Danielle Wolfe
Edgewood,WA
Summary
Compassionate Treatment Coordinator known for high productivity and efficient task completion. Possess specialized skills in patient communication, treatment planning, and insurance coordination. Excel in empathy, problem-solving, and teamwork to effectively meet patient needs and support clinic operations.
Overview
22
22
years of professional experience
Work History
Treatment Coordinator
Seattle Jaw Surgery
Seattle, WA
03.2024 - Current
- Manage patient scheduling, appointment reminders, and follow-up calls..
- Conduct financial counseling sessions for new and existing patients
- Maintained communication with healthcare providers regarding referrals and authorizations.
- Communicate effectively with physicians, nurses, case managers, and other healthcare professionals.
- Obtain authorizations for surgery, MRIs and dental procedures.
- Coordinate surgery scheduling with hospitals
- Process dental review requests
- Handle joint replacement hardware process
Medical Spa Receptionist
Aesthetic Surgery Centre & Medical Spa
10.2022 - 03.2024
- Oversight of daily operations at a busy medical spa, including scheduling appointments, providing patient assistance
- Greet patients and answer phones in a friendly, courteous manner, guiding them through the appointment process
- Enter patient information into electronic medical records system and ensured accuracy
- Develop and maintain relationships with vendors to ensure adequate supply of medical spa products
- Ensure compliance with all state and federal regulations, including HIPAA and OSHA guidelines
- Utilize specialty distribution practices to maintain inventory and ensure patients have access to requested treatments
Medical Receptionist
Pace Dermatology & Associates LLC
09.2019 - 10.2022
- Assisted in the coordination of pharmacy services and benefits with patients, providers, and pharmacies
- Responded to inquiries from patients, providers, and pharmacies regarding pharmacy benefits, including prior authorizations and appeals for maximum reimbursement
- Scheduled appointments and surgeries for patients
- Coordinated with insurance companies to resolve inquiries regarding patient claims and benefits for both medical and pharmacy
- Captured front end data relevant to revenue cycle: including insurance, verifying insurance, demographics & photo ID
- Provided customer service assistance to patients in the office, including prescription transfers, filling out forms for prior authorizations and patient assistance programs, and appeals
- Deep dive benefit investigations to produce the best outcome for patient care
- Worked closely with the billing department to ensure patient's benefits were utilized according to best practice
Auto Claims Adjuster
State Farm
01.2016 - 08.2019
- Handled auto insurance claims for a wide variety of policies and situations, including collision, theft, wind, flood, and other perils
- Investigated, evaluated, and determined liability for each claim
- Interacted with customers over the phone and in-person to answer questions and provide updates
- Negotiated settlements with claimants and other parties involved
- Generated reports to track claims and payments
- Ensured compliance with company policies and state regulations
- Licensed in 8 states
- Processed paperwork and documentation related to claims
- Dispatched rental vehicles & tow services based on customer coverage
Referral Coordinator (temporary)
Group Health Co-Operative (Kaiser Permanente)
08.2013 - 11.2015
- Developed and maintained referral tracking process to ensure all referral requests were recorded and responded to in a timely manner
- Assisted with the scheduling of consultations and appointments with outpatient providers
- Compiled referral data for monthly reports
- Responded to provider inquiries about referrals and their status
- Maintained up-to-date knowledge of healthcare regulations regarding referrals
- Performed other duties as assigned
Authorization Specialist
Regence Blue Shield (Federal Employee Program)
07.2007 - 08.2013
- Knowledgeable of relevant government regulations and requirements, such as HIPAA and state-specific Behavioral Health care regulations
- Capable of providing clear and concise documentation of authorization requests and processes
- Skilled in managing authorizations for behavioral health services; familiar with the authorization process and requirements
- Worked with behavioral health liaisons to process incoming authorization requests from providers across multiple states
- Assisted with next level appeals
- Liaised with pharmacy team to verify medications that had been tried and failed
- Focused on benefit details to ensure accuracy of quotes provide to patients and providers
Benefits Specialist
Group Health Co-Operative (Kaiser Permanente)
05.2002 - 06.2007
- Resolved customer inquiries regarding their benefits through phone, chat, and email
- Administered health insurance plans, including enrollment, eligibility, billing, and renewals
- Explained health insurance plan benefits and coverage to employers and employees
- Quoted insurance benefits to patients seeking medical care
- Researched denials and assisted with appeals
- Developed 'LEAN' best practice policies across multiple departments
- Launched first Part D plan for major local carrier
Education
General Studies -
Tacoma Community College
Tacoma, WA09.2018
Skills
- Insurance Verification
- Appeals
- Understanding of healthcare revenue cycle
- Patient portals
- Microsoft Suite
- Assignment of benefits
- Prior authorizations
- Medical Reception
- Behavioral Health
- Medical Coding
- Medical Terminology
- Medical Scheduling
- EMR Systems
- Medical Data Collection
- Patient Relations
- Billing statement processing
- Medical record requests
- Healthcare documentation
- Patient Registration
- Medical Office Experience
- Patient Care Coordination
- HIPAA Compliance
- Treatment Planning
- Appointment Scheduling
- Payment Collection
- Patient Flow Management
- Office Administration
References
References available upon request.
Timeline
Treatment Coordinator
Seattle Jaw Surgery
03.2024 - Current
Medical Spa Receptionist
Aesthetic Surgery Centre & Medical Spa
10.2022 - 03.2024
Medical Receptionist
Pace Dermatology & Associates LLC
09.2019 - 10.2022
Auto Claims Adjuster
State Farm
01.2016 - 08.2019
Referral Coordinator (temporary)
Group Health Co-Operative (Kaiser Permanente)
08.2013 - 11.2015
Authorization Specialist
Regence Blue Shield (Federal Employee Program)
07.2007 - 08.2013
Benefits Specialist
Group Health Co-Operative (Kaiser Permanente)
05.2002 - 06.2007
General Studies -
Tacoma Community College
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