Danielle Halsey
Elburn,IL
Summary
Professional in healthcare management with strong track record of streamlining medical office operations. Proven ability to lead teams effectively, ensuring smooth workflow and high-quality patient care. Adept at managing administrative tasks, scheduling, including third Party Liability, and Workers Compensation. Knowledgeable about medical billing and recordkeeping requirements. Pursuing a new professional challenge with room for advancement. and coordinating resources to meet evolving needs. Known for fostering collaborative environment and achieving results through strategic planning and effective communication.
Overview
29
29
years of professional experience
Work History
Medical Office Supervisor and Surgery Scheduler
Genesis Orthopedics & Sports Medicine
Saint Charles, IL
05.2017 - Current
- Expertly managed all surgery services, including planning, scheduling, coordination, supplies, and equipment.
- Entered CPT and ICD-10 codes into medical billing software.
- Coordinated testing, labs, and other diagnostic data for proper clearance before surgery.
- Coordinated with facilities to set up surgeries for Total joint replacements and multiple orthopedic procedures.
- Verified insurance coverage and benefits and communicated directly with patients and multiple facilities for the timely scheduling of clinic appointments and surgery procedures.
- Collaborated with the patient, referring physician, and surgical specialist to coordinate pre-and post-operative care for surgical procedures.
- Trained all new employees on the records management system and office protocols.
- Oversaw office records and maintained strict document control, including insurance audits.
- Double-checked forms for accuracy and completion regarding admission, transfer, and discharge of patients.
- Managed appointments, registrations, and patient relations in a busy Orthopedic office.
- Maintained patient databases and updated information in alignment with HIPAA protocols.
- Verified benefits and worked with insurance companies to obtain payments, authorization.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Onboard and Offboard new hires including a yearly intern rotation.
- Coordinated luncheons with Pharmaceutical Representatives.
- Audited customer files to verify medical necessity and satisfaction of coverage criteria.
- Scheduled, rescheduled and handled cancelled appointments for patients.
- Improved office operations by automating client correspondence, record tracking and data communications.
- Analyzed and solved multi-faceted problems that affected executive leaders and business initiatives.
- Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs.
- Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
- Managed master calendar and scheduled appointments for 5 providers based on optimal patient loads and clinician availability.
- Documented and collected patient data in EPIC to maintain accuracy and security.
- Verified insurance coverage and obtained pre-authorizations.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Liaised between patients, insurance companies and billing office.
- Prepared insurance documents needed for peer to peer discussions or patient appeals.
Medical Assistant/Office Accounts Receivable
St. Charles Podiatry
Saint Charles, IL
01.2013 - 05.2017
- Insurance Billing CPT ICD 9, ICD10 including medicare.
- Front office operations - copays, insurance payments, EOB's, personal payments.
- Referral Request, Surgery/ Procedure Pre certification.
- Surgery scheduling including Pre Certification / Pre Surgical requirements.
- Account Manager for office including electronic statements, insurance appeals, monthly reconciles of accounts receivables.
- Established office documents and quick reference sheets for ICD10 upgrade.
- Set up / Break down of in-office procedure trays.
- Patient rooming, X-Rays, sterile trays.
- Interacted with customers professionally by phone, email, or in-person to provide information and directed to desired staff members.
- Delivered clerical support by efficiently handling a wide range of routine and special requirements.
Medical Assistant
Michigan Ave. Internist
Chicago, IL
01.1996 - 01.1999
- Charting / Physical exam.
- Scheduled inter/outer office procedures.
- Prepared referral forms.
- Assisted medical professionals whenever necessary with varieties of duties.
- Answered 15 line switchboard.
- Liaison between insurance companies and patients to provide high-quality care within HIPPA guidelines.
- Insurance Billing CPT and ICD 9 including Medicare.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Education
Associate of Applied Science - Medical Assistant
Robert Morris College
Orland Park, IL05.2000
Professional Depolma in Medical Assisting - Medical Assistant
Robert Morris University
Chicago, IL01.1999
Skills
- Excellent work ethic
- Multitasking abilities
- Relationship-Building
- Clerical
- Teamwork
- Training & Development
- Authorization and Claim Appeals
- Staff training and development
- Effective problem solving
- Team building and motivation
- HIPAA regulations
- Employee relations
- Healthcare compliance
- Project management
- Medical records management
- Vendor relations
- Chart updates
- Database coordination
- Industry software applications
- Medical software applications
- Healthcare coding competency
- Medical knowledge and terminology
- Teamwork and collaboration
- Time management
- Multitasking and organization
- Multitasking
- Team collaboration
- Team leadership
- Decision-making
- Customer service management
- Employee supervision
- Office management
- Self motivation
- Coaching and mentoring
- Conflict resolution
- Recruitment and hiring
- Operations management
- Goal setting
- Staff management
- MS office suite
Timeline
Medical Office Supervisor and Surgery Scheduler
Genesis Orthopedics & Sports Medicine
05.2017 - Current
Medical Assistant/Office Accounts Receivable
St. Charles Podiatry
01.2013 - 05.2017
Medical Assistant
Michigan Ave. Internist
01.1996 - 01.1999
Professional Depolma in Medical Assisting - Medical Assistant
Robert Morris University
Associate of Applied Science - Medical Assistant
Robert Morris College