Danielle Williams Email & Phone Number

Charlotte, North Carolina, United States

Fort Mill Sc

• Ensure program is operating according to contractual obligation by providing day-to-day guidance to team members, monitoring compliance to program policies and procedures and turn-around times, and ensuring adherence to quality expectations• Develop and leverage incentive plans and engagement activities to drive performance and morale on the team• Conduct both formal and informal feedback discussions with associates to include yearly performance reviews and regular one-on-one discussions.• Assess team members for potential, strengths and development needs and conduct career development discussions to grow the talent pipeline• Analyze quality and performance reports for trends, make process improvements, provide coaching or retraining where needed• Drive onboarding process for the team by monitoring staffing levels, posting roles, interviewing and selecting talent for the team• Translate and oversee organizational strategies for assigned goals• Design training for team; seek ways to improve training/onboarding process; develop tools & resources; identify mentors for new hires; • Manage client relationship by proactively identifying program issues & making recommendations on potential solutions• Manage the resolution of client issues and ensure appropriate follow-up is done to manage client relationship; Deliver routine client reports; • Analyze quality, performance or other program reports for trends, make process improvements, and provide coaching where needed• collaborate across various groups (i.e. IT, PMO, NBD) on program projects, new service line implementations, database updates, UAT• Manage & administer program policies & procedures • Disseminate information to the team through various channels: hold regular team meetings, draft written correspondence, etc. • Collaborate with Compliance team on program audits, address audits findings and implement corrective action

Clt

• Provides day-to-day mentoring to team members on performance metrics, program processes ensuring team members are performing in-line with program standards.• Provides input on individual, as well as, group training needs.• Trains new and current team members on program standard operating procedures, provides routine updates and addresses team member questions.• Participates in team meetings as well as prepares agenda, and meeting notes.• Tracks progress on initiatives.• Interface and engage with associates at least 50% of the time to assist with answering questions and provide mentoring.• Understands program contract obligations and is able to communicate in order to drive program performance• May identify new approaches to enhance current service.• Compiles and provides a wide range of routine reports related to program operations for program management and clients.• Identifies problems, investigates, recommends, and implements solutions.• Identifies and recommends innovative solutions to improve and streamline current processes.• Assists in the development of processes and procedures.• Monitors adherence to standard operating procedures.• Stays abreast with industry trends and issues.• Audits program activity related to contract and data integrity.• Updates administrative permissions to intranet team page, databases, etc

Charlotte, North Carolina Area

• Quality audit of REMS documents and processes• Call monitoring of inbound and outbound Program calls• Troubleshoot and triage patient access/payer issues with the client and with the Site Coordinators in order to identify trends across regions and ensure timely follow up on all reported issues.• Create and implement quality assurance tools and metrics to ensure high-quality work by program representatives.• Provide feedback to Management on standard operating procedures and updates• Lead ongoing quality training sessions in order to reduce quality issues on the team.• Review daily reports for program activity and compliance metrics• Perform quality on patient files and program calls to determine if information was processed according to standard operating procedures.• Review daily reports for program activity and compliance metrics

Charlotte, North Carolina Area

• Verifying complex benefits/Medicare, Medicaid, private commercial payers• Prior authorization support for providers• Billing & coding support for providers & facilities• Facilitates access to appropriate support services, including reimbursement Counseling, nursing hotline, and support. • Providing alternate sites of services for Patients and Claims appeal support for Providers & facilities• Payer research & assist Blizzard patient list projects, blizzard mentoring to Seasonal associates • Site and Caseload Management, Customer service outreach to sites

Charlotte, North Carolina Area

• Answers basic clinical and program inquiries. • Coordinates access to therapies through the patients healthcare providers. • Schedules and conducts appropriate follow-up based on each patient’s situation. • Facilitates access to appropriate support services, including reimbursement • Counseling, nursing hotline, and support. • Processes incoming enrollment forms for program. • Follows up via phone, mail, and/or fax for missing enrollment information. • Supports payer research, health care policy library, and state management. Identifies other sources of health care coverage for patients through simple queries and use of Payer Plus database• ADE Reporting Coordinating, Team Phone Shift Facilitator; Pc Coverage Coordinator ; Co-pay research Projects; PC Mentoring

Greater Philadelphia Area

• Processing claims for all lines of business, including complex claims; Monitoring itemized billings for excessive charges, duplicates, unbundling, medical coding and EDI claims; EOB examining• Determining prior authorization/precertification of services paid via system and/or health services;• Requesting and reviewing medical records as needed for basic information to validate billing information; ICD-9 and CPT verification• Reviewing claims for required information , pending claims when necessary, maintaining a follow-up system, and updating and releasing pending claims when indicated;

Greater Philadelphia Area

• Verify accuracy of gain/loss activity. Perform daily reconcilement of DDA activity using RECON+ pc application• Research and resolve all basic DDA Transactions. Trades & share reconciling items using various applications such as ( but not limited to) TA Mainframe Systems, Wincoins, Surpass, FSR, Impress Imaging and PNC Bank Software Applications• Prepare and distribute incoming wire reports, fund manual checkbook & Prepare weekly item count aging reports• Provide daily fund share activity to Fund Accounting Agents as well as Custody movement instructions to Custodial Banks using ACE+ pc application

Greater Philadelphia Area

• Overdraft processing, RDI processing, Threshold Item Processing, Research Assistance including Federal cash ordering in coordination with Dunbar Armored Car, loans applications, Posting all of deposit activity transactions.• Verifying Signatures, Customer relations, Wire Coordination, daily settlement, Preparing monthly Statements and Billing• Prepare account maintenance reports and research request, saving bonds and deposits reconcilement. Teller training and mentoring• Assists in establishing performance requirements and personal development targets; Regularly monitors performance and provides coaching for performance improvement and development of Tellers,

Greater Philadelphia Area

• Provide banking services to more than 100 customers per day including handling cash, credit and checking transactions.• Educate customers about new promotions and other banking programs.• Prepare account maintenance and research request, saving bonds, Deposits, Atm & main Vault settlement.