Kimberly Maye
Appeals Analyst at CGS Administrators, LLC | Graysville, Tennessee, United States
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Kimberly Maye is a dedicated Appeals Analyst at CGS Administrators, LLC, where she leverages her extensive background in clinical nursing and healthcare management to enhance the appeals process for J15 Part A Medicare contractors. With a Bachelor of Science in Registered Nursing from Liberty University, Kimberly has cultivated a robust skill set that includes Workflow Management, Root Cause Analysis, and Quality Auditing. Her expertise is particularly valuable in navigating the complexities of Medicaid and Medicare Advantage systems, ensuring that each appeal is meticulously reviewed and processed.
In her current role, Kimberly performs comprehensive level 1 appeal and redetermination reviews, applying her analytical skills to identify trends and root causes of claim denials. This involves utilizing advanced tools such as MCG and Facet to gather and analyze data, which informs her decision-making and contributes to the overall efficiency of the appeals process. Her proficiency in Workday and Visio further enhances her ability to streamline workflows and improve operational outcomes.
Kimberly is also committed to staff development and team leadership, fostering a collaborative environment that encourages continuous learning and improvement. Her experience in Geriatric Nursing and Obstetrics and Gynecology enriches her perspective, allowing her to advocate effectively for patients and healthcare providers alike. As she continues to drive key projects aimed at optimizing appeals management, Kimberly remains a vital asset to CGS Administrators, LLC, dedicated to upholding the integrity of healthcare services and ensuring that patients receive the care they deserve.
Appeals Analyst at CGS Administrators, LLC in October 2022 to Present
Inpatient Care Manager at Optum in September 2021 to October 2022
Clinical Team Expert for D-SNP & FIDE at BlueCross BlueShield of Tennessee in July 2013 to September 2021
Obstetrics and Gynecology Nurse at Cumberland Medical Center in February 2013 to July 2013
Registered Nurse at National HealthCare Corporation (NHC) in May 2011 to July 2013
Pediatric Nurse at T.C. Thompson Children's Hospital in August 2010 to December 2010
Staff Nurse at Highland Pediatrics in May 2006 to May 2009
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Liberty University, Bachelor of Science - BS, August 2026
Chattanooga State Community College, Associate of Arts and Sciences - AAS, August 2026
Chattanooga State Community College, Diploma of Education, August 2026
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Workday
Nursing
Medicare Advantage
Medicaid Managed Care
Geriatric Nursing
U.S. Health Insurance Portability and Accountability Act (HIPAA)
Microsoft Excel
Facet
Obstetrics and Gynecology
Pediatrics
Team Leadership
Team Building
Cross-functional Team Leadership
Root Cause Analysis
Data Collection
Data Analysis
Appeals
Letter Writing
MCG
Training
Quality Auditing
Staff Development
Program Development
System Testing
Utilization Management
Utilization Review
Workflow Management
Workflow Analysis
Visio
Process Improvement
Quality Improvement
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Discover more about CGS Administrators, LLCWhat is Kimberly Maye email address?
Email Kimberly Maye at [email protected]. This email is the most updated Kimberly Maye's email found in 2026.
How to contact Kimberly Maye?
To contact Kimberly Maye send an email to [email protected]. (updated on September 17, 2024)
What company does Kimberly Maye work for?
Kimberly Maye works for CGS Administrators, LLC
What is Kimberly Maye's role at CGS Administrators, LLC?
Kimberly Maye is Appeals Analyst
What is Kimberly Maye's Phone Number?
Kimberly Maye's phone (901) ***-*292
What industry does Kimberly Maye work in?
Kimberly Maye works in the Insurance industry.
Kimberly Maye Email Addresses
Kimberly Maye Phone Numbers
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