Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Danette Meder

New Braunfels,TX

Summary

Motivated job seeker with a strong desire to secure a full-time position that presents professional challenges and allows for the utilization of interpersonal, time management, and problem-solving skills. Demonstrated organizational prowess and reliability, adept at effectively managing multiple priorities while maintaining a positive attitude. Proactive in taking on additional responsibilities to contribute towards team goals. Enthusiastic and dedicated, possessing exceptional organizational abilities, seeking an entry-level BV Specialist role at CVS. Committed to supporting the team in achieving company objectives. Detail-oriented team player with a proven track record of handling multiple projects simultaneously with precision and accuracy.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Benefit Verification Specialty

CVS
  • Utilize multiple benefits verification tools using electronic healthcare record systems to locate benefits and run/adjudicate claims
  • Make outbound calls to contact doctor’s offices, insurance, and the patient (customer) to help process the specialty crucial medications to be filled and shipped to arrive on or by the expected dates discussed/needed (medications will be for rare and complex conditions such as cancer, fertility, etc.)
  • Complete 80% of cases through back-office work and 20% through inbound/outbound calls, back-office work may decrease and inbound/outbound calls may increase to meet the needs of the business
  • Effectively handle incoming and outgoing calls to patients, clients, and other customers while proactively gaining patient and order information
  • Empathize and converse with patients by building a rapport and discussing therapy changes on targeted medications
  • Navigate through multiple computer applications with speed & accuracy
  • Utilize and understand HIPAA compliance, as well as ensure that patients remain adherent to and compliant with their specific therapies
  • Adapt to learn new call types when business needs change & flex support in those areas.

Medicare and Medicaid Processor

TaskUs
02.2021 - 01.2024
  • Identified, thoroughly investigated, and resolved related issues on the platform
  • Maintained accurate records and ensured timely completion of all necessary paperwork.
  • Developed efficiency and effectiveness within the team by identifying procedural gaps
  • Managed critical and high-risk situations appropriately and with a sense of urgency.
  • Supported team members in their tasks, contributing to overall team success.
  • Increased productivity by effectively managing workload and prioritizing tasks.

WOIA Program; Workforce Innovation & Opportunity Act

TWC- Seguin, San Marcos
07.2016 - 06.2021
  • Manages a caseload of participants and provides counseling and mentoring
  • Assesses participant competencies, work history, educational attainment, skills, and abilities; identifies challenges to finding employment and prompts them to find solutions
  • Conducts regular ongoing individual meetings with participants for job search, education, job retention, and job readiness
  • Completes an individualized overview of available services and works with participants to create an employment plan for short- and long-term goals
  • Maintains information about area resources and employers
  • Ensures participant accountability and attendance; tracks and maintains employment retention goals.

Case Manager

Any Baby Can
01.2014 - 02.2015
  • Connecting families to any specialized therapy the client may benefit from
  • Instruction and guidance of daily living skills/transition skills such as cooking, making appointments, medication management, etc
  • Opportunities for the future: Assistance with the college application process, college visits, how to apply for scholarships/grants, mock job interviews, how to dress for success
  • Financial planning: Guidance on how to maintain a budget, open a bank account, utilize a file folder to keep finances organized, ABLE accounts, trusts
  • Assistance with medication and medical equipment such as weighted vests, wheelchairs, communication devices, etc
  • Coordinating home safety: Preparing for emergencies, assistance with fire extinguishers, smoke detectors, roll-out ladders, CO2 Detectors, child-proof door knobs
  • Connecting families to counseling: Individual, Family, Marital, Grief
  • Exploring the legalities surrounding an individual’s future care through long-term planning; wills, power of attorney, guardianship
  • Other services may include connections to childcare, funeral, transportation, or other goals the client/family sets
  • Home visits available
  • Held the Groups for the Autism Program on Tuesdays and Thursdays
  • A PhD and a Teacher training in ABA ran it.

Shelter Advocate, Hotline Advocate

Crisis Center of Comal County
04.2011 - 11.2013
  • Conducted intakes, managed cases, and provided advocacy services
  • Offered crisis intervention, conflict mediation, and problem-solving support
  • Administered hotline services and maintained the database
  • Enforced house rules and performed clerical duties
  • Demonstrated excellent organizational skills and multitasking abilities.

Legal caseworker/ Kinship specialist/Family Bases Services Specialist

Child Protective Services
07.2007 - 11.2010
  • Delivered ongoing services to children in substitute care, addressing specific needs
  • Utilized appropriate resources to work toward family reunification or other permanent care plans
  • Initiated legal actions and testified in court for child protection and placement plans
  • Maintained comprehensive case records, including legal affidavits, narratives, and reports
  • Fostered effective relationships with law enforcement, judicial officials, medical professionals, and community resources
  • Investigated child abuse and neglect reports, assessing risks by interviewing parents, family members, and children
  • Supported cultural diversity and demonstrated respect in all interactions
  • Educated caregivers on abuse and neglect dynamics during a ten-week training program.

Education

Masters in social work -

Texas State San Marcos
San Marcos, TX

BSW in Social Work -

Southwest Texas State University
San Marcos, TX

Skills

  • Friendly, Positive Attitude
  • Teamwork and Collaboration
  • Customer Service
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Flexible and Adaptable
  • Dependable and Responsible
  • Multitasking
  • Critical Thinking
  • Excellent Communication
  • Computer Skills
  • Active Listening
  • Calm Under Pressure

Certification

  • License, Danette Meder A License number 56044 LBSW Status Active Expiry Date 5/31/2026
  • Paralegal Certification from Texas State University, May 2005
  • Master in Legal Studies, Certification Level (Incomplete)

Timeline

Medicare and Medicaid Processor

TaskUs
02.2021 - 01.2024

WOIA Program; Workforce Innovation & Opportunity Act

TWC- Seguin, San Marcos
07.2016 - 06.2021

Case Manager

Any Baby Can
01.2014 - 02.2015

Shelter Advocate, Hotline Advocate

Crisis Center of Comal County
04.2011 - 11.2013

Legal caseworker/ Kinship specialist/Family Bases Services Specialist

Child Protective Services
07.2007 - 11.2010

Benefit Verification Specialty

CVS

Masters in social work -

Texas State San Marcos

BSW in Social Work -

Southwest Texas State University

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Danette Meder