Danielle Hemingsen
EHR HIT Solutions LLC
Bonaparte,IA
25
years of professional experience
Experienced Insurance Analyst with a strong background in Medicaid claims management, billing workflows, and denial resolution. Known for critical thinking, attention to detail, and accurate claim processing that supports timely reimbursement and reduced outstanding debt.
Work History
Insurance Analyst
6 Years- Interpreted Medicaid insurance policies and benefit structures to guide billing and reimbursement workflows.
- Uploaded and submitted Medicaid Secondary claims.
- Analyzed Medicaid insurance claims, coverage details, and policy provisions to support accurate adjudication decisions.
- Reviewed claim documentation, identifying discrepancies and resolving issues with providers and internal teams.
- Coordinated payer follow-up, tracking denials, appeals, and reprocessing requests for timely resolution.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Provided training and mentorship to junior analysts, fostering a supportive team environment focused on growth and learning.
Customer Service Associate
18 Years 8 Months- Resolved customer inquiries and complaints with accurate, courteous service across front-end transactions.
- Supported checkout operations by handling cash, card, and digital payments efficiently.
- Processed returns, exchanges, and refunds while following store policies and payment procedures.
- Assisted shoppers with product locations, order status, and service desk requests.
- Performed various money center services to customers.
- Processed money orders, bill payments, and check cashing transactions with accuracy and confidentiality.
Externship for Medical Coding and Billing Program
2 Months- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Assisted with Medical coding and billing, checked patients in, posted payments, and pulled charts.
- Paid attention to detail while completing assignments.
- Proven ability to learn quickly and adapt to new situations.
- Passionate about learning and committed to continual improvement.
Education
Associate of Science - Medical Coding And Billing
High School Diploma
Skills
Claims management
Data Entry
Claims analysis
Skilled in ECW software
Medical terminology
Critical thinking
Attention to detail
Problem-solving
Reliability
Effective communication
Interpersonal skills
Teamwork and collaboration
Timeline
Insurance Analyst
EHR HIT Solutions LLC
10.2020 - CurrentRead More
Externship for Medical Coding and Billing Program
JCHC Clinic | Fairfield
05.2012 - 07.2012Read More
Customer Service Associate
Walmart
02.2002 - 10.2020Read More
Southeastern Community College
Associate of Science from Medical Coding And Billing
Read More
Esperanza High School
High School Diploma
Read More