Danielle Desiree Magoon
Washington Regional Medical Center
Springdale,Ar
17
years of professional experience
Insurance professional with proven track record in managing insurance operations and ensuring regulatory compliance. Adept at leading teams to achieve operational excellence and maintaining high service standards. Known for strong analytical skills and collaborative approach to problem-solving.
Work History
Insurance Supervisor
4 Years 10 Months- Supervised daily operations of insurance team, ensuring compliance with regulations and internal policies.
- Trained and mentored new staff on insurance protocols and customer service standards.
- Conducted regular audits of insurance claims for accuracy and adherence to guidelines.
- Responded to payor denials through targeted written and verbal appeals, ensuring accurate resolution of payor-specific issues.
- Provide timely and efficient follow-up on all outstanding AR using assigned ATB worklists reports, using various systems including payer portals, payer phone inquiries and/or written communications.
- Demonstrated respect, friendliness, and willingness to help wherever needed.
- Skilled at working independently and collaboratively in a team environment.
- Worked effectively in fast-paced environments.
- Self-motivated, with a strong sense of personal responsibility.
- Enhanced customer satisfaction levels by consistently addressing client concerns and resolving issues promptly.
Insurance Claims Analyst
4 Years 5 Months- Processed high volumes of claims efficiently, reducing turnaround time for approvals.
- Analyzed insurance claims for accuracy, ensuring compliance with regulatory standards.
- Reviewed and resolved discrepancies in claims data through detailed investigation.
- Collaborated with medical staff to gather necessary documentation for claims submission.
- Delivered exceptional customer service during all stages of the claim process, fostering positive relationships with clients.
- Expedited claims resolutions for improved customer satisfaction through thorough investigations and timely communications.
- Developed strong relationships with external partners, such as independent adjusters and legal counsel, to facilitate timely claim resolution.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Interacted with clients and employees, which helped cultivate positive working relationships.
- Examined claims forms and other records to determine insurance coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Medicaid Billing Specialist
5 Years 6 Months- Researched unpaid and denied medical claims.
- Provided exceptional customer service by addressing inquiries and resolving issues promptly.
- Secondary billing, handling adjustments and appeals.
- Encouraged a positive customer service atmosphere by training staff on best practices.
- Performing collection activities related to follow-up and timely account resolution, including communication to patients.
- Handling patients' complaints and disputes in a timely fashion.
- Working knowledge of EOBs and HCFAs
- Taking patients'' payments over the phone, in person and electronically.
- Conducted collection activities for follow-up and account resolution, ensuring clear communication with patients.
- Handling patients' complaints and disputes in a timely fashion.
- Posted and adjusted payments from insurance companies and patients to maintain accurate financial records.
Medicaid Billing Specialist
2 Years 8 Months- Reviewed and resolved billing discrepancies, enhancing claim approval rates and reducing rejections.
- Analyzed billing data to identify trends, informing strategic decisions on revenue cycle management.
- Conducted regular audits of patient accounts to maintain compliance with Medicaid regulations and policies.
- Contributed to a positive work culture through effective collaboration and open communication with peers and supervisors alike.
- Participated in ongoing professional development opportunities to stay informed of best practices and changes within the Medicaid billing landscape.
- Prevented revenue loss by quickly identifying trends or patterns in denied claims, taking corrective action accordingly.
- Conducted comprehensive research to resolve complex billing issues, securing proper payment for services rendered.
Education
High School Diploma
Skills
Claims management
Data interpretation
Team management
Collaboration
Customer service
Attention to detail
Time management
Multitasking
Team collaboration
Professional development
Process improvement
Change management
Timeline
Insurance Supervisor
Washington Regional Medical Center
09.2021 - CurrentRead More
Insurance Claims Analyst
Washington Regional Medical Center
04.2017 - 09.2021Read More
Medicaid Billing Specialist
Hull Dermatology
10.2011 - 04.2017Read More
Medicaid Billing Specialist
Eureka Springs Hospital
02.2009 - 10.2011Read More
Central High School
High School Diploma
Read More