TAJAHNA WILLIAMS
Philadelphia,USA
Summary
Detail-oriented Insurance Verification and Revenue Cycle Specialist with 4+ years of healthcare experience across behavioral health, specialty care, and multi-specialty hospital environments. Skilled in insurance eligibility verification, prior authorizations, patient intake, pharmacy coordination, and payer communication with a proven 98–99% accuracy rate. Experienced using Epic EMR, Navinet, and payer portals to support timely authorizations, reduce claim denials, and improve workflow efficiency. Recognized for strong patient communication, HIPAA compliance, multitasking, and ability to thrive in fast-paced remote and clinical environments.
Overview
4
4
years of professional experience
Work History
Patient Access Coordinator
Children’s Hospital of Philadelphia (CHOP)
Philadelphia, PA
10.2023 - Current
- Coordinate patient registration, intake, scheduling, and insurance verification across multiple specialties, including behavioral health
- Verify insurance eligibility and obtain authorizations for procedures, referrals, and specialty services
- Coordinate prescription processing and communication with providers and pharmacy teams to support timely patient care
- Maintain accurate patient records within Epic EMR while ensuring HIPAA compliance
- Collaborate with clinical, financial, and pharmacy departments to resolve patient account and authorization issues
- Improve workflow efficiency and support reduced patient wait times through accurate scheduling and documentation
- Audit patient accounts to minimize billing discrepancies and authorization delays
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
Insurance Verification Specialist (Behavioral Health)
Einstein Hospital
Philadelphia, PA
01.2022 - 10.2023
- Verified insurance eligibility and behavioral health benefits for 35–50 patients daily
- Processed 150+ prior authorizations weekly with 99% accuracy
- Coordinated directly with providers, insurance carriers, and care teams to secure timely approvals
- Supported medication-related insurance verifications and pharmacy coordination
- Reduced claim denials by 15% through accurate documentation and authorization follow-up
- Utilized Epic, Navinet, and payer portals to manage patient insurance workflows
- Assisted with workflow development and standard operating procedures (SOPs)
Education
Bachelor of Healthcare Administration - Health Administration
Community College of Philadelphia
Philadelphia, PA01-2027
Skills
- HIPAA compliance
- Strong organization
- Patient registration
- Insurance verification
- Communicating to patients and families
- Organized and detail oriented
Prior Authorizations
Revenue Cycle Management
Behavioral Health Intake
Patient Access & Scheduling
Pharmacy Coordination
Denial Prevention
Claims Support
HIPAA Compliance
Medical Documentation
Patient Communication
Data Accuracy
Workflow Improvement
Multitasking
Remote Work Support
Epic EMR
Navinet
Availity
Payer Portals
Microsoft Office Suite
EMR Documentation Systems
Insurance Verification Platforms
Remote Communication Tools
Independent Work Ethic
Strong Written & Verbal Communication
Time Management
Attention to Detail
Productivity Management
Adaptability
Remote System Navigation
Timeline
Patient Access Coordinator
Children’s Hospital of Philadelphia (CHOP)
10.2023 - Current
Insurance Verification Specialist (Behavioral Health)
Einstein Hospital
01.2022 - 10.2023
Bachelor of Healthcare Administration - Health Administration
Community College of Philadelphia