Danielle Govan Email & Phone Number

San Francisco, California, Us

Claim Adjuster• Reviewed damaged vehicle claims sent by owners and renters. Worked claims from start to finish.• Communicated via email with owners, renter, and shops, issuing payments when necessary.• Requested estimates for damages.• Sent accident- or theft-related claims to third party.

Case Manager• Communicated with providers regarding re-enrollment into copay assistance / patient assistance programs.• Contacted payers to obtain benefits and authorization, following up for prior authorization status.• Re-enrolled patients into 2019 copay and patient assistance program.

Phoenix, Arizona, Us

• Communicated with providers regarding claims, appeals, and adjustments.• Prepared and sent letters to providers detailing customer resolutions.• Sent appeals, adjustments, and medical records.

• Applied experience with ICD10’s, CPT codes, policies, etc. • Provided resolutions for patients and providers. • Communicated with providers regarding complex case situations.

Salt Lake City, Utah, Us

• Assisted clients with credit repair by promoting service registration. • Verified sensitive information such as credit history, social security, etc. • Coordinated with clients by problem solving, recommending, and implementing credit options.• Managed high volume of inbound calls.• Upsold company products.

• Addressed customer provider / member questions regarding claims. • Assisted with scheduling member doctor appointments.• Coordinated face-to-face with members within community center.• Leveraged experience with ICD9’s, insurance verifications, and reimbursements.

Falls Church, Virginia, Us

• Addressed supervisor inquiries from agents and escalated calls from beneficiaries.• Assisted lower-level agents and mentored general Medicare CSR’s in claims inquiries.• Resolved customer complex needs and complaints.• Investigated and resolved escalated complaints from beneficiaries. • Facilitated developing and delivering training to current and new agents to improve quality and performance. Medical Claims Representative• Addressed Medicare claim inquiries in call center for current / potential Medicare beneficiaries.• Provided beneficiaries with medical claim denial / appeal process, Medicare claims policies, and cost explanation.• Delivered new hire and refresher training to new / current agents.• Adhered to HIPAA and ensured patient / customer confidentiality.