WHITNEY SMITH
Healthcare professional experienced in DME coordination, prior authorization, insurance verification, eligibility, and provider services. Skilled in medical documentation, insurance requirements, and DME orders with strong HIPAA knowledge. Effective communicator experienced in coordinating with providers, patients, case managers, and insurers.
Work History
DME Coordinator
2 Years 6 Months• Coordinate DME orders by reviewing documentation, diagnoses, and insurance requirements to support accurate and timely processing.
• Verify insurance eligibility and coverage while identifying documentation or qualification requirements that may affect DME orders.
• Collaborate with providers, case managers, patients, and internal teams to resolve order issues and facilitate DME services.
Authorization Specialist
1 Year 11 Months• Process prior authorization requests by reviewing medical documentation and obtaining required information from healthcare providers.
• Apply insurance guidelines and medical terminology to support accurate authorization decisions and timely processing.
• Communicate with providers and insurance companies to resolve authorization issues and obtain missing documentation.
Eligibility Specialist/ProviderService Representative
5 Years 5 Months- Managed provider requests, eligibility verification, and insurance-related inquiries while maintaining accurate records.
- Applied program guidelines, insurance requirements, and medical terminology to support accurate determinations.
- Communicated with providers, clients, and internal teams to resolve service issues and protect confidential information.