Porsha Allen
Lancaster
Summary
Experienced healthcare professional with over 11 years in benefits reporting, revenue cycle operations, and patient care coordination. Specializes in analyzing coverage data and interpreting payer guidelines to enhance workflows. Collaborates effectively with providers and payers to resolve complex cases and improve operational efficiency. Certified in credentialing with a solid background in healthcare systems and compliance.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Sr. Benefit Reporting Specialist
Lingraphica
Princeton
04.2024 - Current
- Analyze and manage benefits reporting processes to ensure accuracy, compliance, and timely delivery of patient coverage information
- Interpret payer guidelines, eligibility criteria, and authorization requirements to support accurate reporting
- Identified workflow inefficiencies and implemented process improvements, enhancing turnaround time
- Collaborated with providers, payers, and internal departments to resolve complex coverage issues, ensuring accurate patient information
- Maintain detailed documentation to support regulatory compliance and audit readiness
- Supported reporting accuracy through data validation and reconciliation, maintaining compliance and audit readiness
Funding Consultant
Tobii Dynavox
Pittsburgh
03.2022 - 02.2024
- Reviewed prior authorizations and payer requirements to secure funding approvals and enhance eligibility determination
- Analyzed documentation against third-party payer criteria to reduce denials and improve approval outcomes
- Managed funding cases from initiation to resolution, ensuring timely processing
- Resolved complex insurance denials through in-depth research, analysis, and effective payer communication, leading to increased approval rates
- Resolved complex insurance denials through in-depth research, analysis, and effective payer communication, leading to increased approval rates
- Tracked and reported case progress using internal systems and online payer resources to ensure transparency and accountability in funding processes
Patient Care Coordinator
SWHR (Texas Health Resources)
Fort Worth
08.2019 - 08.2021
- Coordinated patient care through medical record review and patient need assessment to ensure comprehensive support
- Coordinated patient care through medical record review and patient need assessment to ensure comprehensive support
- Collaborated with providers and community resources to enhance patient outcomes and streamline care processes
- Analyzed utilization patterns to support preventative care and reduce readmissions
- Maintained accurate documentation in compliance with healthcare regulations
Patient Navigator / PCT
Texas Health Resources
Dallas
11.2016 - 07.2018
- Coordinated patient admissions, discharges, and transfers across departments to streamline patient flow
- Documented patient information to facilitate clinical decision-making and improve care outcomes
- Supported patients with daily care activities, enhancing comfort and well-being in hospital setting
- Documented patient information to facilitate clinical decision-making and improve care outcomes
- Maintained accurate documentation in compliance with HIPAA and hospital policies
Patient Navigator
Solis Mammography
Addison
05.2015 - 11.2016
- Coordinated insurance verification, payment processing, and patient documentation to streamline service delivery
- Assisted patients with scheduling, intake, and coordination of imaging services
- Coordinated insurance verification, payment processing, and patient documentation to streamline service delivery
- Addressed patient questions and concerns to enhance overall customer service experience
- Addressed patient questions and concerns to enhance overall customer service experience
Education
Associate of Applied Science - Health Services Administration
Bryant & Stratton College
Buffalo, NY 05.2021 - 08.2021
Skills
- Coverage verification
- Revenue Cycle Support
- Regulatory Compliance (HIPAA)
- Healthcare documentation
- Workflow Optimization
- Data analysis
- Case resolution
- Stakeholder Engagement
- Benefits reporting
- Payer guidelines
- Documentation accuracy
- Complex problem solving
- Customer relationship management
Certification
- Credentialing Specialist Certification, 2025
- Certified Nursing Assistant, 2014
Coursework
- Healthcare Information Systems
- Medical Billing Fundamentals
- Medical terminology
- Management Principles
- Organizational Behavior & Leadership
- Accounting Principles
- Procedure Coding
- Introduction to Reimbursement and Medical coding Fundamentals
Timeline
Sr. Benefit Reporting Specialist
Lingraphica
04.2024 - Current
Funding Consultant
Tobii Dynavox
03.2022 - 02.2024
Associate of Applied Science - Health Services Administration
Bryant & Stratton College
05.2021 - 08.2021
Patient Care Coordinator
SWHR (Texas Health Resources)
08.2019 - 08.2021
Patient Navigator / PCT
Texas Health Resources
11.2016 - 07.2018
Patient Navigator
Solis Mammography
05.2015 - 11.2016