Daisha Devis
Henderson
Summary
Dedicated healthcare professional with a strong focus on managing authorizations and ensuring compliance with insurance regulations. Expertise in navigating complex systems and maintaining accurate patient records, while effectively collaborating with healthcare providers to enhance patient care and streamline operations.
Overview
7
7
years of professional experience
Work History
Authorization Specialist
Randstand
Remote
01.2025 - Current
- Reviewed and processed authorization requests for various services and procedures.
- Communicated with healthcare providers to clarify authorization requirements.
- Verified patient information to ensure compliance with insurance policies.
- Maintained accurate records of authorizations and rejections in the database.
- Researched insurance policies to resolve complex authorization issues.
- Researched patient eligibility, coverage information, and benefit levels.
- Tracked authorization statuses using electronic databases or manual filing systems.
Admitting Registrar
Summerlin Hospital
Las Vegas
08.2024 - 12.2025
- Processed patient admissions, ensuring accurate data entry in hospital systems to facilitate timely care.
- Completed pre-registration activities by obtaining authorizations, scheduling appointments, and verifying insurance benefits to streamline patient flow.
- Verified insurance information and managed pre-authorization for services
- Verified patient information, including insurance coverage and demographic data.
- Guided patients in understanding their insurance coverage and out-of-pocket expenses to enhance their experience and reduce confusion.
- Communicated with medical staff regarding patient needs and special requests.
- Handled confidential patient information while maintaining compliance with regulations.
- Ensured compliance with HIPAA regulations governing the release of confidential patient information.
Customer Service Representative
VSP Global
Remote
10.2022 - 07.2024
- Managed incoming calls, delivering accurate information and support to enhance client satisfaction.
- Resolved customer complaints promptly, ensuring a positive experience and fostering loyalty.
- Assisted customers with inquiries about vision care products and services.
- Educated patients on coverage options and financial responsibilities, empowering informed healthcare decisions.
- Verified patient benefits eligibility through insurance portals and databases.
- Communicated with insurance providers to resolve verification discrepancies.
- Processed authorization requests in compliance with company policies and procedures.
- Maintained detailed records of customer interactions and transactions in the system.
- Adhered to HIPAA regulations when handling confidential patient information.
Financial Services Representative
Nordstorm
Redlands
02.2019 - 04.2023
- Demonstrated expertise in product knowledge and sales to identify and recommend appropriate products and services to clients.
- Assisted customers with financial product inquiries and transactions.
- Processed account applications and maintained customer records accurately.
- Ensured that all customer inquiries were answered promptly and completely.
- Answered customer inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds as necessary.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Worked closely with patients to discuss payment arrangements when needed.
Education
High School Diploma -
Chaffey High School
Ontario, CA05-2013
Skills
- Patient authorization
- Insurance verification
- Prior authorization processing
- Electronic health records
- Data accuracy
- HIPAA compliance
- Documentation and paperwork
- Appointment scheduling
- Medical terminology
- Time management
- Attention to detail
- Communication effectiveness
- Verbal interaction
Timeline
Authorization Specialist
Randstand
01.2025 - Current
Admitting Registrar
Summerlin Hospital
08.2024 - 12.2025
Customer Service Representative
VSP Global
10.2022 - 07.2024
Financial Services Representative
Nordstorm
02.2019 - 04.2023
High School Diploma -
Chaffey High School