Title: Senior Provider Payment Integrity Analyst
Company: Blue Cross Blue Shield Rhode Island
Location: Bristol, Rhode Island, United States
Jennifer MacDowell, Senior Provider Payment Integrity Analyst at Blue Cross Blue Shield Rhode Island, has been recognized by Marquis Who’s Who Top Executive for dedication, achievements, and leadership in medical finance.
Ms. MacDowell’s interest in medicine was inspired by her mother’s career in nursing and her own talent for record-keeping and administration. She began working in medical finance in 2007 as a medical coder for Millenium Medical Management Resources, advancing to accounts manager in 2012. The same year, Ms. MacDowell completed an Associate of Science in healthcare administration at Ashworth University and continued her education in healthcare administration at Kaplan University, where she would graduate summa cum laude with a Bachelor of Arts in 2014. After briefly serving as a coding analyst for Cadence Health, Ms. MacDowell joined Medorizon Inc. Medical Billing Services as an accounts representative, where she remained until 2015. She spent the next year with UnitedHealth Group working as an HCC Coder before transitioning into a revenue integrity analyst role with Presence Health from 2016 until 2019. During this time, Ms. MacDowell completed a Master of Arts in health administration from Purdue University Global, leading her to accept a CDM consulting role with ALKU in 2019.
Since 2020, Ms. MacDowell has been the Senior Provider Payment Integrity Analyst for Blue Cross Blue Shield of Rhode Island, where she specializes in large-scale auditing, compliance, and data analysis drawing on her background in payment integrity and coding. She credits her long-term success to her focus on continuing education, teamwork, and her genuine belief in the power of the medical system. In the coming years, Ms. MacDowell hopes to keep rising in her field, eventually working her way into executive management. Ms. MacDowell is the president and a longtime board member of Shorewood Hugs, and a former member of the board of Minooka Lacrosse, and enjoys volunteering in the community whenever she is able.
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