Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

DARNYSHA JAMISON

Landover,MD

Summary

Accomplished healthcare administration professional with over 10 years of extensive experience in insurance billing, financial case management, and regulatory compliance. Adept at supporting healthcare programs by ensuring timely payer verifications and billing, especially for Medicaid and DHS billing, contract compliance, and effective collaboration with internal and external vendors. Proven track record in leading cross-functional teams, optimizing revenue cycles, and integrating electronic health record systems. Demonstrated ability to maintain high productivity, attention to detail, and commitment to organizational goals and core values. Committed to promoting excellence, innovation, and integrity in all aspects of healthcare administration.

Overview

10
10
years of professional experience

Work History

Financial Case Manager

Capital Caring Health Hospice
2018.10 - Current
  • Directed financial case management, optimizing revenue cycles and ensuring compliance with healthcare regulations
  • Led DC Medicaid verifications, processed authorizations, and managed billing and claims operations
  • Collaborated effectively with patients, third-party payors, and legal teams to resolve billing issues and ensure financial integrity
  • Successfully managed tasks remotely without supervision, consistently meeting all deadlines and maintaining high productivity.

Patient Access Registrar

Adventist Healthcare Hospital
2022.06 - 2022.12
  • Evaluated admissions for appropriateness and collaborated with healthcare professionals to develop optimal care plans in compliance with payer and inpatient criteria
  • Admitted patients into the ER, collecting comprehensive demographic, insurance, and care-related information with precision and efficiency
  • Verified all health insurance details, processed billing, and ensured compliance with regulatory standards.
  • Answered phone calls and messages for over 85-physicians within the medical facility, scheduling appointments, and handling patient inquiries.

Health Information Management Specialist

Capital Caring Hospice
2015.11 - 2018.10
  • Compiled complete demographic and insurance information for patients, ensuring accuracy and compliance with regulatory requirements
  • Managed patient electronic medical records, ensuring timely updates and adherence to privacy regulations.

Office Manager

Various Locations
2014.04 - 2015.11
  • Managed office operations including data entry, document security, and coordination of administrative tasks
  • Maintained meticulous documentation standards and ensured compliance with privacy and security procedures.

Education

High School Diploma -

Eastern Senior High School
Washington, DC
01.2002

Skills

  • Private, Commercial Medicaid Verifications & Billing
  • Financial Case Management
  • Health Information Management
  • Regulatory Compliance
  • Insurance Verifications
  • Billing and Claims Processing
  • Electronic Health Record Systems
  • Attention to Detail
  • Communication Skills
  • Remote Work Proficiency
  • Cross-functional Collaboration
  • Problem-solving and Decision-making
  • Time Management and Prioritization

References

Available upon request

Timeline

Patient Access Registrar

Adventist Healthcare Hospital
2022.06 - 2022.12

Financial Case Manager

Capital Caring Health Hospice
2018.10 - Current

Health Information Management Specialist

Capital Caring Hospice
2015.11 - 2018.10

Office Manager

Various Locations
2014.04 - 2015.11

High School Diploma -

Eastern Senior High School
DARNYSHA JAMISON