Danielle D. Gorczyca
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Danielle D. Gorczyca Email & Phone Number

Location: Lockport, New York, United States 7 work roles 1 school
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Role
Review Assistant
Location
Lockport, New York, United States
Company size

Who is Danielle D. Gorczyca? Overview

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Quick answer

Danielle D. Gorczyca is listed as Review Assistant at Acentra Health Kepro /IMEDECS, a with 54 employees, based in Lockport, New York, United States. AeroLeads shows a matched LinkedIn profile for Danielle D. Gorczyca.

Danielle D. Gorczyca previously worked as Review Assistant at Kepro and Account Specialist at Indiana Recovery Services. Danielle D. Gorczyca holds Practical Nurse Program, Practical Nursing/Vocational Nursing from Niagara County Community College.

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Acentra Health Kepro /IMEDECS

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Profile bio

About Danielle D. Gorczyca

Practical nurse/medical professional currently a review assistant within an independent review organization (IRO). I have experience in medical billing, medical coding, electronic medical record analysis and concurrent review. I am familiar with medical terminology and disease processes, and I have an understanding of Microsoft office applications and various electronic medical records.

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Danielle D. Gorczyca's current company

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Acentra Health  Kepro /IMEDECS
Acentra Health Kepro /Imedecs
Review Assistant
Lockport, NY, US
Website
Employees
54
AeroLeads page
7 roles

Danielle D. Gorczyca work experience

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Review Assistant

Current

Harrisburg, Pennsylvania, United States

* Confirm that medical records have been received from all entities (state, provider, health plan, representative, etc.) and the records contain appropriate information to conduct the review.* Contact physician, panel of physicians or attorney to conduct the review.* Answer any questions the reviewer has.* Put chart in proper order.* Ensure the records do not contain HIPAA errors.* Shares out files with the reviewer via electronic portal.* Composes a list of all materials reviewed by reviewer using Microsoft Word.* Compares medical records of all entities to the health plan records. Send additional information to health plan in an attempt to overturn the denial.

Apr 2021 - Present

Account Specialist

Current
Indiana Recovery Services

Cicero, Indiana, United States

* Data entry of vehicle and owner information for reposession purposes.* Updates addresses and vehicle location descriptions within accounts.* Communicates between the lender and reposession employees.

Feb 2022 - Present

Case Review Specialist

United States

* Compare medical records of all entities to the health plan records. Send additional information to health plan in an attempt to overturn the denial.* Confirm that medical records have been received from all entities (state, provider, health plan, representative, etc.) and the records contain appropriate information to conduct the review.* Contact physician, panel of physicians or attorney to conduct the review.* Put chart in proper order.* Composes a list of all materials reviewed by reviewer using Microsoft Word.* Read reviewer's final report and convert medical abbreviations into layman's terms for the client's final report.

Sep 2018 - Apr 2021

Confirmation Analyst

King Of Prussia, Pa

* Audit sales orders to bill to the insurance companies within time constraints.* Use Brightree, Medforce and Microsoft Office computer applications.* Obtain appropriate documentation for the completion of the electronic medical record.* Enter appropriate ICD-10 code.* Communicate with the respiratory therapists to obtain any pertinent information needed for the confirmation of sales orders. * Verify insurance policies and ensure patient demographics are correct.* Familiar with insurance guidelines and billing policies.

Jan 2014 - Sep 2018

Concurrent Review Analyst

Eagleville, Pa

* Gives clinical justification for the continued treatment of drug and alcohol dependencies and co- occurring disorders.* Reviews the admissions to determine medical necessity and appropriateness of treatment.* Uses Affinity/Soarian to obtain pertinent information regarding the clients status.* Entry of authorizations into the computer system to obtain payment.

Nov 2010 - Jan 2014

Clinical Supervisor/Surgical Assistant

Lansdale, Pennsylvania, United States

* Reads instructions for use and follows procedures for cleaning and maintenance of the autoclave.* Sterilize instrumentation according to manufacturer’s recommendations.* Dispose of all infectious waste appropriately. * Set-up and take down of surgical suites for biopsies, extractions, bone grafts, and implants utilizing sterile technique.* Follows FDA protocol when opening and handling all implants and bone grafts.* Records appropriate information in the patient’s chart containing serial and lot numbers, expiration dates, etc. * Utilizes math skills to calculate appropriate dosage of medications to be administered.* Created “OMSA Surgical Assistant Training Manual” for newly hired surgical assistants.* Oral Surgery Anesthesia Assistant Certification.* Dental Radiology Certification.

Aug 2003 - Nov 2010
Team & coworkers

Colleagues at Acentra Health Kepro /IMEDECS

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1 education record

Danielle D. Gorczyca education

FAQ

Frequently asked questions about Danielle D. Gorczyca

Quick answers generated from the profile data available on this page.

What company does Danielle D. Gorczyca work for?

Danielle D. Gorczyca works for Acentra Health Kepro /IMEDECS.

What is Danielle D. Gorczyca's role at Acentra Health Kepro /IMEDECS?

Danielle D. Gorczyca is listed as Review Assistant at Acentra Health Kepro /IMEDECS.

Where is Danielle D. Gorczyca based?

Danielle D. Gorczyca is based in Lockport, New York, United States while working with Acentra Health Kepro /IMEDECS.

What companies has Danielle D. Gorczyca worked for?

Danielle D. Gorczyca has worked for Acentra Health Kepro /Imedecs, Kepro, Indiana Recovery Services, Imedecs, and The Promptcare Companies.

Who are Danielle D. Gorczyca's colleagues at Acentra Health Kepro /IMEDECS?

Danielle D. Gorczyca's colleagues at Acentra Health Kepro /IMEDECS include Imagenes Medicas Arisleidy Pool, Deahna Montaque, Julie Garrett, Drew Muller, and Tiffany Gagnon Ccs.

How can I contact Danielle D. Gorczyca?

You can use AeroLeads to view verified contact signals for Danielle D. Gorczyca at Acentra Health Kepro /IMEDECS, including work email, phone, and LinkedIn data when available.

What schools did Danielle D. Gorczyca attend?

Danielle D. Gorczyca holds Practical Nurse Program, Practical Nursing/Vocational Nursing from Niagara County Community College.

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