Danielle Devisser Email & Phone Number

• Assisting performance auditing department in meeting report deadlines
• Utilizing analytical skills to conduct random reviews for Managed Care Administration claims department
• Maintain regular communication with leadership and peers for an effective work flow
• Conducted daily review of division of financial responsibility, health plan websites, code correct
• Computing financial outcomes for medical claims
• Review patient chart notes for claim outcome

• Input claims on a daily basis
• Process eligibility verification, new day claim processing, and EOB retrievalResearch and follows up on unpaid claims, denials, tracers and demand claims
• Audit accounts to determine accuracy of charges and adjustments
• Responsible for resolving claim issues
• Maintain records of communications and work files

• Provided high level customer service via phone
• Strong analytical and problem solving skills
• Effective communication skills
• Possessed exemplary customer service soft skills.

• 2 yrs; Listened to representatives calls and provided them with creative feedback to help them provide bettercustomer service
• Created spreadsheets and graphs in excel
• Coached representatives with opportunities to provide better customer service
• Maintained motivation, identifying personal strengths and opportunities and working with supervisor todevelop career enhancing skills.

• Responds to routine inquires involving multiple products relating to eligibility, pharmacy, claims, and providerrequest.
• Contacted physicians groups, and IPA's
• Handled difficult phones inquires from irate or emotionally upset members
• Helped providers with information to bill their claims accurately and timely for payment

Education record

Education record