Danyelle Stevens
STONE MTN
Summary
Dynamic professional with a proven track record in enhancing customer satisfaction and streamlining claims processes. Excelled in active listening and critical thinking, significantly reducing lost luggage incidents. Skilled in claims processing software and relationship building, adept at managing high-stress situations and improving operational efficiencies.
Overview
3
3
years of professional experience
Work History
Care Coordinator
Carenet
08.2023 - 01.2025
- Streamlined patient care processes by implementing standardized protocols.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Coordinated discharge planning, ensuring a smooth transition from hospital to home or other facilities.
- Negotiated with insurance providers to secure coverage for necessary treatments, alleviating financial stress for patients.
- Mediates effective resolution for complex payer/pharmacy issues toward a positive outcome and provides a positive patient experience.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
Claims Intern
Aflac
05.2023 - 08.2023
- Coordinated with other departments to ensure seamless collaboration throughout the entire claims process, resulting in optimal outcomes for all parties involved.
- Improved customer satisfaction levels with prompt communication and proactive problemsolving.
- Prepared and delivered presentations on claim trends and best practices, fostering an environment of continuous learning and improvement within the team.
- Attended training sessions to stay updated on industry trends and best practices, implementing newly acquired knowledge into daily tasks.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
Patient Access Representative
Emory University
10.2021 - 03.2022
- Resolved patient inquiries regarding insurance and billing, providing clear and concise information.
- Utilized insurance verification tools to confirm patient eligibility and coverage, reducing claim rejections.
- Operated scheduling software to coordinate patient appointments, optimizing clinic workflow and minimizing wait times.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
Education
Bachelor of Science - Healthcare Managament
Georgia Military College
Milledgeville, GA06-2023
Associate of Applied Science - Applied Science
Georgia State University
Atlanta, GA05-2018
Skills
- Active listening
- Data entry
- Critical thinking
- Relationship building
- Call center experience
- Accuracy and precision
- Claims review
- Claims processing software
- Medical terminology
- Insurance regulations
Timeline
Care Coordinator
Carenet
08.2023 - 01.2025
Claims Intern
Aflac
05.2023 - 08.2023
Patient Access Representative
Emory University
10.2021 - 03.2022
Bachelor of Science - Healthcare Managament
Georgia Military College
Associate of Applied Science - Applied Science
Georgia State University
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