Dominique Hall
Birmingham,AL
Summary
Healthcare operations professional with a strong focus on patient services, care coordination, and insurance verification within high-volume environments. Expertise in ensuring HIPAA compliance while managing eligibility determinations and supporting utilization review processes. Seeking roles in Care Coordination and Clinical Administration.
Overview
2
2
years of professional experience
Work History
Medicare Member Advocate
Viva Health
Birmingham, AL
02.2026 - Current
- Guided Medicare members in understanding benefits eligibility and coverage options.
- Provided healthcare navigation support for members, improving access to necessary services.
- Coordinated care by directing member needs to case management and authorization teams, ensuring effective support.
- Resolved claims inquiries, authorization issues, and provider access concerns efficiently.
- Maintained high-volume call handling while ensuring accuracy and professionalism.
- Documented all member interactions to comply with HIPAA regulations and internal standards.
- Partnered with clinical review departments to enhance member care outcomes through collaborative efforts.
- Ensured adherence to regulatory compliance throughout all member interactions.
Patient Access Specialist
Conifer Health
Birmingham, AL
05.2024 - 12.2025
- Facilitated patient registration, insurance verification, and eligibility determination for emergency and inpatient services to ensure seamless access to care.
- Coordinated scheduling, admissions, and referral workflows between clinical and administrative departments to optimize patient transitions.
- Streamlined patient flow in a fast-paced acute care environment, improving overall service delivery.
- Ensured billing accuracy by validating insurance coverage and minimizing registration errors.
- Supported utilization review workflows by ensuring accurate insurance data and authorization readiness prior to service delivery.
- Entered and maintained patient records within electronic health record systems.
- Maintained compliance with HIPAA regulations and hospital data security standards.
Education
Bachelor of Science - Social Work
Miles College
Fairfield, AL12-2028
High School Diploma -
Gardendale
Gardendale, AL05-2017
Skills
- Care coordination
- Utilization review support
- Prior authorization assistance
- Insurance verification
- Claims resolution support
- Patient intake and scheduling
- Referral processing
- Clinical documentation
- HIPAA compliance
- Interdepartmental collaboration
- Managed care services
- Data management tools
Timeline
Medicare Member Advocate
Viva Health
02.2026 - Current
Patient Access Specialist
Conifer Health
05.2024 - 12.2025
Bachelor of Science - Social Work
Miles College
High School Diploma -
Gardendale