Dalijah Daley
Durham
Summary
Experienced healthcare administrative professional with strong attention to detail and compassionate approach. Skilled in patient financial services, medical support, and healthcare administration. Proficient in navigating complex insurance policies to ensure smooth patient experiences and optimize revenue cycle operations. Committed to delivering exceptional service in fast-paced medical environments, while upholding accuracy, compliance, and efficiency.
Overview
6
6
years of professional experience
Work History
Financial Care Counselor
Duke Health
08.2024 - Current
- Conduct in-depth insurance analysis to determine coverage eligibility and patient financial responsibility
- Obtain prior authorizations and certifications, ensuring compliance with insurance plan contracts and guidelines
- Educate patients on billing, insurance policies, and financial assistance programs, fostering transparency and trust
- Process patient registrations with 100% accuracy, ensuring proper documentation of demographics and financial data
- Resolve insurance claim denials and rejections by liaising with insurance providers to expedite approvals
- Facilitate financial assistance for uninsured patients, coordinating with internal and external resources
Medical Support Assistant (GS6, Step 2)
VA Medical Center
12.2020 - Current
- Serve as the primary liaison between veterans, providers, and administrative teams to coordinate healthcare services
- Manage patient scheduling, insurance verification, and pre-authorizations, optimizing appointment efficiency
- Update and maintain electronic health records (EHR) in Vetlink and JLV systems, ensuring compliance with VA policies
- Provide frontline customer service, addressing patient inquiries and resolving administrative concerns
- Assist in billing and claims processing, collaborating with financial departments to ensure timely reimbursement
- Uphold HIPAA and confidentiality standards, safeguarding patient information and medical records
Front of House Manager
PDQ
10.2018 - 08.2023
- Led and trained a team of 20+ employees, ensuring exceptional customer service in a high-volume setting
- Managed daily operations, including POS transactions, cash handling, and financial reporting
- Oversaw inventory control, supply chain management, and quality assurance, optimizing business efficiency
- Cultivated a team-oriented culture, enhancing employee performance and guest satisfaction
Education
Bachelor of Arts - Mass Communications
North Carolina Central University
Durham, NCClass of 2016 - undefined
Northern High School
Durham, NCSkills
- Healthcare Administration
- Patient Support
- Insurance Verification
- Prior Authorization
- Medical Billing
- Revenue Cycle Management
- Electronic Health Records (EHR)
- Documentation
- Patient Advocacy
- Financial Counseling
- HIPAA Compliance
- Confidentiality
- Problem-Solving
- Critical Thinking
- Cross-Functional Team Collaboration
Timeline
Financial Care Counselor
Duke Health
08.2024 - Current
Medical Support Assistant (GS6, Step 2)
VA Medical Center
12.2020 - Current
Front of House Manager
PDQ
10.2018 - 08.2023
Class of 2016 - undefined
Northern High School
Bachelor of Arts - Mass Communications
North Carolina Central University
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