DANIELLE MONTAGUE
Las Vegas,NV
Summary
Professional and prepared healthcare access professional with strong experience ensuring seamless patient admissions and registration processes. Proven ability to work collaboratively within team to achieve organizational goals and adapt to changing needs. Skilled in patient communication, strong skills in accurate data entry in a fast pace enviroment, insurance verification, and data management, providing reliable support in fast-paced environment. Known for maintaining high standards and delivering results.
Also have strong skills in, Accounts Receivable professional with extensive expertise in financial management and insurance billing, honed over a decade of diverse experience. Demonstrates exceptional skills in debt recovery, conflict resolution, and patient admissions, contributing to improved cash flow and financial health. Committed to leveraging strong leadership and customer service skills to drive efficiency and support organizational growth.
Overview
21
21
years of professional experience
Work History
Patient Access Representative
Northside Hospital ER
05.2022 - 08.2025
- Streamline patient intake process, ensuring accurate information capture and efficient ER admissions. Foster positive interactions with diverse patients.
- Meticulously manage patient records, insurance verification, and billing inquiries. Maintain high accuracy in data entry to support seamless care.
- Provide compassionate assistance to patients and families during stressful ER visits. Facilitate smooth communication between patients and medical staff.
- Optimize patient flow by efficiently managing registration procedures. Reduce wait times and improve overall patient satisfaction in fast-paced ER environment.
- Implement new registration protocols to enhance efficiency. Adapt quickly to evolving healthcare technologies and hospital policies.
- Optimize ER patient flow, reducing wait times and enhancing satisfaction. Implement efficient registration protocols, adapting to new healthcare technologies.
- Manage patient records, insurance verification, and billing inquiries with high accuracy. Ensure seamless care through meticulous data entry.
- Spearhead innovative projects, driving measurable results through strategic planning and collaborative teamwork. Adapt quickly to new challenges.
- Analyze complex data sets to identify trends, providing actionable insights that inform decision-making. Continuously enhance analytical skills.
- Consistently exceed performance targets by implementing efficient processes and leveraging team strengths. Committed to delivering high-quality outcomes.
Accounts Receivable
Laureate Medical Group
09.2020 - 05.2022
- Representing the Hospital in financial matters.
- Working with medical insurance companies to resolve and insure billing matters.
- Contacting patients to resolve delinquencies on account.
- Submitting prior authorizations for procedures.
- Maintain accurate and detailed records of steps taken to resolve outstanding balances. Streamlined billing processes with insurance companies, enhancing efficiency and reducing outstanding balances for improved financial health.
- Implemented proactive patient outreach strategy, resolving account delinquencies and significantly improving cash flow for the hospital.
Pre-Verification
Parallon
08.2014 - 07.2021
- Responsible for accurately performing all functions of patient admissions, including reviewing all information with patient, completing appropriate forms, and copying appropriate insurance cards and photo identification.
- Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information therein.
- Contact physician to resolve issues regarding prior authorization or referral forms.
- Assign Iplans accurately, via the use of the Contrak system.
- Perform electronic eligibility confirmation when applicable and document results.
- Research Patient Visit History to ensure compliance with the Medicare 72 hour rule.
- Meets/exceeds performance expectations and completes work within the required time frames.
- Other duties as assigned.
Collections Representative
Portfolio Recovery Associates
02.2012 - 08.2014
- Analyze credit data and financial statements to determine the degree of risk involved in extending credit or lending money.
- Generate financial ratios, using computer programs, to evaluate customers' financial status.
- Consult with customers to resolve complaints and verify financial and credit transactions.
- Prepare reports that include the degree of risk involved in extending credit or lending money.
- Review individual or commercial customer files to identify and select delinquent accounts for collection.
- Confer with credit association and other business representatives to exchange credit information.
- Evaluate customer records and recommend payment plans based on earnings, savings data, payment history, and purchase activity.
- Processing Garnishments on legal accounts.
- Collecting on pre post judgment accounts.
- Researching and explaining status of legal accounts regarding assets and garnishments.
- Negotiate and approving settlement offers in accordance with company guidelines.
Claims Processor
United Healthcare
05.2007 - 04.2011
- Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
- Check to ensure that appropriate changes were made to resolve customers' problems.
- Refer unresolved customer grievances to designated departments for further investigation.
- Review insurance policy terms to determine whether a particular loss is covered by insurance.
- Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
- Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
- Complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers.
Collections Specialist
Sallie Mae
07.2004 - 04.2007
- Arrange for debt repayment or establish repayment schedules, based on customers' financial situations.
- Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment.
- Advise customers of necessary actions and strategies for debt repayment.
- Confer with customers by telephone or in person to determine reasons for overdue payments and to review the terms of sales, service, or credit contracts.
- Locate and monitor overdue accounts, using computers and a variety of automated systems.
- Answer customer questions regarding problems with their accounts.
- Record information about financial status of customers and status of collection efforts.
- Trace delinquent customers to new addresses by inquiring at post offices, telephone companies, credit bureaus, or through the questioning of neighbors.
- Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence and writing reports.
- Perform various administrative functions for assigned accounts, such as recording address changes and purging the records of deceased customers.
- Receive payments and post amounts paid to customer accounts.
- Negotiate credit extensions when necessary.
Education
BA - Human Resources
University Of Phoenix
Las Vegas, NV11.2015
Skills
- Accounts Receivable, Insurance Billing, Patient Admissions, Benefits Verification, Collections, Claims Processing, Customer Service, Financial Analysis, Debt Recovery, Administrative Functions, Conflict Resolution, Leadership, Microsoft Outlook, Data Analysis, Team Collaboration, Negotiation Skills, Problem Solving, Time Management, Regulatory Compliance, Process Improvement, Audit Compliance, Risk Management, Strategic Planning, Team Leadership, Financial Reporting
ADDITIONAL INFORMATION
- ADDITIONAL SKILLS
- Verbal and written communication skills
- Knowledgeable in outlook
- Ability to resolve conflict in person or over the phone
- Leadership skills
Timeline
Patient Access Representative
Northside Hospital ER
05.2022 - 08.2025
Accounts Receivable
Laureate Medical Group
09.2020 - 05.2022
Pre-Verification
Parallon
08.2014 - 07.2021
Collections Representative
Portfolio Recovery Associates
02.2012 - 08.2014
Claims Processor
United Healthcare
05.2007 - 04.2011
Collections Specialist
Sallie Mae
07.2004 - 04.2007
BA - Human Resources
University Of Phoenix
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