Danielle Mosley Email & Phone Number

Phoenix, Arizona, United States

Phoenix, Arizona, United States

Perform claims analysis.Create excel report using pivot tablesSubject expert matter Training employeesReview and apply State and Federal healthcare reimbursement policies to the complex hospital and medical claims that require extensive data and policy analysis.Knowledge of Medicare and Medicaid rules and regulations as guided by the U.S. Centers for Medicare & Medicaid Services (CMS) and AHCCCS Contractor Operations Manual (ACOM).Conduct independent research through both internal & external sources and databases.Prepare accurate reports to detect and identify fraud trends, analysis of those trends and risk mitigation recommendationDevelop, analyze, and refine existing analytical models and database queries as appropriate.Assess and interpret customer needs and requirements.Coach, provide feedback, and guide others.Authorizes the appropriate paymentAnalyzes and identifies trends and provide reports

Scottsdale, Az

•Responsible for timely creation of Enrollment, Disenrollment, Premium Billing and Grievance workflow.•Manage document archival and retention into MedForce.•Provided training and mentoring for new employees on compliance driven processes and responsibilities of their new positions. •Conduct incoming data entry and administration of multiple support mail addresses.•Provides guidance and oversight for process changes and new implementations.•Execute daily work-flow reports

Tempe, Az

•Acted as Office Manager managing multiple clerical and administrative duties.•Tracked and monitored student behavior and performance logs.•Assisted in the development of instructional activities and lesson plans.•Collected and organized data to monitor progress for students’ with Individualized Education Program (IEPs).•Supported staff and educators with ad-hoc needs.

•Teach beginning and advanced classes in lifesaving, swimming and diving; •Determines eligibility for and conducts competitive swimming; •Enforces pool rules and regulations for the safety and convenience of the public; •Performs rescue and administers artificial respiration, CPR, and first aid; •Checks the proper maintenance of the equipment and sanitation of pools and bathhouseFacilities; •Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service.

•Plan and provide instruction in a variety of recreational activities as directed •Assist children with various physical, emotional, and educational needs •Conduct regular safety and security checks in work/recreation area and immediately report any problems in need of correction to supervisor •Plan and implement PAC curriculum •Help plan, publicize, and implement recreation events •Under the direction of the Recreation Leader, help develop, maintain, and enforce policies and work site ground rule•Supervised children ages 6-14

Phoenix, Arizona Area

•Provide a friendly and welcoming environment for employees, board members, vendors and general public•Answer telephone, route calls and take telephone messages for staff.•Answer inquiries from the public regarding club hours, locations, and general information on programs offered.•Maintain up to date telephone and site location lists•Coordinate coverage for front lobby for breaks and absences.•Sort, open, date-stamp, and direct all incoming mail and faxes.•Coordinate staff meeting arrangements and reservations of various meeting rooms.•Assist with meeting room set up and badges for guests•Miscellaneous duties as assigned.•Maintain and manage facility rental agreements•Prepare and mail invoices for facility rentals and other invoices as required•Prepare and mail all memorial donation receipts, acknowledgements, and "thank you" letters.•Copy and route all checks received to appropriate accounting personnel.•Scan, file electronically and provide data input•Assist with key operator duties for administrative office equipment.•Provide direct support for Business Operations, Events, Marketing and other departments as assigned

•Organizing•Scheduling•Assisting groups with volunteer projects•Meet with individuals/groups/organizations one-on-one to discuss project requires and the needs to match up projects with those specifications.

•Blitz calling current clients for reviews, offer new options•Market online•Call on resumes•Secretary office duties