Danielle Adderly
Sunrise,FL
Summary
Registered Behavior Technician (RBT) with a healthcare and administrative background in claims data processing, behavioral therapy, and customer service. Over 6 years of combined experience in remote communication, medical data entry, collections, and HIPAA-compliant operations. Proven success in claims handling, patient support, and Medicaid/Medicare-related documentation. Strong technical and interpersonal skills, with a focus on detail, results, and continuous process improvement. Seeking to bring my diverse skills to a remote Claims Adjustment Representative role at UnitedHealthcare.
Overview
11
11
years of professional experience
Work History
Registered Behavior Technician (RBT)
Spring Health ABA
06.2024 - Current
- Provide 1:1 behavioral therapy services under BCBA supervision, adhering to treatment plans
- Collect, enter, and analyze client data using electronic health platforms
- Communicate progress updates and behavior observations with clinical teams and families
- Ensure compliance with Medicaid billing requirements and documentation standards
- Maintain confidentiality of patient records in accordance with HIPAA
- Used Rethink to document patient information, progress notes, and treatment plans.
- Observed, monitored and recorded problem behaviors through accurate behavior-consequence data collection, graphs, and anecdotal notes.
- Supported patient confidentiality in accordance with HIPAA regulations.
- Developed individualized treatment plans for patients in collaboration with mental health professionals.
- Assessed patient progress and reported changes to supervising physician.
- Supported client using principles of applied behavior analysis.
Claims Adjuster
Certified Medical Consultants
11.2021 - 06.2024
- Reviewed, analyzed, and adjusted medical claims in accordance with company policies, Medicaid/Medicare guidelines, and state regulations
- Applied proper benefits to each claim based on eligibility criteria, documentation, and coding standards
- Conducted detailed claims research to identify and correct errors prior to processing
- Performed rework on returned or denied claims, ensuring timely and accurate resolution
- Maintained compliance with CMS, HIPAA, and internal quality control standards
- Input and validated patient demographic and claims information into Electronic Health Record (EHR) and claims processing systems
- Collaborated with healthcare providers, billing departments, and internal teams to gather documentation and clarify discrepancies
- Met established turnaround times and productivity benchmarks consistently while maintaining high levels of accuracy
- Monitored trends in claim denials or rework to flag recurring issues and recommend process improvements
- Delivered customer-focused service and clear communication in resolving claim status inquiries and adjustments
- Supported audits and reporting processes by maintaining well-documented and accurate claim histories
Virtual Receptionist
Call Experts
01.2017 - 07.2021
- Managed high-volume communication for 200+ clients, including scheduling and intake coordination
- Used virtual systems to route calls, log data, and support customer claims processing
- Maintained detailed logs for follow-up and client documentation
- Provided claims intake assistance, ensuring clear communication and accurate documentation
Collections Agent
Alorica
05.2014 - 12.2017
- Managed delinquent accounts and resolved payment issues through negotiations and account research
- Adjusted payment plans based on customer circumstances, documented updates in CRM systems
- Liaised between customers and finance teams to resolve billing disputes
- Met and exceeded monthly recovery goals in high-volume call center
- Counseled debtors on payment options and arranged installment agreements.
- Maintained high volume of calls and met demands of busy and productive group.
- Processed payments and applied to customer balances.
- Negotiated with account holders to devise repayment plans and minimize collections receivables.
- Complied with fair debt practices and regulatory guidelines and kept current with changing regulations.
- Trained new team members on scripts, company services, and collection strategies.
Education
High School Diploma -
Broward College
Fort Lauderdale, FLAssociate of Science -
Broward College
Fort Lauderdale, FLSkills
- Claims Processing & Adjustments
- Medicaid / Medicare Understanding
- HIPAA Compliance
- Electronic Health Records (EHR)
- Data Entry & Validation
- Microsoft Office Suite (Excel, Teams, Outlook, PowerPoint)
- Remote Administrative Support
- Communication & Customer Service
- Problem Solving & Critical Thinking
- Behavioral Support & Documentation
Soft Skills
- Strong Written & Verbal Communication
- Detail-Oriented and Organized
- Analytical Thinking
- Confidentiality & Compliance
- Results-Driven and Self-Motivated
Technical Proficiencies
- Microsoft Excel: Sorting, formulas, VLOOKUP, Pivot Tables
- Microsoft Outlook, Teams, PowerPoint
- Claims Systems (EHR, Work Distribution Tools, CRM)
- Remote Communication Tools
Timeline
Registered Behavior Technician (RBT)
Spring Health ABA
06.2024 - Current
Claims Adjuster
Certified Medical Consultants
11.2021 - 06.2024
Virtual Receptionist
Call Experts
01.2017 - 07.2021
Collections Agent
Alorica
05.2014 - 12.2017
High School Diploma -
Broward College
Associate of Science -
Broward College
Similar Profiles
Yazmin GarciaYazmin Garcia
Behavioral Health Technician (RBT) at Spring Health ABA CenterBehavioral Health Technician (RBT) at Spring Health ABA Center
Yazmin GarciaYazmin Garcia
Behavioral Health Technician (RBT) at Spring Health ABA CenterBehavioral Health Technician (RBT) at Spring Health ABA Center
Kimberly JonesKimberly Jones
Registered Behavior Technician at Mental Health Skill, Our Child ABA TherapyRegistered Behavior Technician at Mental Health Skill, Our Child ABA Therapy
Leroy SterlingLeroy Sterling
Construction Worker at Floor LogicConstruction Worker at Floor Logic
Numa PereyraNuma Pereyra
Mechanical Technician at Lauderdale BMW of Fort LauderdaleMechanical Technician at Lauderdale BMW of Fort Lauderdale