Daniel Mcaneny Email & Phone Number

• Completes documentation on behalf of clinicians and submits to various payors.• Responsible for maintaining and updating CAQH profiles for clinicians.• Collaborates with billing department on various projects as well as regular duties. • Acts as intermediary between outside vendors and management to ensure production timelines are met.• Participates in ad-hoc committees to determine viability of new lines of business.• Active member of an employee resource group.

Austin, Texas

• Ensured all credential file content is present and in compliance with applicable state and federal guidelines. • Facilitated all aspects of credentialing, including initial appointment, reappointment, responding to requests for privilege verifications and clinical privileging for both practitioner and facility files while maintaining a high level of compliance and quality. • Provided feedback regarding processes and procedures to improve departmental performance focused on continuous improvement. • Prepared, scheduled and conducted appeals meetings. • Responsible for development of staff training and education to ensure deliverables. • Conducted audits and developed corrective action plans when issues are detected in order to avoid further deviations.• Received Principled Agility Award recognition for embracing change.

Austin, Texas

• Worked closely with marketing department in developing new strategies • Assisted Branch Manager with daily operations• Facilitated improvement in relationships with realtors, insurance agents, and other loan officers• Responsible for resolving any IT issues within the office

Dallas/Fort Worth Area

• Provided performance feedback and coaching on a regular basis to each team member• Ensured employees have appropriate training and other resources to perform their jobs• Created and maintains a high-quality work environment so team members are motivated to perform at their highest level• Assisted the manager with daily operation of the department to include the development, analysis, and implementation of staffing, training, and reward/recognition programs• Worked as a member/leader of special or ongoing projects that are important to department improvement• Screened and interviewed potential new team members• Established and continuously improved work procedures and processes that support company and departmental standards• Appropriately communicated departmental or employee relations issues to senior management• Conducted thorough review of all credentialing information to ensure compliance with policy, regulatory, and contractual requirements • Served as Secretary for monthly CQIC meeting • Conducted primary source verification when appropriate to do so• Participated in the Culture Committee responsible for planning and coordinating all office functions

Richardson, Texas

• Utilized MedAct, Microsoft Office, and FileCenter for daily tasks.• Generated the necessary documentation for medical supplies and ensured its proper completion for insurance authorization.• Confirmed that reimbursement for supplies was correct.• Assisted in the training and development of new employees.

Arvada

• Cared for individuals in accordance with EDEN principles• Identified MDS coding error and provided action plan for resolution • Analysis of Restorative Program led to new training regimen for employees

Greater Denver Area

• Hybrid review of AWC and WCC HEDIS measures• Created HEDIS training manual for 2015 production season• Gained working knowledge of Verisk software

Lakewood, Colorado

•Assisted participants with activities of daily living (bathing, dressing, grooming, hair care, mouth care, eating, hand and foot nail care and toileting) as assigned or needed.•Created and participated in group(s) and one-on-one activities in accordance with daily activity calendar.•Assisted, throughout the day, in maintaining clean and orderly day rooms, kitchen and personal care areas.•Attended morning meeting, care planning, and facilitated a morning discussion with day center staff.

Lakewood Colorado

•Ensured that each customer received outstanding service by providing a friendly environment, which includes greeting and acknowledging every customer, maintaining solid product knowledge and all other aspects of customer service.•Assisted in floor moves, merchandising, display maintenance, housekeeping, opening and closing of the store.•Any other tasks as assigned from time to time by the store manager.

Greater Denver Area

• Provided residents with daily restorative nursing care and services in accordance with the resident’s assessment, care plan and as directed by supervisors. • Maintained a cooperative and teamwork based work environment with co-workers to ensure the utmost degree of care is provided.• Continually communicated with all departments when a change of condition occurs to maintain the resident’s highest level of functionality.

Jewell Care Center, Denver Colorado

• Provided residents with daily restorative nursing care and services in accordance with the resident’s assessment, care plan and as directed by supervisors. • Assessed and provided nursing care to the residents to ensure that the highest degree of quality care is maintained at all times.• Worked with uncooperative patients to take vitals, feed, groom, collect specimens and other tasks as required.

Greater Denver Area

•Ensured that each customer receives outstanding service by providing a friendly environment, which includes greeting and acknowledging every customer, maintaining solid product knowledge and all other aspects of customer service.•Assisted in floor moves, merchandising, display maintenance, and housekeeping.•Any other tasks as assigned from time to time by the store manager.

Bachelor'S Degree, Health Care Management

Nursing Aide Certification, Cna Certification