Danielle Schaafsma, CPC, CEMC

Experience

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  Cigna

  Aug 1999 - May 2005

  Managed the process of implementing new and renewing accounts in the CIGNA HealthCare systems. Developed action plans to ensure timely and accurate case implementation. Gathered critical information from clients, brokers and the sales team in order to surface and resolve all issues relative to the implementation process and benefit plan design. Utilized various CIGNA HealthCare systems to communicate benefit and administration selections. Performed quality checks of key deliverables, such as eligibility, benefits, and billing. Handled eligibility, benefit, and ID card issues, working directly with members and human resources departments to ensure proper resolution. Created and facilitated training sessions for new case implementation personnel. Exceeded CIGNA's standard customer satisfaction survey scores, with 98% of my customers indicating satisfaction with the implementation of their accounts. Received CIGNA's "Circle of Excellence" award on three occasions for outstanding performance and commitment to the team. Show less

  • Case Implementation Consultant

    Sept 2000 - May 2005

  • Benefit Analyst

    Aug 1999 - Sept 2000
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  Boulder Center For Sports Med

  Jul 2005 - Apr 2010

  Coder and Patient Account Representative

  Responsible for coding and billing of medical insurance claims and related follow-up for this orthopedic physician, physical therapy, and sports medicine group. Assisted patients with questions regarding insurance coverage and benefits, payment plans, and bill payment. Worked with patients, physicians, and front office staff to resolve questions and complaints regarding service and billing.

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  Boulder Community Hospital

  Jul 2013 - Jun 2015

  Certified Professional Coder

  Responsible for coding medical insurance claims for a large, multi-specialty physician group. Experienced in coding diverse specialties, including trauma, general surgery, inpatient rehabilitation, and cardiovascular. Assisted the lead auditor by performing first level reviews of charges. Gained experience auditing family medicine, internal medicine, hospital medicine, pain management, and infectious disease.

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  Boulder Medical Center, P.C.

  Jun 2015 - Nov 2018

  Certified Professional Coder

  Performed coding and auditing for several specialties within this physician owned group, including but not limited to orthopedics, general surgery, and urgent care. Assisted billing staff with patient inquiries, insurance requests and denials. Audited physician documentation and provided feedback and training, as needed.

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  Lyons Physical Therapy

  May 2023 - now

  Office Manager