Lettie Cale
Cinical Oversight Supervisor at Guidehouse | Pittsburgh, Pennsylvania, United States
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Lettie Cale is a seasoned Clinical Oversight Supervisor at Guidehouse, where she leverages her extensive background in nursing, clinical research, and healthcare revenue cycle management to drive improvements in clinical denials management. With over 20 years of experience, particularly in hematology and oncology, Lettie brings a wealth of knowledge to her role. She is adept at navigating the complexities of denied post-service claims related to acute hospital admissions and outpatient services, managing claims from both commercial and government insurance plans with precision and expertise.
In her current position, Lettie plays a pivotal role in analyzing the root causes of clinical denials, utilizing her strong data analysis and analytical skills to assess appeal viability. Her comprehensive understanding of the U.S. Health Insurance Portability and Accountability Act (HIPAA) ensures that all processes adhere to regulatory standards while maintaining patient confidentiality. Lettie’s ability to gather clinical data and craft compelling appeals not only enhances the revenue cycle but also contributes to improved patient care outcomes.
Key projects under her supervision include streamlining the clinical denials process, implementing best practices for utilization management, and mentoring junior staff in case management and clinical research methodologies. Lettie's commitment to continuous improvement and her passion for healthcare innovation position her as a leader in the field, making significant contributions to Guidehouse’s mission of transforming healthcare delivery. Her unique blend of clinical expertise and revenue cycle management experience enables her to effectively bridge the gap between clinical operations and financial performance, ensuring that healthcare providers can focus on delivering high-quality care to their patients.
Cinical Oversight Supervisor at Guidehouse in May 2022 to Present
Nurse Case Manager at Anthem, Inc. in November 2020 to April 2022
RN Utilization Review Case Manager at Cigna in January 2014 to November 2020
Senior Study Manager at Novum Pharmaceutical Research Services in September 2012 to December 2013
Clinical Research Coordinator at West Penn Hospital in March 2009 to February 2010
RN at UPMC in June 2005 to October 2009
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Chatham University, Bachelor's Degree, November 2026
UPMC Shadyside School of Nursing, November 2026
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Data Analysis
Analytical Skills
Case Management
Research
Clinical Research
U.S. Health Insurance Portability and Accountability Act (HIPAA)
Mentoring
Utilization Management
Utilization Review
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Discover more about GuidehouseWhat is Lettie Cale email address?
Email Lettie Cale at [email protected], [email protected] and [email protected]. This email is the most updated Lettie Cale's email found in 2026.
What is Lettie Cale phone number?
Lettie Cale phone number is 4128185087.
How to contact Lettie Cale?
To contact Lettie Cale send an email to [email protected], [email protected] or [email protected]. If you want to call Lettie Cale try calling on 4128185087. (updated on September 07, 2024)
What company does Lettie Cale work for?
Lettie Cale works for Guidehouse
What is Lettie Cale's role at Guidehouse?
Lettie Cale is Cinical Oversight Supervisor
What industry does Lettie Cale work in?
Lettie Cale works in the Management Consulting industry.
Lettie Cale Email Addresses
Lettie Cale Phone Numbers
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