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.

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.

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.

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.

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.

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.

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.

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