Diamond Davis Email & Phone Number

Houston, Texas, United States

Responsible for safeguarding and protecting the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.● Auditing patient records for compliance with government or insurance requirements● Performing basic coding for reimbursement claims● Ability to navigate in an electronic work environment including electronic health records,web-based trainings, and communications● Performs quality checks on all work to assure accuracy of the release, confidentiality, andproper invoicing● Processing Release of Information (ROI) requests for medical records

Remote

Ability to train and direct a study team, providing leadership and direction to both subordinates and peers● Professional technical troubleshooting expertise and comprehensive issue resolution● Self manage and work independently in a fast-paced, constantly changing environment● Able to research and grasp technical information across multiple tools while talking with clientsvia phone, e-mail, chat● Screen incoming pharmacy review requests for completeness of materials required to conduct thereview of the case.● Contact clients to resolve questions, obtain information, records and/or materials neededfor case review.● Review, edit, and proofread cases.● Detail and quality oriented ● Interpret clinical documentation for prior authorization requests, drug alternatives, formulary exceptions.● Strong data entry skills

Houston, Texas, United States

Consults with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.● Calculates dosage, fills prescriptions, refill authorizations,and prepares prescription labels with absolute accuracy.● Processes over 150 prescriptions per day in busy pharmacy, achieving decreased customer wait times and maintaining excellent customer satisfaction.● Performed a wide range of pharmacy operations with strong commitment to accuracy, efficiency, and service quality.