Danial Dreiling, Crcs Email & Phone Number

• Identify & complete root cause analysis for payor trends• Assist with creation, review & final execution completion of hospital reimbursement contracts• Provide reimbursement and status reports as requested• Utilize contract management software to determine contract adherence for payor payments• Validate payor adherence to state, federal, billing, and contractual guidelines

• Worked with managed care and government payors on resolution of claim denials & trends• Prepared & submitted appeals at the claim denial level• Completed daily billing of managed care and government payor accounts• Memo posting for managed care and government payor accounts• Reviewed monthly aging reports for managed care and government payor accounts

• Completed daily billing of managed care, Medicare & hospice agency accounts• Memo posting for managed care, Medicare & hospice agency accounts• Reviewed monthly aging reports for managed care, Medicare & hospice agency accounts

Greenville, Texas

• Ensured accurate and timely completion of payor changes for residents, in order to file claims to payors• Oversaw resident trust fund in accordance with federal, state and local policies and procedures• Completed and submitted Medicaid applications for residents• Contacted Social Security Administration on behalf of residents when issues occur that affect Social Security and SSI payments for residents

Royse City, Texas

● Assisted Behavioral Analysis Unit (BAU) classroom teacher with transitioning students to and from classes● Provided structure and routine to ensure continuous progress throughout each school day● Discussed behaviors and coping skills with students, in order to succeed each day

Greenville, Texas

● Responsible for maintaining material & financial forecasts for 8 pursuits & programs, totaling nearly $4 million● Worked closely with legal department to ensure adherence to federal laws and internal regulations for domestic and international customers● Researched and analyzed aging trends for customer repairs & spares with subcontracted vendors, and improved aging by 40%● Negotiated procurement costs and schedules to meet customer needs

● Responsible for billing weekly claims to Texas Medicaid for four regional offices, serving approximately 840 patients● Research and analyze backlog of 1250 patient accounts, reduced aging & unbilled claims by 22% within 90 days of hire● Continuously follow up on patient accounts to ensure claims don’t age beyond 90 days, results produced a 72% reduction of aging greater than 120 days● Researched issues regarding nursing home room & board invoices to ensure accuracy of payments

Greenville, Texas

● Within 5 months of being hired, reduced aging accounts greater than 90 days by 31%. Accomplished this by forensic analysis of erroneous charges, as well as claims incorrectly processed by insurance companies● Developed & implemented tracking system which utilized demographic, insurance and clinical information, to increase efficiency and correct accuracy of patient accounts● Selected by Area Vice President to travel to surrounding DFW locations to train staff on implementation of the… Show more ● Within 5 months of being hired, reduced aging accounts greater than 90 days by 31%. Accomplished this by forensic analysis of erroneous charges, as well as claims incorrectly processed by insurance companies● Developed & implemented tracking system which utilized demographic, insurance and clinical information, to increase efficiency and correct accuracy of patient accounts● Selected by Area Vice President to travel to surrounding DFW locations to train staff on implementation of the processes and tracking systems, increasing efficiency and profitability● After major acquisition in 2013, I was chosen by regional management to complete forensic audit for 3 newly acquired locations. The audit resulted in a 65% reduction in patient aging in first 90 days after acquisition Show less

● Configured & implemented tracking system within 90 days of hiring that allowed for tracking of accounts receivable invoices and payments for 110 clients. Previous to my hire, there hadn’t been a system in place in 3 years● Initial implementation of tracking system resulted in 80% reduction of outstanding accounts receivable greater than 120 days● After initial implementation of tracking system, persistent follow-up and utilization of tracking system allowed for 90% of accounts… Show more ● Configured & implemented tracking system within 90 days of hiring that allowed for tracking of accounts receivable invoices and payments for 110 clients. Previous to my hire, there hadn’t been a system in place in 3 years● Initial implementation of tracking system resulted in 80% reduction of outstanding accounts receivable greater than 120 days● After initial implementation of tracking system, persistent follow-up and utilization of tracking system allowed for 90% of accounts receivables to be collected in adherence with the net-60 day contract terms● Worked as liaison for outside contractors & subcontractors, to ensure prompt payments, as well as timely problem solving Show less

● Coordinated between insurance companies, medical staff and patients to resolve claim issues to facilitate timely payments● Provided assistance to Operations Manager in completing audit & aging reports, and forensic accounting projects

Bachelor Of Applied Science - Basc, Health Services Administration

Master Of Business Administration (M.B.A.), Business Administration And Management, General

Bachelor Of Arts (B.A.), Liberal Arts And Sciences/Liberal Studies