Danielle Potts
Guyton,Georgia
Summary
Experienced professional with a strong background in the medical field, dedicated to supporting senior executives at Optum Incorporated. Demonstrated expertise in claims investigation and recovery, adjustments, and providing comprehensive administrative support. Proficient in various administrative tasks, technical skills, analytical thinking, data management, project management, and reporting. Committed to delivering exceptional support and making valuable contributions to organizational success.
Overview
7
7
years of professional experience
Work History
Sr.Administrative Assistant/BSL (Business Segment Liaison)
OptumCare
01.2020 - Current
- Provide high-level administrative support to the VP, and Senior Director of Patient and Provider Operations, and VP of Software & Engeenering
- Support includes complex calendar management, travel arrangements – Domestic and International, and expense reporting, Deliverables, Coordination of Executive meetings
- Serve as a Business Segment Liaison, delivering administrative support to over 1,400 employees in Patient & Provider Operations
- Coordinate employee onboarding, transfers, and separations, ensuring smooth transitions and compliance with organizational policies
- Collaborate with IT to manage access permissions and troubleshoot technical and equipment issues
- Manage a variety of projects independently and as part of a team, ensuring timely completion and adherence to quality standards
- Create, proofread, and edit documents, spreadsheets, and presentations, maintaining high accuracy and attention to detail
- Oversee office needs, from light housekeeping to equipment maintenance, ensuring a well-functioning work environment.
- Kept files and records in content management systems such as MS SharePoint, EXCEL and others.
- Served as a reliable point of contact for both internal and external stakeholders, demonstrating strong problem-solving skills to address any issues that arose.
- Arranged business travel details for company employees per supervisor requirements.
- Facilitated successful events, including conferences and workshops, through meticulous planning, coordination, and execution of logistics.
Sr. Claims Processor/CIR OJT/Projects & Escalation
OptumCare
07.2018 - 01.2020
- Investigated, recovered, and resolved various types of claims, ensuring compliance with state and federal regulations
- Conducted telephone outreach to members, providers, and other insurance companies to gather coordination of benefits data
- Managed subrogation claims, including recovery and payables, and monitored large claims, including transplant cases
- Trained claims employees on different claim types and projects
- Corrected team claims and gives feedback on corrections
- Kept updated SOP’s and Job Aids for the claim’s teams
- Answered knowledge know questions and gave guidance on how to properly process claims
- Ensured adherence to reimbursement policies and contract compliance, conducting investigations to review medical history as necessary.
- Employed advanced data analysis techniques for identifying patterns in complex cases which resulted in faster resolutions.
- Strengthened relationships with external partners by consistently providing valuable assistance during joint investigations.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Proactively prevented potential bottlenecks by consistently monitoring workload distribution among team members.
- Maintained detailed documentation for each processed claim, allowing for easy retrieval during audits or reviews.
Provider Service Advocate
OptumCare
07.2017 - 07.2018
- Performed follow-up services for dissatisfied customers
- Developed employee training programs to achieve an optimal level of performance during customer interactions
- Analyzed customers' issues and complaints and initiated corrective actions
- Greeted each customer and solved all issues and complaints via email or on phone
- Worked effectively with fellow team members to coordinate effective solutions to any question or concern
- Distributed supportive services information to help individuals enhance their ways of living and achieve self-sufficiency
- Planned and implemented process improvements and reporting systems to streamline operations.
- Supported team members, fostering a collaborative and productive work environment.
- Improved customer satisfaction by promptly addressing inquiries and resolving issues.
- Enhanced client retention through exceptional service delivery and proactive communication.
- Handled escalations professionally, demonstrating composure under pressure while finding satisfactory solutions for both parties involved.
Education
Associate of Arts - Culinary Arts
Ivy Tech Community College of Indiana
Indianapolis, IN05.2005
Skills
- MS Office/ Office 365 Suites - Visio, Excel, PowerPoint, Sharepoint, Teams, Planner,
- Travel Coordination
- High-Level Multitasking
- Executive Support
- Ariba Procurement
- Concur Expense Management
- Teams & Webex Conferencing
- Project Planning
- Project Coordination Expertise
- Expert Time Management
- Medical Terminology
- Data Collection
- Critical Decision-Making
- HIPAA compliance awareness
Administrativeskills
- Calendar and Email Management
- Meeting and Event Planning
- Oral and Written Communication
- Coordinate Travel
- Project Management
- Manage multiple telephone lines.
- Expense Reporting
- Facilitate/Oversee Office Operations
- Tracking Deliverables
Introduction
Highly skilled Senior Assistant with over eight years of experience providing comprehensive administrative and medical support. Proven expertise in managing high-level administrative functions, facilitating smooth office operations, and leveraging advanced technical skills to enhance organizational efficiency. Adept at handling complex calendars, coordinating travel, managing projects, and supporting large teams with meticulous attention to detail.
References
Available upon request
Timeline
Sr.Administrative Assistant/BSL (Business Segment Liaison)
OptumCare
01.2020 - Current
Sr. Claims Processor/CIR OJT/Projects & Escalation
OptumCare
07.2018 - 01.2020
Provider Service Advocate
OptumCare
07.2017 - 07.2018
Associate of Arts - Culinary Arts
Ivy Tech Community College of Indiana
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