Danielle Dawson Email & Phone Number

Responsible for Medicare outpatient accounts, Team Leader for Medicare Team.Able to resolve and work CDPHP, MVP, Fidelis, GHI, Wellcare accounts.In contact with Corporate Compliance on coding issues.Follow up on unbilled and billed accounts.Resolve problems to ensure proper payments.Expert knowledge in billing codesExpert knowledge of reimbursement rate and allowancesAbility to initiate, maintain, analyze and interpret statistical dataAbility to determine, investigate, analyze and resolve delinquent accountsAssist where and as needed for any third party payer category in all areas including billing, follow up, and remittance processing.Assist in the reduction of the 90 to 120 receivable in all payer categories by working specific worklists.Initiate Follow up to the payers on issues adversely affecting the receivable.Utilize the follow up assessment, total recap report, and trial balance to target problem receivables.Assist the specific receivables in preparation for monthly/biweekly on site payer representative meetings.System knowledge of Soarian Financials, Soarian Clinicals, Eagle, Omnipro, Invision, Novius, OAS/gold and Outlook E- Mail, Med Assets, All Scripts, 3M