Elise Danner

**** ********* **

402-***-****

Professional Experience:

FSC Edge

Data Entry Operator

February 2023 to November 2023 (Contract assignment)

Entered data with accuracy and interpreted designs for the patent office.

Trained in Jade, BECCM, Clin 1, Badwords 1 & 2, Forms, Chem, Frontpage.

HDM Corporation

Medical Claims Processor

September 2021 to February 2023

Reviewed claim submissions, obtained and verify information, corresponded with insurance agents and beneficiaries, and processed claim payments.

Updated past claims from information gathered from ClearCare, Waystar, Optum, and TriWest.

VA Medical Center

Customer Service Representative

June 2021 to June 2022

Conducted every transaction with a customer-focused, courteous, professional approach.

Actively documented call activity accurately and with attention to detail.

Remained knowledgeable of current desk procedures to locate and provide accurate information.

Worked with a goal to resolve the caller's issue on the first call wherever possible, and to leave that interaction with a positive feeling of trust and resolution.

Acted as an effective team member.

Navigated and worked within multiple systems, both company- and client-based to resolve issues regarding claims, benefits, and eligibility.

Processed authorizations that were submitted electronically and written by the providers.

VA Medical Center

Batching Processor

June 2018 to June 2021

Prepared and assembled batches per the claims submitted by the processors.

Sent corrections back to processors to complete.

Completed requests sent by the VA.

VA Medical Center

Claims Processor

June 2017 to June 2018

Reviewed claim submissions, obtained, and verified information.

Corresponded with insurance agents and beneficiaries, and processed claim payments.

Blue Cross Blue Shield

BlueCard Claims Processor

February 2008 to March 2017

Processed Home BlueCard Claims - Key claims admin, HPO, Institutional OPL, HCR, Ancillary, Rush Disguise's & emails, Host inquiries.

Made calls to providers.

Coordinated Plan to Plan calls.

Learned and refreshed knowledge on medical terms of the benefit Matrix, Legacy, BlueCard systems.

Education:

High School Diploma

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