Danielle Hickey
Insurance Benefit Verification
Vandergfrit,PA
Summary
Experienced customer service professional with over 10 years of diverse experience in medical and non-medical settings. Demonstrated ability to train team members and collaborate with multiple departments for seamless operations. Recognized for providing compassionate patient support and efficiently resolving insurance rejections. Skilled in educating members on diagnoses and facilitating effective communication with third parties. Authorized to work in the US for any employer.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Benefits Verification Specialist
10.2021 - 11.2024
- Provided assistance to physician office staff and patients to complete and submit all necessary insurance forms
- Updated the patient accordingly as to delivery delays and process needed to obtain prescriptions
- Collected test relays and data required to submit authorizations via EMR/EHR systems
- Utilized team members/other departments to complete accounts or obtain approvals to ensure on
- Extensive knowledge of Medicare, Medicaid and commercial insurance
- Effectively made use of any various means for collections with health plans, physicians offices and patients, such as phone, fax, mail and online methods
- Advanced knowledge in medical terminology
- Discussed benefit coverage and costs with patients
- Settled difficult accounts and insurance rejections
- Tracked progress in internal database & spreadsheets to resolve customer queries
- De-escalated member accounts and maintained rapport
- Comprehension of pharmacy benefits and medical benefits
- Concluded billing errors with claim rejections
- Sustained a productivity of 95% or higher on a weekly basis
- Connected with members to provide account status and resolve order issues
- Contacted physician offices and health plans for prior authorizations as needed
- Documented patients account with authorizations and insurance
Pharmacy Service Representative
08.2020 - 10.2021
- Respond, resolve, and communicated account issues via digital platforms
- Overview project work plans, training materials, and team metrics
- Trained and supported new team members
- Provided top customer service to members by following the clients guidelines back in a professional and timely manner following company protocol
Wellness Staff Member
Verve 360 Wellness Center
08.2018 - 03.2020
- Assisted the management to implement marketing strategies to increase services by 20%
- Ordered supplies and maintained an inventory log
- Trained staff in new services
- Promoted my services to clients
- Implemented wellness services to increase revenue by 30%
- Scheduled appointments and maintained clientele relations
- Collected payment from clients
Salon Coordinator
04.2017 - 08.2018
- Main Lead of nail department
- Collaborated with salon owner
- Introduced new clients to new techniques
- Kept Rapport with clients
Salon Staff Member
07.2014 - 04.2017
- Ordered salon equipment and materials
- Kept a weekly inventory log of salon supplies
- Assisted the salon staff members in the day to day operations
- Kept the salon schedule organized
- Collected payment from clients and rebooked the next appointments
- Handled multiple salon systems at once
- Digital messaging platform experience
- Record Keeping and booking keeping
- Billing and reimbursement skills
- Advanced Knowledge of medical terminology
Education
Bookkeeping and Accounting Certification -
Inuit Academy
Associates -
Business Science Westmoreland County Community College
Youngwood, PA05.2020
Cosmetology License -
Northern Westmoreland Career and Technology Center
New Kensington, PA06.2017
High School Diploma -
Burrell High School
Burrell, PA06.2017
Skills
- Mastery of English language
- Insurance knowledge
- Resolving insurance rejections
- Customer service skills
- Digital communications
- Knowledge of insurance claims
- Knowledge of privacy laws
- Problem-solving skills
- Time management
- Customer service support
- Client relations
- Proficient in Adobe
- Proficient in Microsoft Suite
- Remote work
- Team building skills
- ICD-10 experience
- Lead support advocacy
- Prioritizing team assignments
- Knowledge of copay assistance programs
- Knowledge of private foundations
- Digital messaging platform experience
- Record keeping
- Bookkeeping
- Billing skills
- Reimbursement skills
- Knowledge of medical terminology
- Leadership support
- Accuracy and precision
- Healthcare regulations
- Verbal and written communication
- Policy interpretation
- Benefits explanation
Certification
- Bookkeeping and Accounting Certification | Inuit Academy
- CPR Certified
- Medication handling Certified
- ACT 34 Clearance
- Child Abuse Clearance
Languages
English
Native or Bilingual
Timeline
Benefits Verification Specialist
10.2021 - 11.2024
Pharmacy Service Representative
08.2020 - 10.2021
Wellness Staff Member
Verve 360 Wellness Center
08.2018 - 03.2020
Salon Coordinator
04.2017 - 08.2018
Salon Staff Member
07.2014 - 04.2017
Associates -
Business Science Westmoreland County Community College
Cosmetology License -
Northern Westmoreland Career and Technology Center
High School Diploma -
Burrell High School
Bookkeeping and Accounting Certification -
Inuit Academy
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