Danielle Denton
Dallas
Summary
Professional Summary
Precise and efficient Medical Billing and Authorization Professional with over 18 years of experience in healthcare and customer service. Expert in navigating complex inpatient and outpatient physician billing, with a specialized focus on prior authorizations and CPT/ICD-10 coding. Proven track record in troubleshooting medical documentation discrepancies and training team members to ensure seamless revenue cycle operations.
Overview
22
22
years of professional experience
3
3
years of post-secondary education
Work History
Front Office Representative
Tanner Ugent Care
Carrollton
08.2025 - Current
- Greeted patients and visitors warmly, creating a welcoming environment.
- Managed phone calls and scheduled appointments efficiently for healthcare services.
- Processed patient registrations and updated records accurately in Systoc and Epic systems.
- Handled confidential patient information with discretion and professionalism.
Billing Authorization
Medicor Cardiology
07.2016 - 02.2025
- As a prior authorization specialist my responsibility is to obtain pre-certification and pre-authorization for procedures for scheduled outpatient testing
- Make sure that each test is coded correctly with correct ICD10 codes
- Scheduling appointment with other providers.
- Evaluate and verify patients benefits and eligibility.
- Submit electronic/paper claims and documentation for timely filing.
- Accurately post and send out all medical claims.
- Coding and billing medical claims for hospital testing
- Meticulously identifying and rectifying inconsistencies, deficiencies and discrepancies in medical documentation
- Examine patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Receptionist
Foothill Acre Rehabilitation Center
09.2015 - 06.2020
- As a receptionist, my responsibilities were answering incoming calls, directing calls to appropriate staff, greeting and checking in all patients for office appointments, and also coordinating appointments, which includes paperwork for patients to fill out, verifying insurance cards, entering all demographic information into the electronic health record.
Receptionist
Franklin Care Center
Franklin Park
10.2014 - 07.2016
- As a receptionist I am responsible for greeting visitors and directing them to the necessary unit they are going to visit relatives or friends, I also do data entry to ensure that the patients records are up to date.
Sales Associate
Dress Barn
Union
02.2014 - 10.2014
- As a sales associate am responsible for greeting the customers and determine their needs and wants, recommending merchandise based on individual requirement, answer customers’ queries and concerns, quote prices and discounts, and provide advice to clients regarding particular products.
Customer Service Representative
Quicksilver Technologies
Negril
07.2004 - 08.2011
- Being a customer care representative, my job was to deal directly with customers either by telephone, electronically or in person. Responding promptly to customers inquiries, handle and resolving customers’ complaints, perform customers verifications and set up new accounts, manage customer’s accounts and record details of inquiries, comments and complaints, record details of actions taken, follow up on customer interactions and provide feedback on the efficiency of the customer service process.
Patient Care Tech
Eldercare Nursing Home
Montego Bay
01.2010 - 08.2010
- I worked alongside doctors, nurses and other healthcare professionals to provide direct patient care, where my job description includes assisting patients with tasks such as eating, getting out of bed, taking a bath, mouth care and other activities of daily living.
Education
Bachelor of Science - Registered Nurse
Chamberlain College of Nursing
Stockbridge, GA 01.2023 - 02.2026
Registered Nurse -
Raritan Valley Community College
Branchburg, New Jersey 09.2013 - 01/2015
Certified Nursing Assistant License -
Skills
Systems: 8 Years of EPIC Experience
Revenue Cycle: Medical Billing, Electronic/Paper Claims Submission, & Timely Filing
Clinical Admin: Prior Authorizations, Pre-certifications, & Benefits Verification
Coding: CPT Coding & ICD-10 Proficiency
Compliance: Confidential Records Maintenance, HIPAA, & Knowledge of HMO/PPO/Medicare/Medicaid
References
References are available on request.
Timeline
Front Office Representative
Tanner Ugent Care
08.2025 - Current
Bachelor of Science - Registered Nurse
Chamberlain College of Nursing
01.2023 - 02.2026
Billing Authorization
Medicor Cardiology
07.2016 - 02.2025
Receptionist
Foothill Acre Rehabilitation Center
09.2015 - 06.2020
Receptionist
Franklin Care Center
10.2014 - 07.2016
Sales Associate
Dress Barn
02.2014 - 10.2014
Registered Nurse -
Raritan Valley Community College
09.2013 - 01/2015
Patient Care Tech
Eldercare Nursing Home
01.2010 - 08.2010
Customer Service Representative
Quicksilver Technologies
07.2004 - 08.2011