Summary
Overview
Work History
Education
Skills
Timeline
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Shannon Daloia

Waterbury,USA

Summary

Dedicated and focused medical biller experienced working in fast paced environments. Excels at prioritizing, completing multiple tasks simultaneously, and following through to achieve project goals. Self-starter and quick learner who always exceeds expectations.

Overview

9
9
years of professional experience

Work History

Medical Insurance Biller/Financial Counselor

Bristol Hospital
01.2018 - Current
  • Serving as a direct point of contact for Aetna/CVS members, offering personalized assistance and guidance regarding their healthcare plans, coverage, and benefits
  • Resolving member inquiries, issues, and concerns promptly and effectively, aiming to enhance member satisfaction and ensure a smooth healthcare experience
  • Collaborating with various stakeholders, including healthcare providers, to facilitate seamless coordination of care and services for Aetna/CVS members
  • Educating members on their healthcare benefits, empowering them to make informed decisions and maximize the advantages available to them through their Aetna/CVS plans
  • Advocating for members' needs and rights within the healthcare system, ensuring they receive the best possible care and support in alignment with Aetna/CVS policies and standards.

Member Advocate

Aetna/CVS Health
01.2021 - 01.2022
  • Collecting and recording patient information accurately, including personal details, insurance data, and medical history, ensuring proper documentation for laboratory procedures
  • Managing appointments for laboratory tests, coordinating with healthcare providers and patients to ensure a seamless and timely process
  • Verifying patient insurance coverage and obtaining necessary authorizations or precertifications for laboratory tests, ensuring compliance with insurance requirements
  • Serving as a point of contact for patients, addressing inquiries, providing guidance, and ensuring a welcoming environment in the reception area.

Patient Access, Laboratory

Western Connecticut Health Network, Danbury Hospital
01.2016 - 01.2018
  • Managing the unit's administrative tasks, such as maintaining patient records, transcribing medical orders, and organizing paperwork related to admissions, discharges, and transfers
  • Serving as a communication hub between healthcare professionals, relaying information, messages, and coordinating with various departments, patients, and their families
  • Assisting in organizing and maintaining the nursing unit's environment, ensuring supplies are stocked, equipment is functional, and the unit operates smoothly
  • Collaborating with nurse managers to organize and maintain staff schedules, ensuring appropriate staffing levels to meet patient needs, and addressing unexpected staffing shortages or changes.

Nursing Unit Secretary/Staffing Coordinator

Cook Willow Health Center
01.2015 - 01.2016
  • Facilitating the registration process swiftly and accurately for patients arriving at the emergency department, collecting personal information, insurance details, and medical history
  • Assisting with the initial triage process, prioritizing patients based on the severity of their condition and ensuring timely registration and documentation
  • Verifying patient insurance coverage, securing necessary authorizations, and coordinating with insurance providers to ensure coverage for emergency services
  • Serving as a communication bridge between patients, medical staff, and other departments, conveying information and ensuring a clear understanding of the admission process.

Education

High School Diploma -

Torrington High School
Torrington, CT
01.1996

Skills

  • Computer & Software Skills
  • Medical Terminology
  • Insurance Claim Processing
  • Insurance Eligibility Determination
  • Electronic Medical Records
  • Benefits Verification
  • Insurance Prior Authorizations
  • Medicaid knowledge

Timeline

Member Advocate

Aetna/CVS Health
01.2021 - 01.2022

Medical Insurance Biller/Financial Counselor

Bristol Hospital
01.2018 - Current

Patient Access, Laboratory

Western Connecticut Health Network, Danbury Hospital
01.2016 - 01.2018

Nursing Unit Secretary/Staffing Coordinator

Cook Willow Health Center
01.2015 - 01.2016

High School Diploma -

Torrington High School

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Shannon Daloia