Danielle Palmer
Patient Financial Specialist at Kittitas Valley Healthcare- Claim this Profile
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Topline Score
Bio
Credentials
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CWU Project Management for the Non-Project Manager Certification
Central Washington UniversityMay, 2019- Oct, 2024 -
Supervisory Management Certification
Collin County Community CollegeOct, 2012- Oct, 2024
Experience
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Kittitas Valley Healthcare
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Patient Financial Specialist
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Jan 2020 - Present
● Generation and submission of claims, resolved claim edits/rejects, completed claims follow up to ensure timely processing and reimbursement. ● Reviewed remittance codes, posted payments and adjustments, processed refunds ● Analyzed claim denials identifying errors in coding, billing, and/or patient demographic information to determine the appropriate steps to take to maximize reimbursement. ● Executed eligibility verification, checked claim status, obtained prior authorization, provided requested documentation, submitted reconsideration and appeal requests through various payer online provider portals. ● Addressed consistent errors found resulting in denials through communication with other departments and staff and the creation of processes and guides to educate and equip staff. ● Fulfilled audit requests, appealed audit findings to reduce payment recoupment. ● Facilitated communication and provided support between other departments including clinic and hospital registration, clinical staff and providers, health information management, quality assurance, laboratory, pharmacy, and imaging. ● Developed training, standard work, and departmental resources to improve accuracy and increase efficiency in the collection claims reimbursement and patient payments. Show less
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Central Washington Univeristy
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United States
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Higher Education
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Secretary Senior
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Sep 2018 - Present
• Provided administrative assistance support for program directors and faculty. • Processed program transactions such as: travel, fiscal operations, and financial/human resource systems. Managed multiple budgets and reported financial status to program directors on a regular basis. • Responsible for purchasing of supplies, conference registration, and equipment. • Performed word processing tasks; used spreadsheets and database software to develop and maintain records; prepared spreadsheets. Maintained program website and social media outlets. • Responded to inquiries, provided information to students, faculty, and members of the community. • Supported major Advisors by creating documents needed to advise students and attending events in lieu of advisors to recruit and provide support to students. • Maintained communication with students about education, employment, research, and internship opportunities. • Acted as a staff liaison for student clubs associated with the program. Work with student leaders providing support and information when needed. Show less
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Frisco ISD
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United States
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Primary and Secondary Education
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700 & Above Employee
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Data Clerk
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Apr 2014 - Aug 2018
• Interfaced with students, parents, and community members daily providing information and resolving concerns. • Managed the enrollment procedures for new and transfer students. Worked directly with school counselors interpreting academic records to determine transfer credits and course schedules for incoming students. • Maintained accurate student records, both physical and computerized records. Performed data analysis to ensure and verify accuracy of student record data. Prepared reports regarding demographics, grades, attendance, transcripts, eligibility, graduation requirements, scheduling, and more. • Constructed the schools master schedule, managed class rosters and student schedule changes. • Provided on campus support and training to office staff for the student information system. • Composed school wide memos and publications and managed the schools’ electronic communication system. • Completed general office and receptionist tasks such as answering the phone, emails, scheduling appointments, and other tasks. • Sponsored student programs and clubs, effectively building relationships with students and leading them in their endeavors to manage club activities and needs. Show less
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The Goddard School
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United States
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Education Management
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700 & Above Employee
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Operations & Curriculum Director
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Mar 2012 - Oct 2013
• Supervised the implementation of curriculum goals and standards. Assessed student learning outcomes for each classroom and provided feedback and coaching to instructional staff on reaching outcomes. • Promoted communication between parents and staff, resolved conflicts and problems quickly, and set a standard of professionalism in the school. • Responsible for budget and financial record keeping, tracked and reported expenses on a monthly basis to Franchisee. • Processed tuition payments on a monthly basis, created invoices and communicated with clients about billing concerns. • Solely responsible for the recruitment and hiring of qualified teachers and staff. • Developed and implemented a new employee orientation curriculum, employee handbook, and additional policies and procedures. • Developed a training program for instructional staff that provided training opportunities on a monthly basis as well as a full day of staff development twice a year. Created curriculum and training materials for all training events. Created a standard new employee training program and facilitated its implementation when new instructional staff were hired. • Implemented conflict resolution strategies for employee complaints. Coached employees who were not meeting expectations and enforced the employee discipline protocol when needed. • Managed staff schedules, audited time sheets, kept track of employee leave. • Maintained staff and student records according to licensing standards, both physical and electronic records. Managed attendance records, class rosters, and staff schedules daily. • Successfully ensured compliance with Minimum Standards as well as Goddard Quality Assurance Standards. Show less
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Cambridge Academy
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Pakistan
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Education
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1 - 100 Employee
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Assistant Director
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Feb 2011 - Mar 2012
• Assisted and supported the Center Director with the overall center management, including the hiring and supervision of employees. • Collected and inputted tuition billing and payments in the school accounting system, managed petty cash, and resolved billing disputes. • Created meal menus, managed food inventory, and purchased the food and supplies needed for the school on a weekly basis. • Managed attendance records, class rosters, and staff schedules daily. Maintained student records. • Mediated situations of conflict between parents and employees, addressed parents’ concerns in a timely manner, followed up with parents to maintain a positive relationship after conflict occurred. • Maintained staff and student records according to licensing standards, both physical and electronic records. Show less
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Jacksonville Youth Sanctuary
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Non-profit Organization Management
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1 - 100 Employee
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Targeted Case Manager
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Jul 2008 - May 2010
• Provided case management services for families with children 4-17 years of age with behavioral and/or mental health needs. • Maintained accurate case files. Completed billing reports for Medicaid billing purposes. • Assessed the academic, behavioral, medical, and mental health needs of each child and developed service plan designed to meet those needs. • Referred, linked, coordinated, and advocated on behalf of each child what mental health, medical, and academic services needed. • Served as a liaison for medical providers and clients. Show less
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Purdue University
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United States
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Higher Education
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700 & Above Employee
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Student Office Staff Supervisor
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Aug 2005 - Jul 2007
• Provided customer service to residents, maintained organization and other office protocols in a high paced office setting, serving over 1000 residents on an academic campus. • Supervised a staff of five university students, involved with the hiring of staff members, the delegation of tasks, and the evaluation of job performance. Trained new employees on office procedures. • Created new policies and procedures to meet the changing needs and the addition of services provided to residents. • Completed basic office tasks. Show less
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Education
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2022 - 2023
Penn Foster
Medical Billing and Coding -
2007 - 2008
Jacksonville University
Bachelors of Arts, Sociology
Community
