Post Job Free

Resume

Sign in

Full Time Corporate Office

Location:
Clinton Corners, NY
Posted:
July 13, 2023

Contact this candidate

Resume:

Danyelle Wrobel

Contact

Cell : 845-***-****

E-mail : adyadf@r.postjobfree.com

Address

* ***** ****

Clinton Corners, NY 12514

Profile

Objective

A challenging, enriching, and extensive career in an organization that utilizes my many years of experience (23 years) and education for the advancement of the business.

Key Skills

Proficient or familiar with a vast array of programming and technologies, including:

Allscripts PM, EHR/Touchworks, ePremis, Microsoft Excel, Microsoft Word, Navicure, nThrive, PowerChart,

Cerner, PROD Discern Reporting Portal, Blueway Tracker

Relevant Work Experience

Nuvance / Health Quest System Corporate Office - Patient Accounting Full-time

Audit Department / Coordinator - Audit Department 2021-Current

Health Quest System Corporate Office / Patient Accounting Full-time

Case Management / Coordinator - Operations Denials 2020-2021

Health Quest System Corporate Office / Heart Center Full-time

Facility & Physician Cardiology / Coordinator - Billing & Collections 2019-2020

Health Quest System Corporate Office / Heart Center

Full-time

Facility & Physician Cardiology / Level II Billing & Collections Associate

2014-2019

Orthopedic Associates of Dutchess County

Full-time

Physician Orthopedics / Medical Billing Representative/Insurance follow-up

2007-2014

United Healthcare Group

Full-time

Physician Multispecialty / Rapid Resolution Expert

2000-2007

Education

2017

Certified Revenue Cycle Representative [CRCR]

*Re-certified 2019

1995

Graduated from Stissing Mountain High School / Pine Plains

References

Professional

Jennifer Stella 845-***-****

Ta-Neicka Brinkley 917-***-****

General Skills

Actively schedules and participates in team meetings, revenue cycle meetings and meetings to discuss new and/or modified procedures within departments

Charge Entry / ICD-10 / CPT Coding Knowledge / CCI Edits

Cross trained as a system support for cash applications coverage and case management patient status order changes in the clinical system

Demographic entry, updates, eligibility, and insurance verification In Allscripts

Electronic claims submission, 277 rejections, and corresponding system reports

Fulfills the progression of multiple projects, concurrently with concise attention to detail

Identify, and escalate recommendations for modifications to the billing processes to ensure compliance with government and insurance regulatory requirements and ensure bill to pay cycle is as optimal and timely as possible

Team medical necessity resource

Well-informed of all reimbursement billing procedures of third party and private insurance payers and government regulations

Wide-ranging insurance follow-up and appeals experience

Daily team worklist monitoring, and re-assignment as required

Trained in Centricity time and attendance system

Assisted Case Management in clinical appeals and distributing their workload

RAC/IPRO/CERT Government Audits for Medicare and Medicaid

Personal References:

Kristy Dunham – 845-***-****

Susan Covone – 845-***-****

Talya Walker – 845-***-****



Contact this candidate