Deltra Davis Email & Phone Number

Serves as department liaison to community resource partners and educates case management department staff on available resources.Responsible for promoting patients desired outcomes by providing transitional support, community referrals, and patient education to facilitate discharge planning and minimize re-hospitalization.Dedicated resource person within the department, maintaining communication between case management, community partners and insurance companies.Assess and follow up on patient health education needs and ensure a plan is in place for discharge.Follow up with insurance companies to ensure proper authorization was obtained for patient needs post discharge.Provide member referrals to insurance companies for case management of disease and, medication management and other program resources available to the patient.Responsible for maintaining, creating, and updating brochures and other health related resources for company department website.Manage Veterans Administration special reports and analysis of clinical flow to assess patient needs throughout the discharge process. Ensure that all department patient complaints on billing issues are followed up on and denials are resolved. Coordinate training and onboarding of Interns and new employees into the department.Member of the UF Patient Rights and Responsibilities Committee.

Jacksonville, Florida Area

Assisted with discharge planning, BLS and ALS transportation, arrangement of DME equipment, and educated patients on insurance benefit plans.Arranged all follow up care with Primary Care Physicians and additional appointments to reduce readmission rates Focused on reducing patient’s length of stay and HCAPS scores in a hospital setting and promoted advocacy and education of patients.Obtained medical records and Physician referrals to assist Case Managers with hospital discharge planningAcquired authorizations for services in Extended Care system when appropriate for patient safe dischargeResponsible for administering each new employee orientation and training

Verified, coordinated and pre-certified all third party payers are in accordance with the specification of the insurance carrier, for hospital billing and payment.Facilitated the delivery of regulatory letter(s) to patients and/or guarantors to ensure compliance with local, state, and federal regulations.Interviewed and pursued for all pertinent demographic and financial information from patient upon arrival.Managed emergency admission registration process and other finance functions.Served as liaison between patients, nurses, physicians, and other medical staff.

Provide breastfeeding promotion education to pregnant women during OB/GYN prenatal appointmentsProvide education materials related to pregnancy, breastfeeding and newborn care Gather clinical history via face to face interviewsThorough documentation of education provided in patient recordDemonstrate continuous case management of prenatal education received throughout pregnancy to ensure increased knowledge in maternal/child health Provide support of breastfeeding to mothers during the first 6 weeks postpartumMaintain inventory of donor human milk availability in NICUManage organization of mother’s own milk and donor human milk freezer in NICU

Review and follow-up on all unpaid claims to ensure prompt payment. Managed accounts for correct registration and correct adjustments per contract agreement. Verify third party coverage to avoid erroneous submission of claims via patient accounts.Respond to insurance inquiries via phone and e-mail regarding account or billing issues.Verify correct payments of PPO, HMO, Worker’s Comp and Medicaid/Medicare contracted fee schedules. Identify true variances/billing issues per payer contract.Resolved all refund disputes from payers when claims are not paid per contract.Ensured that all accounts are collected and posted to accounts within 30 days. Verified CPT and ICD codes are entered correctly for appropriate billing. Maintained highest level of productivity in completing assigned tasks.Managed accounts and assisted in collection of $1 million dollar monthly goals.Top collector for two consecutive months over $1 million dollars.

Researched and managed issues including delinquent accounts. Posted and applied premium payments for group insurance. Investigated actual billing statements to identify and resolve discrepancies.Respond to client inquiries via phone and e-mail regarding account or billing issues.Perform accounts receivable collection working closely with Account Managers and answering call from existing clients regarding past due invoices and establishing payment arrangements.Consistently exceeded quality and production standards.Met monthly deadlines to get debits down for performance goals in order to save company money.Star performer for two months for customer satisfaction.

Process accurate and timely input of HMO enrollment, changes and terminations in system. Responsible for accurately entering enrollment eligibility and enrollment procedures daily via paper enrollment; electronic file, web based transactions, e-mail enrollments and sending the welcome packet for new membersConduct research pertaining to missing information. Handled calls from brokers and employer benefits.Perform special projects or tasks as assigned by the management teamSelected to participate on the quality customer service task force.Identified as senior representative and workflow call coach.Trained new employees on job functions to ensure smooth transaction.

Administered case files on HMO and traditional group insurance. Process re-rates and renewal on benefit plans.Create new accounts to provide accurate reconciliation. Contact groups with all discrepancies within billing cycle.Exceeded objectives and took on additional tasks to ensure goals were met.Consistently exceeded quality and production standards

Bachelor’S Degree, Bachelors Of Science(Bs) Health Education

Associate’S Degree, Associates Of Arts

Activities and Societies: Phi Theta Kappa Honor Society