Danielle Robinson has over 10 years of experience in Medicaid eligibility operations including premium assistance, enrollment, commercial insurance verification, and cost avoidance. She has held several supervisory roles ensuring quality assurance and is proficient in various Medicaid systems. Her experience includes working for Children's Medical Center of Dallas as a financial counselor and for HMS Corporate as an operations information analyst and various team lead roles. She has a background in medical billing and coding with an associate degree in health care administration.

1. DANIELLE ROBINS ON- ADDIS ON
1121 Harvest Hill Ln Lancaster Tx 75146  Phone: 972-837-9625 daniellel_robinson@hotmail.com
Supervisor of Medicaid Premium Assistance and Cost Avoidance Operations
Premium Assistance /Eligibility Enrollment/Commercial Insurance Verification /Cost Avoidance
Professional Experience
Children’s Medical Center of Dallas
Financial Counseling Supervisor / Nov 2014 - Feb 2015
► Visit all self-paying patients in-house
► Provide estimates to patients and/or physicians as requested•Generate insurance verification and precertification
reports daily and follow up with case management and insurance verification departments as appropriate
► PostER and PatientAccess deposits into PA system
► Contact insurance companies for patientbenefits and precertification requirements
► Review alpha census dailyfor visits exceeding the original length of precertification and work closely with utilization
review for concurrentcertification
► Assistpatients with paymentarrangements and charityapplications
► Work closelywith outside agencies in helping patients applyfor Medicaid and state aid
► Maintain insurance files regarding updates and changes
► Forward problems or concerns to PatientAccess Manager
► Enter pertinentinsurance information into CPCS and prorate account
► Enter notes into the collections system for all patientencounters
► Maintain professional image and implementexcellentcustomer service to customers
► Complete financial analysis and collectestimated patientliabilities
► Follow up with patients for necessarysignatures ifthey were incomplete attime of hospitalization
► Consistentlyreceive and receipt payments from patients for hospital services in accordance with internal cash
control procedures
► Interact with Patient Account Services Insurance Verification Departmentin establishing up-frontpayment
arrangements with patients
► Attends in-service presentations,and completes mandatoryeducation week,including butnotlimited to, infection
control, patientsafety, quality improvements,MSDS and OSHA standards.
► Demonstrates knowledge ofoccurrence reporting system and utilizes system to reportpotential patient safety
issues.
► Practice and adhere to the “Code of Conduct” philos ophyand “Mission and Value Statement”
► Other duties as assigned
Professional Experience
HEALTH MANGEMENT SYSTEMS
Corporate Operations Information Analyst May 2012 – Oct. 2014
► Design and executive test plans on computer applications.
► Training and coaching staffregarding quality standards,and contributing to the on-going identification ofimproved
methods and processes for achieving quality.
► Reporting qualityscores for the department,team,projectand EligibilityOperations Advisors.
► Detect software failures so thatdefects may be discovered and corrected.
► Documentanomalies and issues and maintain database ofsoftware defects
► Verifies processes and procedures were followed correctlythroughoutall case work.Ensures the update of client
requirementdocuments.
► Operate and maintain testnetworks and provide application instructions for users.
► Create meaningful error handling procedures for application code.
► Interface with HMS Program Directors to discuss variances on billing results,revenues,and problem resolution.
► Interface with clients as requested on expanded scope projects and clientcalls.
► Ensure compliance with general programming bestpractices,accepted web standards and those standards set
forth by upstream sources.
► Works directly with clients,projectteam and business leaders to identify analytical requirements.

2. ► Performs data analysis,identifies trends and issues,evaluates and provides recommended solutions for issues
identified.
► Perform application securityaudits,participate in application planning meetings and Ensure data integritystandards .
► Builds relationships with internal and external staff to ensure clientexpectations are being met.
► Ensures clientdeliverables are accurate,timely, and meetor exceed clientexpectations.
► Works with accountmanagementteam to develop materials for clientpresentations.
► Interacts with clients under the guidance of the accountmanagementleaders
► Perform reviews,Implementapplication designs,create queries
SUPERVISOR
Supervisor Eligibility Operations Nov. 2011 - May 2012
► Supervises assigned staffincluding responsibilityfor recruiting and performance management.
► Ensures adherence to departmental budgetbymanaging resources and over time while staying in budget.
► Provides training,coaching,and mentoring to staff as appropriate.
► Acts as an escalation pointfor teams,supporting all customers to ensure a high level of customer satisfaction.
► Manages operational workflows;meetinternal and external SLA’s (Service Level Agreements).
► Provides reports and updates to managementas assigned or requested.
► Supports and administers various departmental and corporate policies consistentwith the company’s core values
and philosophies.
► Ensures all processes meetHIPAA and Governmentsecurity requirements with regards to sharing/storage/PHI
(Personal Health Information).
► Develops and maintains work procedures,schedules and workflow.
► Recommends process improvements.
TEAMLEAD
2008-2011
Team Lead Eligibility Operations Aug. 2010 – Nov. 2011
► Doubled the LaHIPP program in 10 months,bringing in an additional $350k per year for HMS.
► Led team process over 1,000 successful renewals.
► Handle escalated phone inquiries.Worked closelywith Sr. Director and Operations Manger to maintain a 2
minute handle time and 24 hour response to voicemails
► 4 years’ experience as a Team Lead.
► Completes appropriate periodic reports for supervisoryand managerial personnel
► Successful problem solving and multiple tasking through systems independently
► Assistwith systems update and change thatare made with the TPL Team
► Advises technical team on contemplated system changes.Verifies system changes once implemented
► Work closelywith Project Director to insure client’s qualityand needs are met.
► Trains EligibilityAdvisors using various applications (such as PIER,MEDS, and The Act Web Site (152N)
Cerate policy and procedures for the LaHIPP program.
► Assigns dailyassignments.Manages inventorydaily to ensure clientdeliverable deadlines are met
Eligibility Advisor Feb. 2010 - Aug 2010
► Handle phone inquiries for both Medicaid and LaHiPP clients.
► Verify documents and investigate presence ofhealthcare coverage for Medicaid recipients and their families.
► Assists in the identification ofbeneficiaries thatmightqualifyto have enrollmentpackages issued in relation
to this project.
► Collectdata from Clients,Employers, and Insurance Carriers and Medicaid Case workers to determine the
Costavoidance.

3. ► Work with employers and benefitenrollmentteams to ensure the Medicaid eligible dependents are added to
health insurance policies in a timelymanner.
► Provide enrollmentassistance and HIPP Program information
Team Lead /Insurance Verifications Dec 2008 – Jan. 2010
Ms. Robinson joined HMS in December 2008,and was promoted to Team Lead within two months.
► Trained verifiers on Tracer, Ecare, and clientrules
► Reviewed verifiers ability to follow call protocol
► Created clientreports
Partial Client List
► Premium Assistance: Louisiana,North Carolina,Kentucky; Verifications, primarily: Texas verification team lead
using dual systems,Louisiana,New Jersey,Massachusetts, Arkansas and approximately60 other clients
Education
► Everest College,:Medical Billing and Coding Certification,Dallas,TX, obtained 2005
► University Of Phoenix,:Associate Degree Health Care Administration 2012
Certifications / Accreditations
► Medicaid Learning Center,Certified Medicaid Professional,Feb.2010
► Resolution and ConflictCertification,Jul.2008
► Customer Service Certification,Jul. 2008
► Leadership Training,Present