Daniel Arce Email & Phone Number

California, United States

California, United States

As a Tribal Health Senior Account Manager, I serve as the primary point of contact and relationship builder for Tribal Health Providers in Washington State. My responsibilities include driving process improvements for provider escalations, optimizing operational processes, and training employees on best practices and customer service. I lead monthly Joint Operating Committee meetings to enhance collaboration and strategy development. Additionally, I provide expertise in claims and reimbursement processes, oversee Tribal Provider monitoring and training, and ensure compliance with federal, state, and Washington Health Care Authority regulations.

San Francisco, Ca

Focused on improving processes, making data-driven decisions, and maintaining meticulous records of customer interactions and demographics. I manage cross-functional communication to address Provider needs and resolve issues efficiently. My role involves clinical outreach to various healthcare facilities, processing authorization requests, and managing denials and notifications. I also handle pre-service and post-service appeals, prepare narratives for federal submissions, represent the organization in administrative hearings, and monitor appeal outcomes to ensure compliance and continuous improvement.

San Francisco, California, United States

San Francisco Bay Area

San Francisco, California

Identified process improvement opportunities, using data analytics to drive operational decisions, and maintaining precise records of customer interactions. I collaborate cross-functionally to meet Provider needs, provide clinical outreach, and manage authorization requests. Additionally, I handle denials and appeals, prepare detailed federal submissions, represent the organization in administrative hearings, and monitor appeals outcomes to ensure compliance and continuous improvement.

Oakland, Ca

I ensured optimal productivity for the unit across various areas, including staffing, customer service, and employee/client relations. I provided specialized clerical support to the emergency registration unit by screening patients for eligibility for various financial assistance and insurance programs. Additionally, I prepared and processed necessary documents such as consent forms, charge slips, patient packets, and medical record forms. I also secured payments by screening insurance information, verifying patient pre-admission approvals from third-party payers, and notifying the patient accounts department of self-paying admissions.

San Francisco Bay Area

Provide specialized clerical support to clinic registration unit by screening patients for possible eligibility for various financial assistance and insurance programs.

San Leandro, Ca

Responsible for processing/examining claims submitted by CHCN clinics based on comprehensive knowledge of benefits package based on utilization guidelines and appropriate division of financial responsibility.

Bachelor’S Degree, Health/Health Care Administration/Management

Master'S Degree, Health/Health Care Administration/Management