Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Danita Murray-Hampton

Steubenville,OH

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

21
21
years of professional experience

Work History

Account Receivables Specialist- Lead

Change Healthcare
Pittsburgh, PA
03.2017 - Current
  • Research and verify automated Work Queues in MDIV.
  • Responsible for ongoing projects and communicating results. Handles other special projects as requested.
  • Oversee daily department functions and processes are done timely and accurately.
  • Monitor team training and identify that members have required tools to perform job duties.
  • Mentor, motivate and coach team on daily basis.
  • Field any escalated calls, posting complaints or questions and insure timely resolutions.
  • Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
  • Generated invoices upon receipt of billing information and tracked collection progress.
  • Responsible for handling Transplants, Cosmetics, International, Family Planning accounts.
  • Perform monthly quality audits.

Accounts Receivable Specialist

McKesson Change Healthcare
Pittsburgh, PA
04.2015 - 03.2017
  • Research and re-bill unpaid claims
  • Research and resolve accounts appearing on Follow-up Reports.
  • Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked.
  • Correct all errors on electronic error reports using all available information.
  • Meet current production, utilization, and quality standards.
  • Assists in identifying current and/or potential billing issues specific to outstanding receivable
  • May participate in trainings/meetings with Payers, internal departments, offshore partners, Client contact(s) and TES Management, etc. to address trends in denials or unprocessed claims
  • Presenting data to appropriate parties and partnering to develop resolutions
  • Participates in daily production assignments that will continue to develop understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix
  • Ability to take patient phone calls and assist Customer Service when business needs arise
  • Assist in other duties as assigned

Supervisor/Customer Service Pharmacy

Highmark Blue Cross Blue Shield
Pittsburgh, PA
05.2005 - 03.2015
  • Monitored metrics and developed actionable insights to improve efficiency and performance.
  • Conducted training and mentored team members to promote productivity, accuracy and commitment to friendly service.
  • Coached employees through day-to-day work and complex problems.
  • Putting together daily performance reports for senior managers.
  • Maintained compliance with all regulatory entities (i.e., DOH, CMS, NCQA, etc.)
  • Provided leadership, management and guidance to all Call Center staff.

Lead/Customer Service Pharmacy

Highmark Blue Cross Blue Shield
Pittsburgh, PA
01.2005 - 05.2006
  • Develop, plan and implement process improvements resulting in quicker turnaround times and reduction in errors.
  • Implementing appropriate procedures for Pharmacy Care Management Reps.
  • In order to comply with corporate initiatives and regulatory requirements.
  • Act as liaison to Member Service, grievance departments and to Medco for issues related to operational aspects of our clinical management programs.

Pharmacy Care Management Representative

Highmark Blue Cross Blue Shield
Pittsburgh, PA
04.2002 - 01.2005
  • Resolved customer's inquiries and complaints via written, telephonic, or face-to-face communications in a timely and accurate manner.
  • Meets all production, quality, adherence standards.
  • Attends all required training classes.
  • Elevate issues to next level of supervision, as appropriate.
  • Developed and maintained courteous and effective working relationships

Education

High School Diploma -

Steubenville High School
Steubenville, OH
05.1989

68 Credit Hours of Business Adminstration

Central State University
Wilberforce, OH

Skills

  • Accounts receivables
  • Customer Relations
  • Team Collaboration
  • Customer Service
  • Problem Solving
  • Positive Attitude
  • Thrives under pressure
  • Valued Team player
  • Supervision and Training

Accomplishments

First Level Leadership Training Program

SOAR Recognition Award Rapid Improvement

Timeline

Account Receivables Specialist- Lead

Change Healthcare
03.2017 - Current

Accounts Receivable Specialist

McKesson Change Healthcare
04.2015 - 03.2017

Supervisor/Customer Service Pharmacy

Highmark Blue Cross Blue Shield
05.2005 - 03.2015

Lead/Customer Service Pharmacy

Highmark Blue Cross Blue Shield
01.2005 - 05.2006

Pharmacy Care Management Representative

Highmark Blue Cross Blue Shield
04.2002 - 01.2005

High School Diploma -

Steubenville High School

68 Credit Hours of Business Adminstration

Central State University
Danita Murray-Hampton