Daniella Hayton
Majestic,KY
Summary
- Customer service oriented and performance driven professional, possessing a strong understanding of the importance of accurate claims processing. Pays close attention to detail for accurate and compliant documentation and maintains and ensures patient privacy and confidentiality. Skilled at establishing priorities, meeting deadlines, and working unsupervised.
- Manages time and prioritizes duties in fast-paced, multi-task environments.
- Strong written, verbal, and interpersonal skills for effective communication and documentation.
- Maintains accurate data to ensure details are not overlooked.
- Ultimate Medical Academy | HIPAA Essentials for Healthcare Professionals Certificate.
- Microsoft Word, Excel, PowerPoint, and Outlook; Typing Speed: 70 WPM.
Overview
11
11
years of professional experience
Work History
Manager
JSK
Phelps, KY
11.2024 - Current
- Managed daily operations to ensure smooth functioning of the store, maintaining a clean, safe environment for customers and employees.
- Managed inventory control, cash control, and store opening and closing procedures.
- Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
- Assisted with hiring, training and mentoring new staff members.
- Maintained proper product levels and inventory controls for merchandise and organized backroom to facilitate effective ordering and stock rotation.
- Mentored new hires during their onboarding process, ensuring they were well-equipped to excel in their roles from day one.
- Rotated merchandise and displays to feature new products and promotions.
Clerk
Pikeville Medical Center
South Williamson, KY
11.2023 - 10.2024
- Check in and check out patients.
- Referrals (in and outside hospital).
- Processing forms, providing information and maintaining detailed records and files.
- Schedule appointments.
- File paper work, mail letters, and call patients to schedule annual visits.
- Schedule wellness exams, such as; pap’s, mammograms, and colonoscopies.
- Answer inbound/outbound calls and provided information
Pre-registration
Pikeville Medical Center
Pikeville, KY
08.2021 - 11.2022
- Patient management system data entry and revision, payment collection, chart creation.
- Obtain prior authorizations for surgeries/test.
- Answered inbound phones and provided information.
- Registration process for surgeries/test within hospital setting.
Customer Service Representative
United Health Care
Freeburn, KY
05.2021 - 08.2021
- Answered inbound/outbound calls.
- Remained team oriented and dedicated to ensuring highest standards were met.
- Prioritized and organized work and followed through to ensure duties were accomplished.
- Maintain customer accounts and record account information.
- Remote
Housekeeper
Good Sheppard Nursing Home
Phelps, KY
06.2014 - 08.2014
- Accountable for the general cleaning and upkeep of residences.
- Remained team oriented and dedicated to ensuring highest standards were met.
- Prioritized and organized work and followed through to ensure duties were accomplished.
Education
Blood Draw Technician - Phlebotomist
American Association of Medical Personnel
Phelps, KY06.2024
Diploma - Medical Billing and Coding
Ultimate Medical Academy
01.2021
Skills
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO
- PPO
- POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM
- HCPCS
- CPT)
Timeline
Manager
JSK
11.2024 - Current
Clerk
Pikeville Medical Center
11.2023 - 10.2024
Pre-registration
Pikeville Medical Center
08.2021 - 11.2022
Customer Service Representative
United Health Care
05.2021 - 08.2021
Housekeeper
Good Sheppard Nursing Home
06.2014 - 08.2014
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Blood Draw Technician - Phlebotomist
American Association of Medical Personnel