Dianne Sievers
Sun City West,AZ
Summary
Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Compassionate Case Manager experienced in medical office environments. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Case Manager
McKesson Specialty Health
04.2017 - Current
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Liaised with patients and pharmaceutical manufacturers to expedite financial assistance to obtain specialty drugs not covered by insurance.
Patient Account Representative
SCL Health
06.2013 - 02.2017
- Worked with outside entities to resolve issues with billing, claims and payments.
- Contacted patients after insurance was calculated to obtain payments.
- Electronically submitted bills according to compliance guidelines.
- Posted payments and processed refunds.
- Created and submitted claim denial and appeals.
Billing Manager
Emergency Chiropractic
03.2011 - 02.2013
- Worked with customers to develop payment plans and bring accounts current.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Reviewed billing problems, researched issues, and resolved concerns.
- Established and checked coding procedures, monitored reports and updated internal files.
- Greeted new patients and reviewed insurance and discussed treatment recommendations.
Education
Associate of Science - Medical Billing And Coding
Anthem College - Phoenix
Phoenix, AZ02.2013
Skills
- Case Planning
- Eligibility Assessments
- Medical Records Management
- Documentation
- MS Office
- Income Verification
- Determine Medical Necessity
- Program Eligibility
- EMR Systems
- Case Notes
- Verbal and Written Communication
- Staff Training
Timeline
Case Manager
McKesson Specialty Health
04.2017 - Current
Patient Account Representative
SCL Health
06.2013 - 02.2017
Billing Manager
Emergency Chiropractic
03.2011 - 02.2013
Associate of Science - Medical Billing And Coding
Anthem College - Phoenix
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