CANEISHA DALLAS
Humble
Summary
Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
13
13
years of professional experience
Work History
Insurance Verification Specialist
McKesson
02.2022 - Current
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Built strong relationships with clients through consistent communication and excellent customer service.
- Responded to customer calls swiftly to resolve issues and answer questions.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Prior Authorization Specialist
Alorica
09.2017 - 01.2022
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Customer Service Representative
Houston Hospice
07.2012 - 08.2017
- Gathered medical records, financials, and insurance information from patients in timely manner, and kept data organized in compliance with HIPAA
- Delivered exceptional customer service, with 90%+ patient satisfaction, answering questions with compassion and offering additional resources for follow-ups post discharge
- Answered phone calls, responded to emails, and prepared comprehensive documentation to support appointment scheduling, billing, and patient discharge process, with consistent sub-24-hour response time
- Acquired comprehensive knowledge of relevant insurance policies, in addition to ICD-9, ICD-10, and CPD codes for surgical and procedure authorizations
- Performed general administrative tasks, escalating issues through proper channels as required.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Doctor Of Nursing Science (D.N.Sc.) In Nursing Candidate -
Houston community college
Houston, TX05.2025
High School Diploma -
07.2010
Skills
- Patient confidentiality
- Insurance Coverage Verification
- HIPAA Compliance
- Healthcare Industry Knowledge
- Epic Systems
- ICD Coding
- ICD-10
- Attention to detail
- HIPAA compliance
- Insurance coverage verification
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
Personal Information
INSURANCE SPECIALISTS
Timeline
Insurance Verification Specialist
McKesson
02.2022 - Current
Prior Authorization Specialist
Alorica
09.2017 - 01.2022
Customer Service Representative
Houston Hospice
07.2012 - 08.2017
Doctor Of Nursing Science (D.N.Sc.) In Nursing Candidate -
Houston community college
High School Diploma -
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