Demiyer Steel
Cordova,TN
Summary
Detail-oriented Healthcare Operations Professional with expertise in care partnerships, referral operations, claims coordination, and healthcare data management. Skilled in building strategic partnerships, resolving issues, and collaborating with cross-functional teams to enhance operational efficiency and support quality care outcomes. Committed to delivering exceptional service to clients, providers, and stakeholders while effectively managing multiple priorities in fast-paced healthcare environments.
Overview
4
4
years of post-secondary education
14
14
years of professional experience
Work History
Referral Coordinator
Thriveworks Administrative Services, LLC
04.2020 - Current
- Coordinated B2B care partnership referrals by processing, tracking, and distributing incoming referrals across multiple systems and partner portals, ensuring timely access to care.
- Built and maintained strong relationships with external partners and providers, providing timely support, resolving escalations, and ensuring a positive partner experience.
- Monitored gaps in care to identify and address opportunities for improving care coordination, referral workflows, and partner performance.
- Managed daily and weekly operational reports to analyze referral trends, contract performance, and key business metrics.
- Collaborated with account managers and cross-functional teams to maintain accurate partner data, resolve reporting discrepancies, and support operational improvements.
- Led team-building initiatives that strengthened collaboration, communication, and employee engagement.
- Maintained accurate documentation while ensuring compliance with organizational policies, contractual requirements, and service-level expectations.
- Supported continuous process improvement initiatives to enhance operational efficiency and strengthen relationships with providers and partners.
Workers’ Compensation Coordinator
United HealthCare/OptumRX
01.2014 - 01.2020
- Reviewed and researched incoming healthcare claims to ensure accurate processing, benefit eligibility, and compliance with organizational policies and payer guidelines.
- Verified member and provider information, including benefits, pricing, and prior authorizations, to support timely claim resolution and continuity of care.
- Applied benefit plans, coverage guidelines, and organizational procedures to ensure accurate claims adjudication and regulatory compliance.
- Identified and resolved claim issues through detailed research, critical thinking, and cross-functional collaboration.
- Navigated multiple healthcare systems and databases to maintain accurate documentation, monitor claim status, and support operational efficiency.
- Developed and implemented collection policies and best practices, ensuring compliance with established standards and streamlining organizational processes.
- Delivered exceptional customer service by clearly communicating complex healthcare and benefit information, fostering understanding and trust.
Help Desk Analyst
Baptist Memorial Health Care
01.2013 - 01.2015
- Provided frontline technical and operational support within a healthcare call center, resolving complex inquiries for clinical and non-clinical staff while ensuring timely issue resolution.
- Managed and documented support requests through a ticketing system, ensuring accurate tracking, timely follow-up, and resolution of customer concerns.
- Identified recurring system issues and collaborated with cross-functional teams to support process improvements and enhance operational efficiency.
- Maintained compliance with hospital policies, HIPAA regulations, and organizational standards while handling protected health information (PHI).
- Established strong working relationships with end users and stakeholders by delivering responsive support and maintaining professionalism.
Education
Bachelor of Science - Health Administration
American Public University
01.2006 - 05.2010
Skills
Care Coordination & Referral Management
B2B Partnership Management
Provider and Member Communication
Provider Relationship Management
Referral Workflow Management
Healthcare Data Management
Reporting & Data Analysis
CRM Systems (Salesforce)
Claims Processing
Prior Authorization Review
Contract & Account Management Support
HIPAA Compliance
Process Improvement
Issue Resolution
Cross-Functional Collaboration
Team Development & Training
Microsoft Office Suite
Google Workspace
Timeline
Referral Coordinator
Thriveworks Administrative Services, LLC
04.2020 - Current
Workers’ Compensation Coordinator
United HealthCare/OptumRX
01.2014 - 01.2020
Help Desk Analyst
Baptist Memorial Health Care
01.2013 - 01.2015
Bachelor of Science - Health Administration
American Public University
01.2006 - 05.2010