Deja Williams Email & Phone Number

Boston, Massachusetts, United States

Canton, Massachusetts, United States

• Assist members with their eligibility and benefit inquiries for their Medicaid ACO and MCO plans using SupportPoint., eligibility verification system (EVS) and HealthRules Manager (HRP).
• Request appeals and grievances for members in MACESS.
• Use Caremark, MedHok, RadMD, Evercore, and MACESS to provide information and status of medical and pharmacy prior authorizations, reimbursements, appeals, and claims.
• Use HealthRules Manager (HRP) to update members PCPs, check if providers are in-network and refer members to in-network providers.
• Document each call proficiently and thoroughly in MACESS.

Providence, Rhode Island, United States

• Met assigned group and project director weekly to work on the final paper and presentation.
• Presented policy analysis and presentation to the House and Senate Policy Offices in Rhode Island State House.

Pawtucket, Rhode Island, United States

• Use Salesforce scheduling tool to schedule, cancel, and reschedule COVID-19 tests for staff and students from Providence, Rhode Island schools.
• Answer high call volume calls
• Read negative lab tests to patients, and transfer patients with positive results to the Rhode Island Department of Health agent.
• Use scripts from Rhode Island Department of Health to assist members with next steps after having tests.

Pawtucket, Rhode Island, United States

• Use scripting tool & EPIC to register new patients, schedule and reschedule appointments and update patients’ demographics and consent forms.
• Contact and run insurance to verify insurance eligibility & identify payor source.
• Accurately follow protocols to send in-basket messages or transfer calls to physicians and nurses.
• Document patients calls proficiently during each call.

Boston, Massachusetts, United States

• Collaborated with supervisors and managers to make sure the employees are meeting the company daily goals.
• Assisted in other positions (e.g., Box Office, Concession, Guest Services, Usher Greeter, Usher Porter, or Ushering) when it was busy.
• Processed customers refunds and other inquiries at Guest Services using AMC POS system.
• Restoked inventory.Employee of the Month December 2016

Boston, MA

A daycare teacher assistant and kitchen assistant at various Nurtury School locations around Boston.Temp of the Month - August 2015

Brookline, MA

• Moving tables and chairs into various formations as requested from storage areas on campus and resetting/emptying rooms to original state; refreshing table cloths, skirting and making sure the room is tidy before and.
• Answering telephones, picking up the mail, entering work requests into a database, filing, copying, assistance with projects, event set-ups, and other tasks as assigned.

Boston, Massachusetts, United States

- Selected for an internship through the Boston Private Industry Council (PIC)- Completed basic administrative tasks including phone reception and filing- Hours were from 9AM-5PM

Master Of Health Administration - Mha, Health Administration, 3.7

Bachelor'S Degree, Health/Health Care Administration/Management

Bachelor'S Of Science, Health/Health Care Administration/Management

Activities and Societies: NewburyFirst group (Sept 2014 - Dec. 2014) Healthcare Club (Oct. 2014 - Dec. 2015)

High School Diploma, International Baccalaureate Program Certificate

Activities and Societies: Particpated in the GRow program(Fall 2010);Track and Field (Winter 2010); Model UN (2010-2012); and Upward Bound.

Completion Of 1St And Second Year And Third Year Certificates, High School Courses Preparation And College Preparation

Activities and Societies: Volunteered in groups during the program as well.Provided homework help for after school for grades 9 to 12.