Dawne Reese
Clover,SC
Summary
To obtain a career providing administrative support for a business that will utilize my Strayer University business administration degree. I have appropriate expertise as a registered medical assistant, including management, staff support, implementing healthcare management systems, excellent customer service, and stern adherence to rules and regulations. My key values are empathy, honesty, and teamwork, and I take pride in my ability to build effective working connections.
Professional claims specialist with strong record in handling and resolving complex claims efficiently. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. Effective team collaborator with focus on achieving results and adapting to evolving requirements. Skilled in negotiation, customer service, and regulatory compliance, consistently ensuring accuracy and fairness.
Overview
13
13
years of professional experience
Work History
Claims Specialist
Social Security Administration, SSA
05.2023 - Current
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
CARE TEAM COORDINATOR
MARATHON HEALTH
04.2021 - 03.2023
- Manage 4-7 Ambassadors / medical assistants on a daily basis
- Triage 30-45 patients per day
- Performing Labs/Vaccines for office
- Provide clerical support to the doctors in the office
- Schedule appointments
- Train medical assistants during onboarding for organization
- Order administrative and clinical supplies for office
- Delegate responsibilities
- Assess employee performance
- Assist staff with other clerical duties, including patient registration
- Established a strong rapport with patients, families, and caregivers, providing emotional support and guidance during challenging times.
- Balanced operational costs effectively by optimizing resource utilization and budget allocation techniques.
- Streamlined care processes for improved efficiency and patient satisfaction.
- Promoted continuity of care by maintaining strong relationships with primary care physicians and other specialists involved in patients'' treatment teams.
REGISTERED MEDICAL ASSISTANT
NOVANT HEALTH
08.2018 - 04.2021
- Fulfilled all Certified Medical Assistant duties in a fast-paced urgent care clinic
- Triaged patients, took vital signs, and assisted with every area of patient care
- Assisted patients with walking, transfer, exam prep and all other needs
- Received 95% positive reviews in post-visit patient surveys
- Maintained HIPAA at all times
- Assisted with creation of Risk Management Plan/Assessment
- Identified and helped correct five areas of elevated risk
- Assisted medical providers with performing EKGs
- Administered vaccines
- Scheduled medical appointments
- Conducted proper and concise EHR documentation for all visits
- Through strong grasp of EHR, maintained 22% less errors than average
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Maintained strict confidentiality while handling sensitive patient information in accordance with HIPAA guidelines.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Completed thorough chart reviews to ensure proper documentation of all pertinent medical information.
LEAD MEDICAL ASSISTANT
FAITH MEDICAL CENTER
01.2012 - 01.2018
- Cared for 20-40 patients per day as a medical assistant performing numerous diagnostic and laboratory tests in a busy internal medicine healthcare center
- Managed and trained 8 employees on policies and procedures within the office
- Assisted in opening second medical practice in Mooresville, NC
- Designated vaccine coordinator
- Controlled and calibrated all diagnostic machines including Qualigen, Affirm, Triage/SOB panel, and CBC
- Performed basic medical routines such as patient routing and screening
- Prepped doctors and nurses for medical procedures and assisted in minor surgery
- Triaged incoming calls for provider to determine callers' needs for immediate appointments or scheduled visits.
- Ensured patient satisfaction by promptly addressing concerns, answering questions, and providing exceptional customer service.
- Demonstrated expertise in phlebotomy, specimen collection, and basic laboratory testing procedures to support accurate diagnosis and treatment decisions.
- Managed insurance authorizations for medications, diagnostic tests, or procedures to facilitate timely access to necessary treatments for patients.
- Ensured timely follow-up care by contacting patients with test results and coordinating necessary appointments for further evaluation or treatment.
Education
BACHELOR OF ARTS - BUSINESS ADMINISTRATION
STRAYER UNIVERSITY
01-2026
ASSOCIATE - BUSINESS ADMINISTRATION
STRAYER UNIVERSITY
01.2018
Skills
- Can-do attitude
- Desire to learn
- Knowledge of Microsoft Office
- Meticulous record keeper
- Strong organizational skills
- Strong analytical skills
- Strong presenter
- Communication
- Teamwork
- Coordinating meetings
- Coordinating events
- Strong leadership skills
- Detail-oriented
- Ability to work on multiple tasks simultaneously
- Medical Software (Epic, Athena, Meditech, Advance MD, Eclipse, Navinet)
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Microsoft office
- Coverage assessments
- Settlement determinations
- Compliance management
Timeline
Claims Specialist
Social Security Administration, SSA
05.2023 - Current
CARE TEAM COORDINATOR
MARATHON HEALTH
04.2021 - 03.2023
REGISTERED MEDICAL ASSISTANT
NOVANT HEALTH
08.2018 - 04.2021
LEAD MEDICAL ASSISTANT
FAITH MEDICAL CENTER
01.2012 - 01.2018
ASSOCIATE - BUSINESS ADMINISTRATION
STRAYER UNIVERSITY
BACHELOR OF ARTS - BUSINESS ADMINISTRATION
STRAYER UNIVERSITY
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