 to July 2011 Assisted illiterate and mentally disabled patients fill out medical form • Established and maintained permanent patient records • Developed a working knowledge of NexGen EMR EDUCATION Master of Science in Health Administration Saint Joseph's University January 2012 to December 2013 Bachelor of Science in Biobehavioral Health The Pennsylvania State University August 2007 to May 2011 ADDITIONAL INFORMATION Skills • Technical
  • 2. o Proficient in Microsoft Suite including Access, Excel, Word, and Outlook o Experience using a variety of EMRs and financial software o Experience using ArcGIS and SPSS • Personal o Solicits input from a multitude of sources to effectively solve problems and achieve common goals o Highly organized and punctual with a self-starter attitude