Danielle Valentine Duddy
Bethlehem,PA
Summary
Seasoned Case Manager with a proven track record at Guardian Life Insurance Company, excelling in utilization review and staff management. Demonstrated expertise in mentoring and achieving audit scores of 97%-100%. Skilled in individualized counseling and resource identification, showcasing a strong ability to enhance patient and client support systems.
Overview
22
22
years of professional experience
Work History
Case Manager
Guardian Life Insurance Company
Bethlehem, PA
01.2013 - 06.2021
- Reviewing and processing New York and New Jersey state mandated disability claims
- Mentoring new employees
- Reviewing quarterly and yearly tax reports
- Communicating with the sales office, brokers, customer service unit, and claimants
- Continually update knowledge on New York and New Jersey state mandated disability guidelines
Patient Account Representative
Fresenius Medical Care
Allentown, PA
09.2007 - 11.2012
- Communicating with patients, insurance representatives, billing and admissions staff to verify patient's insurance
- Determine coordination of benefits
- Complete verification within a 24 hour turnaround time
- Enter patient insurance into company systems
Account Reviewer
Guardian Life Insurance Company
Bethlehem, PA
03.1999 - 10.2007
- Maintained overall account management of medium to large size clients
- Reviewed coverage and implemented any needed changes
- Reconciling plan holder's billing statements
- Posting cash receipts and lockbox remits to correct plan holder's accounts
- Mentor for new employees
- Maintain audit scores of 97%-100%
Education
Diploma - Business Operations
Allentown Business School
Allentown05.1998
Skills
- Utilization review
- Patient support
- Individualized counseling
- Resource identification
- Staff management
Awards
- President's list, 05/01/98
- Excellent Attendance, 05/01/98
- Guardian ITAA Information Security Awareness-Masters
Languages
English
Timeline
Case Manager
Guardian Life Insurance Company
01.2013 - 06.2021
Patient Account Representative
Fresenius Medical Care
09.2007 - 11.2012
Account Reviewer
Guardian Life Insurance Company
03.1999 - 10.2007
Diploma - Business Operations
Allentown Business School
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