Danielle Riggan Email & Phone Number

North Carolina, United States

United States

• Analyzing financial data• Prepare financial reports• Optimizing financial processes• Collaborate with cross-functional teams to ensure financial goals are met• Showcases strong analytical skills, attention to detail, and a solid understanding of accounting principles and financial regulations

Efficiently manages and processes medical claims for accurate payment, ensuring seamless transactions. Proficiently identifies and resolves claims adjustments and issues while consistently staying up-to-date with system applications. Showcases a cooperative and positive attitude, fostering productive relationships with colleagues and stakeholders. Committed to delivering excellence in claims management.

Proficiently managed medical office procedures, including patient check-in and check-out. Handled patient inquiries and calls with professional telephone etiquette. Coordinated patient referrals to specialists based on healthcare needs. Utilized NC Tracks website to verify patient eligibility for NC Medicaid and initiate referrals. Proactively communicated with insurance providers to secure pre-certification for diagnostic procedures. Accurately collected and documented patient demographics and insurance information for efficient data management. Handled medical records requests in strict compliance with HIPAA regulations. Prioritized compassionate patient care, responding with kindness and respect. Efficiently managed patient appointments and sleep studies to optimize office scheduling.

In a fast-paced medical office, I excel at pursuing claim denials and resolving billing discrepancies to ensure maximum reimbursement for the organization. I am a reliable point of contact for patients, addressing their billing inquiries with patience and clarity, optimizing their experience and maintaining high levels of satisfaction. I also lead proactive measures to expedite payment by crafting effective appeal letters to insurance companies, championing swift resolution and revenue generation. I diligently manage the Accounts Receivable (A/R) report, tracking and reconciling open balances across multiple insurance providers. I possess comprehensive expertise in various types of insurances and continuously expand my knowledge of the billing process to ensure effective revenue cycle management and contribute to the financial success of the organization. My commitment to continuous learning and professional development allows me to stay current with industry best practices and regulations, ensuring that I am always delivering high-quality work.

During my internship, I focused on medical insurance, starting part-time and transitioning to full-time. I implemented an efficient filing system for patient records, gaining hands-on experience in transferring records and verifying insurance coverage. I also investigated denials, identifying root causes and developing effective strategies. I gained a comprehensive understanding of health insurance providers, including BlueCross/BlueShield, Medicare, and Medicaid, and engaged directly with patients, handling their inquiries and concerns. Overall, my internship provided immersive hands-on experience, organizing filing systems, transferring records, verifying insurance coverage, investigating denials, and serving as a resource for patients. These experiences equipped me with essential skills to navigate the complex landscape of medical insurance.

Bachelor Of Business Administration - Bba, Business Administration And Law, Graduate

Activities and Societies: First Gen Club, Tau Sigma National Honor Society, 1889 Club, College of BusinessWith a 3.93 GPA, in this program.

Associate Of Science (A.S.), Medical Office Management/Administration

In my business education, I have developed a diverse skill set that includes creating business tools with proper formatting, grammar.

High School Diploma

Activities and Societies: Newspaper