Sasha Smith
Gloucester
Summary
Dynamic Insurance Authorization Specialist with a proven track record at Hope In Home Care, adept at processing authorizations and enhancing patient experiences. Skilled in HIPAA compliance and strong communication, I effectively resolved billing inquiries and streamlined processes, achieving significant reductions in outstanding claims. Committed to delivering exceptional patient care and support.
Overview
4
4
years of professional experience
Work History
Insurance Authorization Specialist
Hope In Home Care
04.2025 - Current
- Processed insurance authorizations efficiently for patient care services.
- Coordinated with healthcare providers to gather necessary documentation for approvals.
- Utilized electronic health record systems to track authorization statuses accurately.
- Communicated effectively with clients regarding authorization outcomes and next steps.
- Maintained up-to-date knowledge of insurance policies and regulatory requirements.
- Processed and recorded new policies and claims.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Childcare Provider
Grandkids Childcare and Learning Center
03.2022 - 12.2024
- Supervised daily activities, ensuring safety and engagement for children aged 6 months to 5 years.
- Developed and implemented age-appropriate curriculum promoting cognitive, emotional, and social development.
- Communicated effectively with parents regarding children's progress and behavioral concerns.
- Organized educational games and activities fostering creativity and teamwork among children.
- Maintained clean, safe, and organized environment in compliance with health and safety regulations.
- Assisted in training new staff on childcare principles and center policies to ensure consistency in care.
- Monitored individual child progress, adapting strategies to meet diverse learning needs of students.
- Developed strong relationships with families, providing regular updates on child progress and establishing trust.
- Sanitized dishes, tabletops, toys, and frequently touched surfaces to prevent spreading of germs.
- Maintained clean facilities by following sanitation protocols, ensuring a healthy environment for all children.
Patient Access Representative
Riverside Walter Reed Hospital
05.2024 - 10.2024
- Facilitated patient check-in process, ensuring accurate collection of demographic and insurance information.
- Scheduled appointments and managed patient flow to optimize clinic operations.
- Educated patients on hospital policies, procedures, and available services to enhance patient experience.
- Collaborated with healthcare providers to resolve billing inquiries and insurance verification issues efficiently.
- Streamlined registration processes by implementing new software tools, reducing wait times for patients.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Education
High School Diploma -
Gloucester Highschool
Gloucester, VASkills
- Prior authorization
- Strong communication skills
- HIPAA compliance
- Active listening
- Authorizations
- Patient scheduling
- Critical thinking
Timeline
Insurance Authorization Specialist
Hope In Home Care
04.2025 - Current
Patient Access Representative
Riverside Walter Reed Hospital
05.2024 - 10.2024
Childcare Provider
Grandkids Childcare and Learning Center
03.2022 - 12.2024
High School Diploma -
Gloucester Highschool