Morgan Davis
Atlanta
Summary
Patient-focused healthcare Professional with 5 years of experience in the healthcare industry, demonstrating a strong commitment to enhancing patient care. Established experience in case management, insurance reimbursement, and patient advocacy. Proficient in resolving prior authorization denials and appeals, coordinating care, and navigating Medicaid, Medicare, and commercial plans. I focused on providing exceptional service in diverse healthcare settings, including pharmaceutical, hospitals, and outpatient facilities.
Overview
6
6
years of professional experience
Work History
Non-Clinical Case Manager
Cencora/AmerisourceBergen
01.2023 - Current
- Serve as a patient advocate, educator, and single point of contact for patients, caregivers, providers, and field incoming calls, triaging as needed and routing to the appropriate team.
- Performing comprehensive assessments of clients' needs and resources to plan and implement appropriate care.
- Reports adverse events, Product complaints, special situation reports, and/or medical inquiries received in accordance with SOPs and the Business Rules.
- Participates in department projects and ensures excellence in patient support.
- Conducts insurance verifications to determine insurance coverage, prior authorization requirements, and copay assistance eligibility.
- Maintain compliance with Medicaid, Medicare, and other insurance Plan requirements while managing more than 50 patient caseloads daily.
Patient Intake Coordinator
Fresenius Medical Care
08.2022 - 01.2023
- Assisted in the intake process by gathering essential information from patients through various communication channels.
- Handled heavy call volumes of 75+ inbound and outbound calls to assist patients with scheduling, referrals, and service inquiries.
- Scheduled individual appointments for outpatient services in coordination with clinical staff and the individual support network.
- Monitored waitlist and managed follow-ups to ensure patients received timely services.
- Tracked intake metrics diligently, identifying areas for process enhancement and implementing changes that led to noticeable improvements.
Patient Access Representative
Wellstar Kennestone Emergency Department
Marietta
06.2021 - 04.2022
- Facilitated seamless patient registration by coordinating with healthcare teams, ensuring accurate data collection in high-pressure environments.
- Verified and obtained patient insurance information, demographics, and consent forms.
- Trained and mentored new staff on patient access protocols, contributing to a 25% increase in team productivity.
- Utilized electronic health record (EHR) systems to maintain accurate patient records and manage appointment scheduling, enhancing overall operational efficiency.
- Analyzed patient financial data to clarify responsibilities and payment options, resulting in improved patient understanding and satisfaction.
Pharmacy Technician
CVS
Cleveland
05.2019 - 03.2020
- Prepared and dispensed medications as prescribed by healthcare professionals. This included counting, measuring, and mixing medications, ensuring that all prescriptions are filled correctly and efficiently.
- Assisted pharmacists in verifying prescriptions for accuracy and completeness, checking for potential drug interactions and allergies to ensure patient safety.
- Assisted with processing insurance claims and verifying patient insurance coverage, and helped patients understand different insurance plans by ensuring they received the maximum benefits available for their medications.
- Educated patients on the proper use of medications, including how to take them, potential side effects, and the importance of adherence to prescribed regimens, and provided written materials and resources to enhance understanding.
Education
Bachelor of Science - Health Services Administration
Middle Georgia State University
Macon, GA 01.2015 - 12/2017
Skills
- Leadership
- Communication
- HIPAA Compliance
- Electronic Health Record Software
- Customer Relationship Management Tools
- Technical Skills
- Problem-Solving
- Organizational Skills
Timeline
Non-Clinical Case Manager
Cencora/AmerisourceBergen
01.2023 - Current
Patient Intake Coordinator
Fresenius Medical Care
08.2022 - 01.2023
Patient Access Representative
Wellstar Kennestone Emergency Department
06.2021 - 04.2022
Pharmacy Technician
CVS
05.2019 - 03.2020
Bachelor of Science - Health Services Administration
Middle Georgia State University
01.2015 - 12/2017