Daniela Pratt Email & Phone Number

Grievances and Appeals CoordinatorFederal Hearings & Appeals Services, Inc., Remote 07/2022 – 03/2023Exceeded quality metrics, recognized by management for achieving 97% quality scores. Analyzing, researching, and resolving upwards of 50 complex claims, per day. Ensured timely, customer-focused responses to complaints and appeals. Managed resolution complaint/appeal scenarios for various healthcare services. Calming angry clients, repairing trust, locating resources and best option solutions for better problem resolution and greater customer satisfaction. Patient Coordinator - Cardiology Geisinger, Scranton, PA 06/2021 – 07/2022Assisting 14 cardiology doctors and 11 nurses, daily. Providing training and management to 7 office staff.Managing and coordinating care for several hundred patients. Primary liaison between hospital staff and patients, helping them understand their medical situation, options, and treatment plans.Facilitating the flow of documents between providers and payers.Patient Coordinator – Family PracticeGeisinger, Scranton, PA11/2020 – 06/2021Consistently followed established procedures for the department regarding uninsured, underinsured, worker’s compensation, and established patients. Collaborated with insurance companies and doctors office to obtain authorization for surgery. Communicated any schedule changes in order to ensure the highest patient satisfaction. Maintained an up-to-date and accurate database on all current and potential referring physicians. Providing all patients with outstanding care and support to help improve their quality of life. Scheduling Services Coordinator – OB-GYNGeisinger, Scranton, PA 03/2020 – 11/2020Works on schedules of significant risk and impact to the organization requiring advanced knowledge of scheduling principles. Coordinate with management to meet departmental goals and work to eliminate information silos. Screened and updated established patient information for accuracy of scheduled procedures.Transmittals of billing and patient accounts, verifying insurance and obtaining authorizations. Provides assistance to customers, employees, and visitors in a courteous and professional manner. Front Office Medical Assistant Claims Processor TMG Health, Throop, PA 01/2015 – 10/2017Consistently attaining company goals and quotas.Preparing medical forms and documents for review. Calculating claim and deductible amounts. Liaison between insurance providers and customers.