DANIELLE TEASLEY
Billing And Coding Specialist
Hinesville,GA
Summary
Certified Billing and Coding Specialist with over 10 years of experience in customer service. With expertise in reviewing and resolving discrepancies, producing reports and posting adjustments. Excellent communication, organizational and conflict resolution abilities paired with attentive, results-driven and industrious nature. Proficient in Microsoft Office programs and billing systems. I'm also an experienced Scheduling Specialist bringing expertise in schedule management and appointment setting. Talent for resolving conflicts and building relationships.
Overview
5
5
years of professional experience
2
2
years of post-secondary education
1
1
Certification
Work History
scheduling Specialist
Arkansas HMA Regional Service Center LLC
Remote
11.2021 - Current
- Ensure patients have been cleared for specialty service office visits
- Documented calls and appointments using athenaNet.
- Resolves pre-certification, registration and case related concerns prior to a patient’s appointments
- Contact patients to obtain demographics
- Gather information from insurance carriers to make certain the patient’s financial obligations for services provided
- Provided support to clinical staff in order to facilitate the administrative components of clinical referrals for various services
Referrals Specialist
Horizon Behavioral Health
Hinesville, GA
01.2020 - 04.2020
- Ensure patients have been cleared for specialty service office visits
- Resolves pre-certification, registration and case related concerns prior to a patient’s appointments
- Contact patients to obtain demographics
- Scheduling initial appointments
Pharmacy Prior Authorization Representative
Anthem, Inc
Savannah, GA
02.2019 - 01.2020
- Fax decisions to requesting providers
- Responds in a prompt, professional, and courteous manner to pharmacy, provider and member inquiries regarding administrative prior authorizations
- Enter appropriate authorizations and notify provider and/or patient of approval
- Document criteria met in electronic medical record system
- Complete processing within established timeframe
Accounts Receivable Specialist
LabCorp
Greensboro, NC
05.2017 - 09.2018
- Communicate via telephone and/or email with physicians, insurance companies, and patients
- Fully understand Explanation of Benefits statements in order to bill
- Update invoice with current billing information to bill insurance carriers or customers
- Able to make correct decision when needing to appeal denied claims
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
Home Health Aide
Anthony’s Care, LLC
Olympia, WA
12.2011 - 05.2013
- Delivered in-home care to many elderly and disabled adults
- Took care of clients that have various medical conditions including Parkinson's, Dementia, Diabetes,
- Cancer, and Alzheimer's
- Assisted my clients with daily functions
- Assisted my clients with bathing, dressing, hygiene and grooming
Education
Certification - Medical Billing And Coding
Allied Medical Training Centers
Hinesville, GA 12.2015 - 05.2016
Associate of Applied Science - Business Administration and Technology
Savannah Technical College
Savannah, GA 09.2014 - 06.2016
Associate of Applied Science - Human Resources
Pierce College
University Place, WASkills
Microsoft Office programs
Certification
Certified Billing and Coding Specialist -X4R8P5H6
Timeline
scheduling Specialist
Arkansas HMA Regional Service Center LLC
11.2021 - Current
Referrals Specialist
Horizon Behavioral Health
01.2020 - 04.2020
Pharmacy Prior Authorization Representative
Anthem, Inc
02.2019 - 01.2020
Accounts Receivable Specialist
LabCorp
05.2017 - 09.2018
Certified Billing and Coding Specialist -X4R8P5H6
05-2016
Certification - Medical Billing And Coding
Allied Medical Training Centers
12.2015 - 05.2016
Associate of Applied Science - Business Administration and Technology
Savannah Technical College
09.2014 - 06.2016
Home Health Aide
Anthony’s Care, LLC
12.2011 - 05.2013
Associate of Applied Science - Human Resources
Pierce College