Sasha Gaines

About

Seasoned Healthcare Administration professional with 13+ years of progressive experience across healthcare operations, customer service, data analysis, and medical device distribution. Skilled in managing high-volume caseloads, ensuring HIPAA compliance and healthcare regulatory adherence, supporting specialty intake workflows, and using EMR/EHR systems (Epic, Cerner) to maintain accurate patient data, claims, and reporting.

Experience

• Medical Intake Specialist / Healthcare Administrator · Evicore / Cigna Healthcare06-01-2023

  • Coordinated patient intake for specialty medical services, verifying insurance eligibility, benefits, and pre-authorizations. • Managed multi case and specialty queues, ensuring timely and accurate data entry and case progression. • Liaised between patients, providers, and insurance companies to resolve issues and provide support. • Maintained HIPAA compliance and upheld high standards of data confidentiality. • Utilized EMR systems for patient data management and reporting.

• Quality Assurance/Distribution Data Processor – Medical Device Distribution · ConMed Corporation03-01-2010 – 12-01-2014

  • Provided high-touch customer service to healthcare providers and patients regarding medical devices. • Managed inbound and outbound calls to process orders, track shipments, and troubleshoot device issues. • Collaborated with supply chain and logistics teams to ensure timely distribution of medical equipment. • Maintained detailed documentation for all customer interactions and service outcomes.

• Healthcare Customer Service & Data Analyst · Ennovah, LLC01-01-2011 – 06-01-2023

  Analyzed customer service trends and healthcare data to identify areas of improvement. Processed patient records and healthcare claims with 99% accuracy. Developed and presented performance metrics to management to improve operational efficiency. Conducted audits and generated reports for compliance and quality assurance.

Education

• Keiser UniversityAssociates of Science in Medical Assisting, Medical Assisting
• Belton-Honea Path High SchoolDiploma

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