DAISHA DEVIS
Summary
Professional in healthcare industry with strong background in managing authorizations and ensuring compliance. Skilled in navigating complex systems, problem-solving, and maintaining accurate records. Known for effective collaboration, adaptability, and delivering results in fast-paced environments. Reliable team player with expertise in healthcare regulations, communication, and customer service.
Overview
7
7
years of professional experience
Work History
Authorization Specialist
Randstand
01.2025 - Current
- Processed authorization requests efficiently, ensuring compliance with company policies and procedures.
- Coordinated communication between departments to streamline authorization processes and enhance workflow.
- Utilized electronic health record systems to track and manage patient authorizations effectively.
- Collaborated with healthcare providers to gather necessary information for timely authorization approvals.
- Provided exceptional customer service by addressing inquiries and resolving issues related to authorizations promptly.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
Admitting Registrar
Summerlin Hospital
03.2024 - 12.2024
- Verified patient details and insurance coverage and collected co-pays.
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
- Registered patients for labs, surgeries and radiology.
- Calculated collectible amount due for procedures.
- Upheld HIPAA regulations and standards for protecting patient information.
Insurance Customer Service Representative
VSP Global
10.2022 - 07.2024
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Updated patient records with accurate, current insurance policy information.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Complied with HIPAA guidelines and regulations for confidential patient data.
Admitting Registrar
San Antonio Regional Hospital
02.2019 - 04.2023
- Facilitated patient admissions by accurately verifying insurance information and personal details.
- Streamlined data entry procedures, enhancing accuracy in electronic health record systems.
- Ensured compliance with health regulations and hospital standards through meticulous record-keeping practices.
- Led initiatives to optimize scheduling procedures, improving operational efficiency within the admissions department.
- Supported hospital administration by maintaining up-to-date knowledge of policies, procedures, and legal requirements related to patient admissions.
- Maintained strict confidentiality by securely handling sensitive patient information in compliance with HIPAA regulations.
- Verified patient details and insurance coverage and collected co-pays.
Education
High School Diploma -
Chaffey High School
Ontario, CA05.2013
Skills
- Claims management
- Medical terminology expertise
- Insurance verification
- Data entry proficiency
- HIPAA compliance
- Prior authorization processing
- Appointment scheduling
- Documentation and paperwork
- Proficiency in Epic
- Knowledgeable in Epic
- Benefits administration
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Multitasking
- Adaptability and flexibility
- Active listening
Timeline
Authorization Specialist
Randstand
01.2025 - Current
Admitting Registrar
Summerlin Hospital
03.2024 - 12.2024
Insurance Customer Service Representative
VSP Global
10.2022 - 07.2024
Admitting Registrar
San Antonio Regional Hospital
02.2019 - 04.2023
High School Diploma -
Chaffey High School
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