Danielle Sweet, CPC

South Jordan UT ***** • 518-***-**** • advh3h@r.postjobfree.com

Objective

I am a very motivated hard-working individual seeking employment as a certified professional coder. I

have years of relative experience to display exceptional communication, organizational and technical skills.

Education

Certified Professional Coder-AAPC

Certificate of completion for Supervisor Academy Course

Certificate of completion for Dermatology Medical Assistant

Course Credit Train the Trainer

Certified Public Speaker-Toastmasters

Certified Phlebotomist/BOCES

HIPAA

Skills

Over 20 years’ experience in Insurance/Customer Service/Administration/Retail

Knowledge of various software’s such as, Meditech, Epic and Medent

65 WPM

Proficient user in Microsoft Word, Excel and Access

QuickBooks

Strong knowledge in human anatomy, medical terminology and medical testing and signs.

Work Experience

Financial Advocate/Medicaid

University of Utah – Salt Lake City Utah 2020 to present

• Interview clients to determine their current income, expenses, insurance coverage, tax status, financial

objectives, risk tolerance, or other information needed to develop a financial plan.

• Interpret and explain information such as eligibility requirements, application details, payment methods,

and applicants' legal rights

• Answer applicants' questions about benefits and claim procedures

• Keep records of assigned cases, and prepare required reports

• Collaborate with other professionals to evaluate patients' medical or physical condition and to assess

client needs

• Explain policies, procedures, or services to patients using Medicaid knowledge.

• Coordinate communication between patients, family members, medical staff, administrative staff, or

regulatory agencies.

• Contact clients in person, by phone, or in writing to ensure they have completed required or

recommended actions.

• Provide estimates for Huntsman patients.

Financial Counselor

Lone Peak Hospital, Draper UT 2019 to 2020

• Recorded information about financial status of customers and status of collection efforts

• Participated in formal and informal meetings with patient access directors and senior management, to

gather information and discuss findings with patient’s who don’t have insurance

• In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house

• Provide estimates to patients and/or physicians as requested

• Generated insurance verification and precertification reports daily and follow up with case management

and insurance verification departments as appropriate

• Followed all guidelines set forth in the Cash Handling policy.

• Utilized eligibility systems, on-line websites or phone calls to determine insurance benefits and

precertification requirements

• Assisted patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff

assists patient with financial applications

• Contacted patient employer, if necessary, for verification of employment, premium status and insurance

policies

• Entered pertinent insurance information into the HIS system

• Entered appropriate notes for all patient encounters

• Maintained professional image and implement excellent customer service to customers

• Completed financial analysis and collected estimated patient liabilities

Financial Representative

Saratoga Hospital Patient – Saratoga, UT 2017 to 2019

• Resolved customers' service/billing complaints, performing adjustments when needed and contact

insurance company

• Kept records of customer activities, recording inquiry details, complaints, comments, and actions taken.

• Verified accuracy of billing data and revise any errors and prepares itemized statements

• Assisted patients with insurance questions and accept payments for services billed

• Responsible for processing bills to primary, secondary and tertiary claims

• Identified LabCorp rejections, spreadsheet updates, and processing to insurance company

• Verified patient insurance eligibility

• Processed denials through Craneware and send rejections to appropriate departments

• Updated patient’s accounts according to rejections, including occurrence codes

Medical Secretary/Lead

Gateway Dermatology, - Glens Falls, NY 2014 to 2017

• Designed, planned, organized, or directed orientation and training program for employees

• Compiled employee time, production, and payroll data from time sheets and other records

• Managed and updated provider’s schedule

• Instructed staff on how to handle difficult and complicated scenarios with patients when the day got busy

• Conferred with customers by telephone to determine reasons for overdue payments.

• Located and notified customers of delinquent accounts by mail or phone

• Advised customers of necessary actions and strategies for debt repayment

• Recorded and updated patient’s medical history

• Scheduled/confirmed patient diagnostic appointments, surgeries, medical consultations.

• Operated office equipment, such as voicemail messaging systems, and use word processing, spreadsheet,

or other software applications to prepare reports, invoices, financial statements, letters, case histories,

or medical records.

• Retrieved patient medical records for physicians or other medical personnel.

• Routed statements for mailing or over-the-counter delivery to customers.

• Coordinated with Talk Soft to determine recalls for patients’ needs

• Ran eligibility for verification of insurance/update information

• Responsible for updating patients’ demographic information

Office Manager &payroll Clerk

M.C. Environmental Services, Queensbury, NY 2013 to 2014

• Classification, recorded, and summarized numerical/financial data and records

• Balanced accounts on computer spreadsheets and databases

• Compiled statistical, financial, accounting or auditing reports and tables pertaining to such matters as

cash receipts, expenditures, accounts payable and receivable, and profits and losses.

• Reconciled, noted and reported discrepancies found in records.

• Checked figures, postings, documents for correctness, mathematical accuracy and proper coding

• Reviewed time sheets, work charts, wage computation to detect and reconcile payroll discrepancies

• Verified attendance, hours worked, pay adjustments, and posted information onto designated records.

• Processed paperwork/data for new employees with inclusion into the payroll system

Office Manager

Keena Staffing/Temporary positions, Queensbury, NY 2012 to 2013

• Greeted customers and handled inquiries to direct them to appropriate representatives

• Responsible for administrative tasks and first Point of Contact for company’s customers

• Computed, recorded, and proofread data such as records and estimates

• Verified accuracy of estimates, data and revised errors

• Typed billing invoices in accordance to estimate

• Faxed supplement requests to insurance company

• Processed payments and financial records

• Made copies and filed invoices

• Prepared legal documents, including briefs, pleadings, appeals, wills, contracts, and real estate closing

statements

• Transcribed recorded proceedings in accordance with established formats

• Filed and retrieved corporate documents, records, and reports

• Maintained staff scheduling and event calendars

Account Representative

McKesson Technology, Queensbury, NY 2011 to 2012

• Answered customer questions regarding account issues and advised resolutions

• Conferred with customers to determine reasons for overdue payments and to review the terms of sales,

service, or credit contracts

• Verified billing data for accuracy and revised any errors

• Resolved accounting records discrepancies

Claims Adjuster/Team Lead/Trainer

State Farm Mutual Automobile, Malta, NY 2001 to 2011

• Offered specific training programs to help workers maintain or improve job skills.

• Obtained, organized, or developed training procedure manuals, guides, or course materials, such as

handouts or visual materials. (Subject Matter Expert for Training Team)

• Adjusted reserves and provided reserve recommendations to meet corporate policies

• Interviewed claimants, doctors, medical specialists, or employers to obtain information

• Maintained claim files of records settled and inventory claims requiring analysis

• Contacted clients periodically to determine any changes in their financial status

• Analyzed client financial data to resolve strategies for meeting financial objectives

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