Jaylon Davis
Garland,US
Summary
Compassionate Case Manager accustomed to treating diverse patient needs while managing dynamic conditions. Collaborative professional possessing excellent clinical knowledge and judgment combined with strong documentation and problem-solving abilities. Well-versed in managing emergent cases with poise.
Overview
6
6
years of professional experience
Work History
Case Manager
Teleperformance USA
09.2021 - 08.2023
- Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Maintained accurate case records and documentation according to agency guidelines.
- Assisted with applications for government benefits such as Medicaid or Social Security Disability Insurance.
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
Prior Authorizations Specialist
Advanced Call Center Technologies LLC
01.2019 - 09.2021
- Prioritize and manage complex prior authorization requests, ensuring accuracy and compliance with healthcare regulations and insurance policies
- Provides support to the Prior Authorization Department in meeting client expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making
- Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation
- Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems
Healthcare Scheduler
iQor
Houston, US
09.2017 - 11.2019
- Schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines
- Obtains and enters all insurance authorization, and correspondence relating to referrals in patients charts and/or electronic medical records
- Answers all incoming calls; assesses callers' needs and directs to appropriate personnel and pages clinic personnel as appropriate
- Complete chart requests from Medical Records and notify the Materials Manager /Nurse Manager of any physician requests or special equipment needed for upcoming surgeries/procedures
- Cancels/reschedules appointments according to physician schedule changes; notifies appropriate clinic personnel
Education
Some College -
Texas Southern University
Houston, Texas12.2019
High School Diploma -
Desoto High School
Desoto, Texas05.2017
Skills
- MS Office Apps
- Adobe Efficient
- CRM Tracking
- 50 WPM Typing
- CPT
- Time Management
- Technology Efficient
- Detail Oriented
- Expert
- Data Entry & Analysis
- Organization and Multitasking
- Case Documentation
Timeline
Case Manager
Teleperformance USA
09.2021 - 08.2023
Prior Authorizations Specialist
Advanced Call Center Technologies LLC
01.2019 - 09.2021
Healthcare Scheduler
iQor
09.2017 - 11.2019
Some College -
Texas Southern University
High School Diploma -
Desoto High School