Harriet K Daniels
Memphis,TN
Summary
Highly motivated individual with the ability to multi-task while, delivering quality projects. Adept at building trust and developing strong relationships with customers by effectively communicating and making sure that the customers' requirements are built into solutions. Able to think clearly and objectively in a fast-paced, highly matrixed environment while being tenaciously committed to the thorough resolution of business and technical related issues.
Overview
26
26
years of professional experience
Work History
Concierge Team Member
Jordan River Health Campus
Collierville, TN
01.2024 - Current
- Greeted guests in a professional and friendly manner.
- Provided excellent customer service to all guests by responding promptly to inquiries and requests.
- Created daily reports on guest satisfaction levels based on feedback from surveys.
- Answered phone calls in a timely manner and directed them to the appropriate departments or personnel when needed.
Insurance Verification Specialist
Memphis Lung Physicians
Memphis, TN
01.2021 - 08.2022
Patient Account Representative
Stern Cardiovascular Foundation
Memphis, TN
06.2014 - 01.2022
- The Patient Account Specialist ensures all patient information, charges, billing and follow ups are completed and timely
- Makes minor corrections to patient account information as needed to ensure timely payments
- Confirms patient insurance and eligibility and benefits
- Patient payment posting
- Keep records of collections and status of accounts
Reimbursement Specialist
Pinnacle Medical Solutions, LLC
Southaven, MS
01.2011 - 01.2013
- Read patient account files and gathers records such as invoices to ensure insurance plans and patient's are receiving accurate invoicing
- Enters information into computer or computes amounts due
- Discussed open balances with patients and established payment protocols in accordance with company collection policies
- Prepare all aspects of collection duties including communication with collection agencies
- Follows up on denied claims and claims that are partially paid
Call Center Representative
UT Medical Group
Memphis, TN
01.2011 - 01.2013
- The Call Center is responsible for answering incoming calls support the mission statement to develop and enhance to promote quality service
- Answer all incoming calls, via appropriate transfers and routinely checks the queue to monitor calls holding
- Schedule appointments for doctors reschedule patients as needed
- Greet all patients according to the standards of Excellence and collect pertinent demographics and billing information
- Validate and correct insurance information
Billing Team Lead
American Esoteric Laboratory
Memphis, TN
01.2008 - 01.2010
- Under direct supervision of management, responsible for overseeing the billing activities in assigned sub units utilizing established SOPs
- Assist in training, scheduling, assigning task and documentation of work flow
- Communicate with clients to ensure appropriate services were rendered and obtain patient information in strict confidentiality
- Solves problems and improves efficiency to ensure the lowest possible accounts receivable
- Responsible for patient billing, collection activities, receivable adjustments and computer operations
- Ensures all billing statements are transmitted and corrects any discrepancies
- Responsible for timely submission of all insurance claims and adjustments
- Ensure department remains current on all carrier changes relating to filing procedures
- Ensures daily, weekly and monthly billing functions are performed and accurate
- Monitors aged balances on all accounts and follow up on all delinquent accounts
- Review files for good documentation practices
- Act as Document Controller in implementing new/revisions of standard operating practices/work instructions
- Demonstrates positive interpersonal relations in dealing with fellow employees, management, other department employees and physicians so that productivity and positive employee relations are maximized
- Attends required meetings and participates in committees as requested
Sr. Customer Service Representative
United American Health Plan of Tennessee
Memphis, TN
01.1999 - 01.2008
- Support senior level managers and supervise other support staff
- Perform and control activities among staff to ensure accurate and timely completion of all customer related issues
- Interact comfortably and confidently with the public with the initiative to utilize sound judgment in decision making problem resolutions
- Completes, evaluates and reports all routine statistical data to the department Sr
- Manager and Director
- Prepares responses to incoming correspondence
- Inputs payroll information in the company's payroll system
- Maintain knowledge of policies and procedures, responsible updating any changes
- Prepare report analysis, process invoices, check requests
- Answer incoming calls and forward to appropriate staff or record messages
- Schedule staff and management meetings
- Compiles, reviews and analyzes data
- Tracks and verifies data information
Education
Palm Beach Community College
Lake Worth, FLFlorida Atlantic University
Boca Raton, FLSouthwest Community College
Memphis, TNSkills
- Highly motivated individual with the ability to multi-task while delivering quality projects
- Adept at building trust and developing strong relationships with customers by effectively communicating and making sure that the customers' requirements are built into solutions
- Able to think clearly and objectively in a fast-paced, highly matrixed environment while being tenaciously committed to the thorough resolution of business and technical related issues
- Strong project management and leadership skills, proven interpersonal, analytical, and problem-solving skills
- Highly motivated, forward thinking, and team-oriented
- Experienced in managing a variety of responsibilities, self-starter, and fast learner
- Strong proficiency in Microsoft Office Products: Excel, Word, Access, Project, Outlook, and PowerPoint
- Excellent written and oral communication skills with the ability to effectively communicate with individuals at all levels of the organization
- Excellent medical claims skills
- Excellent customer service skills
- Detail oriented with proven problem-solving skills
Specialtraining
- Microsoft (Windows, Words, Excel, PowerPoint, Outlook, Group Wise, Healthrek)
- Skilled in the use of Automatic Call Distribution systems (ACD)
- Knowledge of management information system and software applications
- Ten years of outstanding Customer Service, five years in management
Selectedaccomplishments
- Created a marketing strategy which generated a new customer base by selecting a certain demographic that increased sales by 20%, thereby earning me top salesperson for the year., 10/01/05
- Implemented and trained Sales Department Personnel on Act 4.0 Database Management software to have the ability to track and follow-up with entire customer base to generate sales.
Timeline
Concierge Team Member
Jordan River Health Campus
01.2024 - Current
Insurance Verification Specialist
Memphis Lung Physicians
01.2021 - 08.2022
Patient Account Representative
Stern Cardiovascular Foundation
06.2014 - 01.2022
Reimbursement Specialist
Pinnacle Medical Solutions, LLC
01.2011 - 01.2013
Call Center Representative
UT Medical Group
01.2011 - 01.2013
Billing Team Lead
American Esoteric Laboratory
01.2008 - 01.2010
Sr. Customer Service Representative
United American Health Plan of Tennessee
01.1999 - 01.2008
Palm Beach Community College
Florida Atlantic University
Southwest Community College
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