Destiny Smith Email & Phone Number

• Converse with Physicians to schedule peer to peer conversations
• Complete all documentations associated with post-acute denials
• Relay denial reasons from MD rationale
• Communicate with providers and physicians to review additional options throughout the denial process
• Create DENC (Detail Explanation of Non-Coverage) letters as requested by various Health plans
• Conduct inbound and outbound notifications via email and phone as required

• Contacted personnel for those involved with members’ transition to and from post-acute care facilities
• Communicated inbound and outbound requests and notifications between EviCore stakeholders and external hospitals
• Interpreted policies involving multiple health plans to ensure state compliance of Medicare and Medicaid guidelines
• Addressed and resolve issues that arise with pre-certification process
• Reviewed faxed documents to verify PHI is adhered to
• Communicate with support to confirm member eligibility as needed

• Coded complaints based on equipment errors/ malfunction
• Thorough reading of issues if multiple problems were found at once
• Research of coding projects as assigned
• Internal follow up with engineers for resolutions of the complaint
• Followed internal guidelines to ensure coding was in regulation

Franklin, Tennessee

• Contact personnel for those involved with members’ transition to and from post-acute care facilities
• Communicate inbound and outbound requests and notifications between EviCore stakeholders and external hospitals
• Interpret policies involving multiple health plans to ensure state compliance of Medicare and Medicaid guidelines
• Address and resolve issues that arise with pre-certification process

Nashville, Tennessee

• Assisted with event planning and management
• Contacted companies for low level sponsorship and donations
• Created sites to increase volunteer recruitment for annual Tour de Cure
• Involved with planning, distribution of materials, and execution of Tour de Cure event

Rochester, New York Area

• Under the guidance and mentoring of administrator, shadowed administrator, observing and par-taking in day-to-day tasks
• Assigned to perform administrative tasks involving copying papers; filing of confidential forms and faxing. Also created data sheets
• Attended meetings and was assigned as the official note-taker for the meetings

Rochester, New York Area

• Assisted team members with event planning and management
• Performed clerical duties including answering telephones and taking messages
• Copy, file, fax and other associated tasks involving classified documents
• Provided assistance to patrons of the Healthy Living Library by implementing procedures
• Assisted with newsletter content and design
• Participated in health fairs