Caleasha Davis Email & Phone Number

Durham, North Carolina, United States

• Strong written and verbal communication skills • Manage and sustain positive provider relationships • Compile appropriate information to make requested contractual and demographic updates and changes related to provider data in the systems of record in an accurate, complete, and timely manner• Facilitate accurate financial claims payment and provider community • Configure providers and networks in systems of record, assign provider numbers and communicate with provider community• Microsoft Office Proficiency • Represent the Client to external provider communities and internal stakeholder groups • Highly analytic and data-driven • Diverse in Healthcare analytics

Cary, North Carolina, United States

Develops and maintains a program which is therapeutic and age appropriate for the residents on the Bridge to Rediscovery Unit based on Montessori Based Dementia Programming principles.• Implements and coordinates the Bridge to Rediscovery Program.• Provides staff training for the Bridges to rediscovery Program, Assisting in determining appropriate staffing ratios.• Assisted residents with activities of daily living including helping with meals, transferring using assistive devices, bathing, dressing and grooming.• Medication Administration to the residents in the community.• Receive monthly MARs from pharmacy, check them for accuracy, write in any new orders the pharmacist did not include on MARs• Obtain orders from physicians for hospice care, set up services and communicate with families, case managers, Hospice and Home Health Agencies as needed.• Work to maintain the self-respect, personal dignity, and physical safety of each resident• Be familiar with Residents Bill of Rights and assist residents in exercising those rights• Count medication brought to the community• Monitor skin care, nail care, vitals, intake, and output of residents

Durham, North Carolina, United States

Contract position Report to regional regulatory authorities globally• Assessing Lifecycle Safety (LS) data for reportability to relevant authorities• Tracking reportable cases and report to regulatory authorities, ethics committees, institutional review boards, investigators, and oversight groups per legislation, within timelines and in a format compatible to requirement• Liaising with local IQVIA offices, where applicable, to facilitate expedited reporting.

Contract position • Verifies patient’s eligibility and claims status with government and commercial insurance companies and pharmacy benefits payers.• Determines prior authorizations for medication and outpatient procedures.• Submits appeals for denial of medication coverage on behalf of health care providers and patients.• Actively maintains current work knowledge of CPT and ICD-9 coding principals, government regulation, protocols, and third-party requirements billing.• Maintain consistent communication with Department of Pharmacy stakeholders regarding retail pharmacy revenue cycle performance and reimbursement matters including lack of payment, underpayment, and associated adjustments.• Research unresolved balances in unapplied cash and resolve with payment reconciliation and appropriate General Ledger adjustments.• Coordinate projects and audits to improve processes related to retail pharmacy revenue cycle, efficiency of charging and billing, and collection efforts.• • Maintain working knowledge regarding retail pharmacy operations, billing, and reimbursement methodologies.

Garner, North Carolina, United States

• Conducts pre-donation medical screening in accordance with established guidelines.• Ensure all donor screening information is complete and accurate prior to donation.• Promoted customer satisfaction through appropriate interaction and responsiveness to customer needs.• Obtains blood specimens by performing venipunctures and finger sticks.• Ensures all donor confidentiality• Provides appropriate feedback to ineligible donor candidates• Establishes and maintains donor files in an organized and efficient manner• Builds rapport with donors to ensure overall customer satisfaction with the center to support long-term donation• Respond to and assist with handling donor reactions• Set up, disconnects, and operates the automated plasmapheresis machines• Disconnects and disposes of all contaminated disposable equipment

Bsn, Nursing Science

Master Of Business Administration - Mba, Health/Health Care Administration/Management