Destiny Byrd
Medcare Home Health
3317 NW 33rd CT ,FL
2027
years of professional experience
Dynamic Authorization Coordinator with expertise in insurance verification and strong communication skills, successfully streamlined authorization processes at Medcare Home Health. Proven ability to enhance patient care through effective problem-solving and teamwork, achieving timely approvals and reducing service delays. Committed to organizational growth and maintaining compliance in fast-paced environments.
Work History
Intake Coordinator
- Managed new patient intake, verifying referral details and service needs for timely case initiation.
- Collected demographic, clinical, and insurance information to support accurate admissions processing.
- Coordinated communication between referral sources, patients, families, and clinical staff to streamline intake workflow.
- Documented intake records in electronic systems, maintaining accuracy and compliance with agency standards.
- Confirmed insurance eligibility and authorization requirements to reduce delays in care start.
- Reviewed insurance policies to determine prior authorization requirements for scheduled procedures and medications.
- Submitted authorization requests through payer portals, ensuring complete documentation and accurate clinical details.
- Verified patient benefits and coverage rules to prevent authorization delays and claim issues.
Authorization Coordinator
2 Years 1 Month- Verified insurance eligibility and benefit details to support timely authorization requests.
- Submitted prior authorization forms and supporting documentation to payer portals and fax systems.
- Tracked authorization status, approvals, and denials to maintain accurate case records.
- Coordinated with intake, clinical, and billing teams to resolve missing documentation.
- Communicated with insurance representatives to clarify requirements and expedite determinations.
- Updated patient records with authorization outcomes, reference numbers, and coverage notes.
- Monitored expiring authorizations and initiated renewals to prevent service interruptions.
- Resolved authorization discrepancies by reviewing payer guidelines and correcting submission errors.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Calculated estimated copay based on current insurance benefits.
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
Um Coordinator
3 Years 1 Month- Coordinated daily schedules across teams to support timely home health service delivery.
- Tracked patient referrals and updated records for accurate workflow visibility.
- Communicated with providers and internal staff to resolve service requests promptly.
- Processed intake documentation and verified required information for case completion.
- Monitored task queues and prioritized follow-up actions to maintain service continuity.
- Assisted with appointment changes and patient outreach to reduce scheduling delays
- Coordinated home health schedules, aligning nurse visits with patient availability and care plan requirements.
- Reviewed referral information and confirmed service eligibility before initiating intake and assignment workflows.
- Communicated with patients, families, and clinicians to resolve scheduling changes and care coordination issues.
- Coordinated durable medical equipment orders, ensuring accurate documentation and timely processing.
- Verified insurance coverage and prior authorization requirements for equipment requests.
- Educated patients on proper equipment use, care, and safety guidelines.
- Processed referrals, prescriptions, and physician orders with attention to compliance requirements.
- Maintained detailed records for equipment assignments, returns, and service follow-up.
Customer Service Representative
9 Years 5 Months- Worked effectively in fast-paced environments.
- Processed prior authorization requests, verifying coverage requirements and payer-specific documentation.
- Reviewed clinical records for medical necessity and compliance with authorization criteria.
- Maintained organized case files and followed up on pending approvals to support workflow continuity.
Education
High School Diploma
Skills
Prior authorization
Strong communication skills
Organizational growth
Critical thinking
Insurance verification expertise
Effective time management
Medical coding
Teamwork
Medical terminology proficiency
Customer service
Problem-solving
Timeline
Authorization Coordinator
Medcare Home Health
08.2024 - 09.2026Read More
Um Coordinator
Onehome
06.2021 - 07.2024Read More
Customer Service Representative
WellCare
05.2017 - 2020Read More
Intake Coordinator
All Metro Home Care
2020 - 2021Read More
Northeast High School
High School Diploma
Read More