Danielle DuBois
Albertville,MN
Summary
Dynamic Intake Reimbursement Specialist Lead at Fairview Home Infusion with expertise in authorizations and insurance verification. Recognized for enhancing revenue recovery through strategic process improvements and exceptional patient communication. Proven ability to train new hires and handle complex cases, ensuring compliance with Medicare and Medicaid regulations.
Overview
18
18
years of professional experience
Work History
Intake Reimbursement Specialist Lead
Fairview Home Infusion
09.2018 - Current
- Provided exceptional customer service when responding to patient inquiries about benefit and Prior Authorization status.
- Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices including Medicare and Medicaid.
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
- Collaborated with cross-functional teams to develop strategies for maximizing revenue recovery efforts.
- Followed up on denied authorizations to resolve problems and obtain approvals for payment.
- Assisted patients with understanding their benefits coverage, providing clear explanations regarding out-of-pocket expenses and reimbursements.
- Created training materials and led sessions for new hires, ensuring they were equipped with the necessary skills to excel as Intake Specialists.
- Developed a reputation for expertise in handling complex cases, becoming a go-to resource within the team for assistance in problem-solving difficult scenarios.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
Senior Assistant Customer Service Infusion
Coram Specialty Infusion
03.2013 - 09.2018
- Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications.
- Improved patient satisfaction by accurately verifying benefits and providing timely responses to inquiries.
- Served as a subject matter expert for peers and supervisory staff, providing guidance on best practices in benefit verification processes.
- Contributed to departmental goals by consistently meeting or exceeding performance metrics related to benefit verification accuracy and turnaround time.
- Maintained up-to-date knowledge of insurance regulations, enabling accurate benefit verifications for various plans.
Key Promotional Signing Team Member
Target
03.2007 - 03.2013
- Contributed to team success by completing jobs quickly and accurately.
- Streamlined workflow for all promotional signs for a smooth and fast transition .
- Exceeded performance goals through diligent task completion, attention to detail, and consistent follow-through on assignments.
- Managed multiple projects simultaneously by prioritizing tasks effectively and adjusting workload as necessary to meet deadlines.
- Worked flexible hours across night, weekend, and holiday shifts.
Education
Bachelor of Science - Business Management
St Cloud State University
Saint Cloud, MN12-2011
Skills
- Authorization Appeals handling
- HCPCS coding
- Microsoft office
- Epic
- CPR
- HIPAA compliance
- Insurance verification
- ICD-10 coding
- Medicaid
- Medicare
- Financial calculation
Timeline
Intake Reimbursement Specialist Lead
Fairview Home Infusion
09.2018 - Current
Senior Assistant Customer Service Infusion
Coram Specialty Infusion
03.2013 - 09.2018
Key Promotional Signing Team Member
Target
03.2007 - 03.2013
Bachelor of Science - Business Management
St Cloud State University
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