Catherine Daniels
Savannah,GA
Work Preference
Summary
Results-oriented professional with proven track record in follow-up processes. Adept at ensuring timely resolutions and fostering productive client interactions. Highly collaborative team player with focus on achieving results and adapting to evolving needs.
Overview
15
15
years of professional experience
Work History
Billing & Follow Up Specialist II
Trinity-Health
Livonia, MI
01.2022 - Current
- Analyzed and resolved complex billing issues to ensure accuracy and timeliness of payments
- Conducted detailed audits of accounts receivable to identify discrepancies and implement corrective actions
- Managed relationships with insurance providers to expedite claim processing and maximize reimbursements
- Collaborated with internal departments to streamline billing processes and enhance efficiency.
- Trained new employees on Trinity-Health's work processes and cores and values.
Denial Resolution Specialist
HCA/Parallon
Brentwood, TN
08.2016 - 01.2022
- Pivotal in creating and submitting medical claims to Medicaid, Medicare and private insurance companies.
- Address and resolve questions, complaints and problems regarding insurance payments from insurance companies.
- Delivered expert guidance and support to other departments for ensuring seamless working operations as an active member of our team.
- Generated significant amount of revenue on denial resolution by consistently meeting 100% or better productivity.
- Credited with creating claims for Frisbie Hospital in NH and Meadows Regional Hospital in GA.
Revenue Cycle Support Specialist
Memorial Health University Medical Center
Savannah, GA
07.2011 - 08.2016
- Directed and streamlined overall active and functions in resolving and appealing claims denials from third party payers.
- Steered efforts towards critically reviewing, determining, and resolving payer denials.
- Controlled all endeavors in preparing payer appeals for denied claims.
- Oversaw and processed claims until the development of final resolution.
Education
GED -
Windsor Forest High School
Savannah, GA06.1986
Skills
- Organization skills
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Reliability
- Excellent communication
- Critical thinking
- Active listening
Websites
Timeline
Billing & Follow Up Specialist II
Trinity-Health
01.2022 - Current
Denial Resolution Specialist
HCA/Parallon
08.2016 - 01.2022
Revenue Cycle Support Specialist
Memorial Health University Medical Center
07.2011 - 08.2016
GED -
Windsor Forest High School