Danielle Tate Email & Phone Number

Over 13 years of experience in the health insurance industry which includes a working knowledge of HMO, POS, PPO, Medicare and Medicaid plans. Extremely knowledgeable in claims analysis and the resolution of suspended/rejected claims for Commercial and Medicare lines of business. Working knowledge of Pharmacy Software. Experienced in EDI Retail Pharmacy Claim Transaction. Experienced in Project Management and Coordination roles as well as Business Analysis. Extremely knowledgeable in HIPAA, CMS and ICD-10 guidelines. Strong analytical background incorporating the translation of business needs to Business and Functional Requirements for systemic solutions as well as process improvements. Utilized AGILE and Waterfall methodologies for gathering and documenting business requirements, User Stories and Acceptance Criteria. Basic to intermediate SQL skills in pulling, adding, and deleting data from existing tables as well as creating tables in existing database. Extensive computer training, including knowledge of multiple networking environments, Microsoft Office Suite (including EXCEL, ACCESS, PowerPoint and SharePoint) and business software packages. Experienced in external client facing role to support client contract relationships. Skilled at learning new concepts quickly, working well under pressure, and communicating ideas clearly and effectively.

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  University Of Phoenix

  Data Science