Over 10 years of Healthcare experience. Looking to work in passion of Workers Compensation and Risk Management. Want to incorporate Health Policy skills.

1. DANIELLE BRAME
1907 Larchmont Drive ▪ Greensboro, NC 27405 ▪ 336- 669-6466 ▪ daniellebrame336@gmail.com
SYNOPSIS
▪ 10+ years of experience in Healthcare Administration/Epic Resolute Professional (Billing)
▪ Proven record with Workers Compensation/Risk Management/Public Health Policy
▪ Strong networker skilled at identifying referral resources with healthcare providers
EDUCATION
MS in Public Policy (Concentration in Health Policy) - Walden University, Minneapolis, MN (May 2016)
BS in Healthcare Management - Pfeiffer University, Charlotte, NC (August 2012)
Certificate Studies - Guilford Technical Community College, Greensboro, NC (2005 to 2014)
Pre-Licensing Certification-Property and Casualty Insurance-2014 Microsoft Excel Certification-2013
Medical Office Practice Certificate - 2005
PROFESSIONAL SKILLS
Medical/Healthcare Administration
 Analyze account balances to ensure accuracy of account for appropriate adjustments according to
federal/state laws and hospital preferred provider contract in timely manner.
 Liaison between Cones Health and third party payers (Workers Compensation, Medicaid)
Case/Program Management
 Manage employers and patients workers compensation claims; verify eligibility for various programs.
 Assist with the psychosocial portion of the diabetes classes, by teaching on exercise, stress management
and nutrition with the disease of diabetes.
Counsel/Patient Relations
 Provide support services and research for customer/patient in diverse environments.
 Refer Medicaid patients to specialty physicians and authorize company clearance.
Technical Expertise
 Epic Medical Software, Patient Record-Keeping, Medicaid, Third Party Billing, Blue Cross Blue Shield

2.  TRICARE, Microsoft Office Suite and Data Entry
RELATED PROFESSIONAL EXPERIENCE
CONE HEALTH SYSTEM, Greensboro, NC (Formerly Health Serve Medical Center)
Patient Accounting Representative (2004-2013)
 Processed insurance claims accurately and efficiently; evaluated and negotiated collection terms for
unpaid balances on workers compensation claims and Medicaid insurance for all patient accounts.
 Researched information in reference to the patients employers and insurance such as Blue Cross Blue
Shield, Medicaid and TRICARE. Initiated documentation process with patient employers to verify
employment and other critical data.
 Conducted internal investigations of compliance issues to identify issues that required additional follow-
up and/or investigation; communicated any and all violations of compliance or regulatory standards.
Managed Care Coordinator (1999-2004)
 Coordinated administrative functions with Social Workers and Guilford ACCESS; developed
partnerships with (GAP) Case Managers in completing initial screenings, patient information,
registration forms and assessments.