Dannielle Brown
Westwego,LA
Summary
- Healthcare professional with over 5 years of insurance knowledge from a hospital and clinic setting
- Coordinated all aspects of the outpatient referral and precertification/authorization process including medical necessity review & benefits eligibility review
- Experience with identifying, tracking, and resolving on-going problems with the authorization process
- Proactively identify problems and work with insurance representatives to correct any coding/billing errors
- Proficient with Microsoft Office Suite such as Word, Excel, and Outlook
- Great communication skills and dedicated in providing exceptional patient care
Energetic Care Coordinator dedicated to efficient and effective collaboration between care teams, patients and families. Outgoing professional with collaborative and flexible approach to reaching mutually beneficial resolutions.
Overview
14
14
years of professional experience
Work History
Patient Care Coordinator
Kroger Specialty Pharmacy
06.2018 - Current
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Monitored patient health records for accuracy to meet compliance with healthcare guidelines.
Patient Business Services Rep - Referrals
West Jefferson Medical Center & Oncology Clinic
07.2016 - 06.2018
- Coordinated all aspects of the outpatient referral and precertification/authorization process including medical necessity review & benefits eligibility review
- Identified, tracked, and resolved on-going problems with the authorization process
- Established and maintained pre-authorization files, keep & maintain records for tracking & chart rounds
- Obtained missing information including name, insurance provider, clinical notes, and contact telephone numbers
- Reviewed and processed insurance and provider correspondence
- Reviewed and coordinated scheduled procedures and/or surgeries with patient, physician and/or facility prior to appointment or procedure
- Call center based setting.
Patient Business Services Rep - Governmental Collector
West Jefferson Medical Center & Oncology Clinic
07.2014 - 01.2016
- Responsible for timely billing and collection of all non-governmental account receivables in order to maximize reimbursement
- Specific focus on resolving all outstanding Workers Compensation, Coventry and UMR claims
- Proactively identify problems and work with insurance representatives to correct any coding/billing errors
- Coordinated with Senior Reps weekly to review any trends in process that may delay timely resolution
- Call center based setting.
Legal Assistant
Colvin Law Firm
01.2010 - 01.2014
- Filed court documents and legal pleadings with court clerk on behalf of attorneys.
- Organized documents to manage paper and electronic filing systems of clients.
- Maintained strict confidentiality, protecting sensitive client information as required by legal ethics and regulations.
- Handled office scheduling and made notes for deadlines, motions, and other important dates.
- Prepared and drafted correspondence and legal forms to maintain smooth communications.
- Completed electronic filings, initiated billing statements, and managed firm administrative matters.
- Scheduled appointments, court appearances, and depositions for busy law firm.
- Managed accounts and client records of clients, observing confidentiality, and extreme discretion.
Education
High School Diploma -
L. W. Higgins High School
Marrero, LASkills
- Critical Thinking Skills
- HIPAA Compliance
- Organizational Skills
- Appointment Scheduling
- Multitasking ability
- Customer Service
- Patient Relations
- Attention to Detail
- Insurance Verification
- Patient Care Coordination
- Medical Terminology
- Administrative and Office Support
Other Positions Held
Colvin Law Firm, Legal Assistant, 2010, 2014
Timeline
Patient Care Coordinator
Kroger Specialty Pharmacy
06.2018 - Current
Patient Business Services Rep - Referrals
West Jefferson Medical Center & Oncology Clinic
07.2016 - 06.2018
Patient Business Services Rep - Governmental Collector
West Jefferson Medical Center & Oncology Clinic
07.2014 - 01.2016
Legal Assistant
Colvin Law Firm
01.2010 - 01.2014
High School Diploma -
L. W. Higgins High School
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