DeAnna Davis
Antioch,CA
Summary
Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel more in the healthcare industry.
Overview
15
15
years of professional experience
Work History
Pre-Registration Specialist
Golden State Orthopedics And Spine
Walnut Creek, CA
08.2022 - Current
- Attended training programs to deepen professional skillset and assisted in training fellow store associates on existing and new training programs.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Communicated verification and authorization status updates with departments to facilitate decision-making for patient admissions and insurance coverage.
- Posted payments to accounts and maintained records.
Claims Substantiation Specialist
Nonstop Wellness
Concord, CA
12.2018 - 04.2020
- Verify eligibility and claims mailing address.
- Review schedules note patient balances/copays/coinsurance/deductibles.
- Process clinic batches.
- Post payments and prep deposits.
- Claims follow up, process denials and generate appeals.
- Inpatient and elective surgery billing.
- Work AR on a regular basis.
- Generate monthly statements, implement payment plans when necessary.
- Identify accounts for collections in accordance with policy.
- Respond to Billing inquiries.
- Back up phones.
Patient Financial Counselor
Diablo Valley Oncology and Hematology
Concord, CA
08.2017 - 11.2018
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Conducted interviews with patients and their family members and answered questions regarding insurance benefits, payment options and financial assistance.
- Meticulously documented all details regarding contact with patients, providers and other individuals in the system using Epic.
- Accurately entered procedure code and diagnosis to obtain patient costs Efficiently performed insurance verification and pre-certification functions.
Authorizations Specialist
CoolSystems, Inc
Concord, CA
10.2013 - 07.2017
- Acquired insurance authorizations for procedures and tests ordered by the attending physician.
- Monitored shared email in-boxes and ensured inquiries were addressed.
- Accurately entered procedure codes, diagnosis codes and patient information into billing software.
- Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
- Interpreted medical reports to apply appropriate ICD-10, CPT and HCPCS Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses Completed appeals and filed and submitted claims.
Senior Insurance Verification\Authorizations Coordinator
Professional Healthcare At Home
Pleasant Hill, CA
02.2009 - 08.2013
- Made contact with insurance carriers to discuss their policies and individual patient benefits.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Ensured that every individual received a high level of service by employing dynamic communication, interpersonal and active listening skills.
- Inputted all patient data regarding claims and prior authorizations into the system accurately.
- Completed registration quickly and cordially for all new patients E.
Education
Silicon Valley College
Walnut Creek, CASkills
- Patient-focused quality service
- Patient engagement
- Following up with patients
- Patient Registration
- Data Entry
- Accounts receivable management
- Medical terminology expert
- Payment posting
- A/P and A/R expertise
- Payment processing
- Month-end closing procedures
- ICD-10 & HCPCS Knowledge
- Claims reports and documentation
- Coverage determination
Timeline
Pre-Registration Specialist
Golden State Orthopedics And Spine
08.2022 - Current
Claims Substantiation Specialist
Nonstop Wellness
12.2018 - 04.2020
Patient Financial Counselor
Diablo Valley Oncology and Hematology
08.2017 - 11.2018
Authorizations Specialist
CoolSystems, Inc
10.2013 - 07.2017
Senior Insurance Verification\Authorizations Coordinator
Professional Healthcare At Home
02.2009 - 08.2013
Silicon Valley College