Abigail Deza

Eligibility & Enrollment Specialist @Washington Health Institute

Washington, DC, US

As an Eligibility & Enrollment Specialist, I support patient access and care coordination by managing end-to-end enrollment workflows, ensuring eligibility compliance, and maintaining accurate data across multiple EHR systems. I contribute to operational efficiency and reporting efforts by collaborating closely with the clinic’s Data Analyst, helping transform raw patient and insurance data into actionable insights that improve outreach and program performance.Key Responsibilities: • Maintain accurate patient enrollment records and eligibility documentation in two EHR systems, ensuring regulatory and program compliance • Conduct intake assessments to determine service eligibility, while educating patients on program benefits and requirements • Lead monthly recertification outreach, improving continuity of care for patients receiving behavioral health services • Coordinate with insurance providers to obtain timely prior authorizations for behavioral health treatment plans • Partner with the Data Analyst to generate operational reports and monitor key metrics such as enrollment volume, recertification rates, and prior auth turnaround times • Support clinical and administrative workflows including patient registration, appointment scheduling, and documentation tracking • Ensure data integrity and high-quality patient records to support accurate reporting and funding compliance • Communicate regularly with interdisciplinary teams to ensure smooth handoffs and holistic care coordination

Virginia Commonwealth University

Bachelor of Science - BS, Health, Physical Education, and Exercise Science concentration health sciences

George Mason University

Master of Science - MS, Health Informatics concentration Data Analytics

Northern Virginia Community College

Associate's degree, General Studies