Danielle Thomas

Las Vegas Nevada *****

Interview Availability: Mon-Fri 8am-5pm open

Summary:

•Healthcare professional with over 9 years of experience in clinical, and MCO settings.

•Skills to perform Medical Record Review to retrieve documentation for specific information related to HEDIS clinical measures.

•Manage Care experience working as Optum/UHG as a Data Entry Clerk (1.5+yrs), and CareMore Medical Group/Anthem as a Front/Back Office Medical Assistant (4.5+yrs).

•Key skills include: Medical Records, Prescriptions refills, Scheduling appointments, Patient Triage, Referrals, Insurance/Medication Prior Authorization.

•Able to handle high volume inbound/outbound calls.

•Experience with EMR’s (Lytec, AllScripts, MediSoft, Aprima) and all Microsoft (Word, Excel, Outlook).

Work Experience

Back Office Medical Assistant-

Desert Cardiology and Vascular Center

6/2023-Current

●Check in patients and assist with intake

●MCOT/EPatch, EKG’s, Holter monitor, stress test, Lexiscan, Pacemaker check

Back Office Lead Medical Assistant - Urgent Care/Primary Care

Procare Medical Group 10/2021-3/2023

•Check in patients and assist with intake

•Handled duties for X-ray Tech/Assistant, DOT Physicals, and Injections

Data Entry Clerk

Optum/UHG 08/2019-05/2021

•Keeping track of received data and source documents.

•Compiling, sorting, interpreting and verifying data to be entered.

•Contacting prepares of source documents to resolve questions, inconsistencies or missing data.

•Enters alphabetic, numeric data for source documents into a computer following the format displayed on the screen.

•May review error reports and enter corrections into computer.

•File and route source documents after entry as appropriate.

•Reviewing claims for missing/ incomplete provider information.

01/2019 – 02/2019: went back to school

Patient Care Coordinator

Health First Medical Center 03/2017 – 11/2018

•Check in patients, collect co-pays, verify insurance and gather patient demographics.

•Write prescriptions and transcribe medical reports for providers.

•Submit diagnosis codes to insurance company for payment.

•Analyze claims and prepare reports for clients/carriers and management.

•Verify insurance eligibility and troubleshoot third party claims, identify billing errors and demonstrate expertise in adjusting claims.

•Obtain prior authorizations and pre-certifications for patients for office visit, surgeries, and procedures.

Front/Back Office Medical Assistant

CareMore Medical Group/Anthem 09/2012 – 03/2017

•Perform Medical Record Review to retrieve documentation for specific information related to HEDIS clinical measures.

•Receive and make phone calls to patients, schedule appointments and handle patient requests.

•Run reports within an EMR system, follow up as needed with patients, obtain authorization for treatment from payers and send communication to referring providers.

Lead Back-Office Medical Assistant

Nevada Internal Medicine Center April 2008-June 2011

•Train MA students

•Act as a lab assistant; IVs, EKG, PFT

•Write prescriptions and perform some front office duties

Education

•High School Diploma: Silverado High School

•Medical Assistant Diploma: Nevada Career Institute

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