Danielle Buchanan
Inglewood,CA
Summary
I am a professional candidate that is a self-starter with strong communication skills who is capable of setting and managing priorities, seeking a position where I can be an asset by providing a strong combination of skills, knowledge, and work ethic that will impact the bottom line development of a growing organization.
Overview
16
16
years of professional experience
Work History
Admitting Supervisor
Centinela Hospital Medical Center
Inglewood, CA
12.2018 - 03.2023
- Served as technical advisor and resource to staff and the Director
- Oversaw Emergency Department admitting patient access- registering patients, point of service collections and insurance verification
- Assisted in developing new policies and procedures for improving patient experience throughout the admission process.
- Created training materials for new employees on proper completion of admitting documentation.
- Proficient in MediTech, Relay Clearance, EPIC and all payer websites
- Coordinated the admissions process for patients, including insurance verification and pre-authorizations.
- Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
- Applied knowledge of medical terminology and insurance processes to support office administration productivity.
- Monitored performance indicators such as length of stay, throughput time and other metrics related to patient flow.
- Maintained communication with physicians, nurses, case managers and other healthcare professionals regarding patient status changes or delays in care delivery processes.
Collector/Billing Specialist
Prime Healthcare
04.2018 - 12.2018
- Responsible for the Medi-cal, Medicare billing utilizing Epic, Relay, MediTech and all payer websites
- Appeal preparation, follow-up on all managed care for Orange County facilities (WAMC, Huntington Beach Hospital, Garden Grove Hospital & La Palma Intercommunity Hospital).
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Commercial Patient Account Rep
Nthrive
02.2016 - 04.2018
- Contacted insurance companies to check status of claim payments.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
- Organized and maintained office supplies to promote team productivity.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Applied organizational policies and complied with regulations for patient privacy.
- Submitted electronic bills following facility and legal compliance standards.
- Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
Recovery House Manager NOC Shift
Sovereign Health Group
11.2016 - 04.2017
- Collaborated closely with medical professionals in order to coordinate appropriate medical care for recovering addicts.
- Participated in outreach programs aimed at educating the community about addiction recovery services available at the Recovery House.
- Documented and filed patient health reports and charts.
- Monitored progress of resident treatment plans in accordance with Recovery House standards.
- Created and maintained a safe, secure environment that promoted sobriety and encouraged personal growth.
- Submitted reports to and reviewed reports with supervisor.
- Administered medication and medical treatments, following physician orders.
Office Manager
Mailbox & More 24/7
Los Angeles, CA
06.2011 - 12.2016
- Provided administrative support to management team including preparing reports and presentations.
- Supervised staff members, organized schedules and delegated tasks.
- Provided training to new hires on office policies and procedures.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Ordered supplies and equipment to maintain adequate inventory levels.
- Performed general bookkeeping duties such as reconciling bank statements and creating journal entries.
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
Caregiver
I.H.S.S in Home Supportive Services
, CA
01.2007 - 06.2012
- Prepared high-quality nutritious meals for patients to promote better overall health and improve eating habits.
- Assisted clients with bathing, dressing and incontinence care.
- Helped patients move in and out of beds, wheelchairs or automobiles and with dressing and grooming.
- Maintained accurate records of services provided and other relevant information.
- Aided with mobility and independence for disabled individuals and continually monitored safety.
- Documented client progress in charts and logbooks.
- Accompanied clients to doctors' offices and on other trips outside home, providing transportation, assistance and companionship.
- Supervised medication administration, personal hygiene and other activities of daily living.
Education
2 Years -
California University of Northridge
Skills
- Registration and Admissions
- Multitasking and Organization
- Problem-Solving
- Insurance Verification
- EMR Updating
- Adaptive Team Player
- Typing Proficiency
- Customer Service
References
References available upon request
References
References available upon request.
Timeline
Admitting Supervisor
Centinela Hospital Medical Center
12.2018 - 03.2023
Collector/Billing Specialist
Prime Healthcare
04.2018 - 12.2018
Recovery House Manager NOC Shift
Sovereign Health Group
11.2016 - 04.2017
Commercial Patient Account Rep
Nthrive
02.2016 - 04.2018
Office Manager
Mailbox & More 24/7
06.2011 - 12.2016
Caregiver
I.H.S.S in Home Supportive Services
01.2007 - 06.2012
2 Years -
California University of Northridge