Dana Larose Email & Phone Number

Richmond, Virginia, United States

I follow up with insurance companies (specifically Medicare Advantage plans) to get Orthopaedic clinical claims paid. My tasks also include writing reconsideration and appeals, and coordinating with the clinical team to get authorizations and referrals per the insurance’s needs.

• Worked remotely to schedule appointments for a large, multi-location hospital system in Charleston, SC. • Scheduled multiple types of hospital diagnostic testing for patients and stat orders for clinics in a fast-paced setting.• Enhanced my flexibility to accommodate onboarding for our team’s transition to Epic, and learned the new system ahead of the curve to become an ongoing resource for our team on the new platform.• Was consistently a top performer on my team across both inbound and outbound metrics.• De-escalated difficult patient situations.• Systems and skills used: Microsoft Office Suite, Cerner, Epic, Finesse phone system, scheduling, patient and clinic relations.

Fredericksburg, Virginia, United States

• Worked part-time at a vein clinic, checking in patients and readying exam rooms • Scheduled patients for multi-step vein restoration procedures and DVT rule-outs for local area physicians.• Systems and skills used: Microsoft Office Suite, Nextgen, scheduling, medical assistance

Lansdowne, Virginia, United States

• Assisted spine surgeons with daily clinical practice, fitting patients with back braces and other orthotics, and educated patients on their use. • Obtained medical equipment benefits information• Worked with insurance companies to obtain authorizations for complex spine procedures.• Kept detailed and organized records and stores of DME (durable medical equipment) for three providers, and ordered DME for the clinic from several suppliers. • Filed claims with insurance companies and followed up with collections.• Worked with the surgical scheduler to keep the surgery schedule running efficiently in three facilities.• Systems and skills used: Microsoft Office Suite, ECW, medical assistance, insurance benefits/authorizations, collections

Leesburg, Virginia, United States

• Followed up with insurance companies to get surgical claims processed and paid correctly, using knowledge of medical records and coding. • Familiarized myself with the center’s contracts in order to write reconsiderations and appeals of insurance payment decisions. • Kept organized files of paid claims and of the appeals process for the center. • Followed up with patients to get invoices paid, and implemented payment plans when necessary.• Systems and skills used: ECW, Nextgen, collections (insurance and patient), medical records handling, writing reconsiderations and appeals

Leesburg, Virginia, United States

• Scheduled appointments for patients in two different practices (an orthopedic practice and a dermatology practice), for four providers. • Handled correspondence on behalf of the office (phone calls, faxes, and emails). • Managed patient files, including demographic and insurance information• Assisted patients with filling out paperwork, and prepared them for subsequent visits. • Took charge of the converting of paper medical records to electronic systems, for two practices.• Systems and skills used: Microsoft Office Suite, Pulse, ECW, scheduling, medical records handling

Associate'S Degree, Liberal Arts And Sciences/Liberal Studies

Advanced Studies Diploma, High School/Secondary Diplomas And Certificates