Dye T. Doutherd
Healthcare Administrative
North Las Vegas,NV
Summary
Experienced healthcare and insurance professional with 20+ years of experience in patient coordination, medical authorizations, durable medical equipment (DME), and financial assistance support. Skilled in navigating insurance benefits, coordinating care, processing authorizations, and assisting members with cost-saving solutions. Known for strong communication, attention to detail, and advocating for patient needs while working in fast-paced call center and healthcare environments.
Overview
25
25
years of professional experience
4
4
Certifications
Work History
Financial Navigator
Anthem Blue Cross Blue Shield
Las Vegas, Nevada
02.2024 - 10.2025
- Handled inbound and outbound calls from patients, providers, manufacturers, and patient care advocates.
- Assisted members with processing claims and copay assistance programs to secure the lowest possible out-of-pocket costs based on insurance benefits.
- Coordinated with billing and collections departments to resolve financial assistance and cost-relief issues.
- Educated members on insurance benefits, copay cards, and manufacturer assistance programs.
- Served as liaison between patients, providers, and financial support programs.
Authorization Coordinator
Central California Alliance for Health
Santa Cruz, California
12.2022 - 01.2024
- Processed 300–400 medical authorization requests monthly.
- Managed high-volume inbound calls from providers and members requesting authorization status updates.
- Received and reviewed time-sensitive medical documentation via fax and electronic systems.
- Ensured all authorization requests met medical necessity guidelines and submission requirements.
- Maintained accurate records while meeting strict processing deadlines.
Patient Care Coordinator (PCC)
Santa Clara Family Health Plan
San Joes, CA
12.2019 - 12.2022
- Conducted outreach to members regarding mental health services, benefits, and medical equipment needs.
- Connected members with contracted mental health providers and support services.
- Entered authorization requests for outpatient counseling services.
- Entered and verified ICD-10 and CPT coding for medical services.
- Ordered Durable Medical Equipment (DME) for members as needed.
- Maintained tracking logs of DME orders using Excel.
- Faxed authorization approval letters to requesting providers.
- Verified member eligibility through Medi-Cal systems.
Rehab Care Coordinator
California Home Medical Equipment
Foster City, California
11.2014 - 10.2019
- Managed 80–100 daily inbound calls from patients, providers, and medical facilities.
- Processed orders for power wheelchairs and mobility scooters for qualified clients.
- Coordinated authorization approvals with multiple insurance providers.
- Assisted clients with appeals for denied services and collected physician documentation supporting medical necessity.
- Scheduled client assessments with occupational therapists and ATP specialists.
- Coordinated appointments between patients, therapists, and field technicians.
- Prepared medical documentation packages for insurance authorization.
- Participated in case review meetings with management to resolve complex cases.
- Maintained accurate patient records while ensuring HIPAA compliance.
Durable Medical Equipment (DME) Coordinator
Pathways Home Health and Hospice
Mountain View, CA
06.2000 - 10.2014
- Coordinated delivery of medical equipment for patients transitioning from hospital to home care.
- Scheduled delivery of beds, oxygen equipment, wheelchairs, and other DME.
- Coordinated ambulance transportation and delivery logistics with equipment technicians.
- Maintained daily tracking logs and documentation for internal teams.
- Attended vendor meetings to review service quality, costs, and operational improvements.
- Resolved complaints and concerns from patients, families, and providers.
- Cross-trained across departments to support operational coverage when needed.
Skills
Medical Authorizations
Insurance Benefits Navigation
Patient Care Coordination
Durable Medical Equipment (DME)
ICD-10 & CPT Coding
Medical Documentation Review
Claims & Copay Assistance Programs
Customer Service & Call Center Operations
Microsoft Office (Word, Excel, Outlook, PowerPoint)
10-Key by Touch
Typing: 50 WPM
Certification
Medical Terminology Certification
Timeline
Financial Navigator
Anthem Blue Cross Blue Shield
02.2024 - 10.2025
Authorization Coordinator
Central California Alliance for Health
12.2022 - 01.2024
Patient Care Coordinator (PCC)
Santa Clara Family Health Plan
12.2019 - 12.2022
Rehab Care Coordinator
California Home Medical Equipment
11.2014 - 10.2019
Durable Medical Equipment (DME) Coordinator
Pathways Home Health and Hospice
06.2000 - 10.2014