Yaunte Dvine

Executive Administrator @Dvine Systems Ga

Assigned caseloads to mental health therapists, optimizing service delivery and resource allocation of patient needs.Obtained and maintained service authorizations for various mental health services across Fee-for-service, commercial, Magellan, Amerigroup, and Cenpatico (Medicaid) insurances.Led weekly compliance updates to the CEO and COO, reporting on authorizations, staff adherence, and billing accuracy.Monitored Medicaid and commercial insurance’s status changes for clients monthly, resolving discrepancies to ensure uninterrupted services.Investigated and resolved billing issues, expediting payments and preventing revenue loss.Conducted monthly chart audits for active and transitioning clients, ensuring compliance with Medicaid, commercial insurance, and agency standards.Trained staff on Medicaid and commercial insurance guidelines, policies, and procedures, reinforcing compliance and efficiency.Acted as the primary liaison with auditors, referral sources, and trainers (CPI, First Aid/CPR), ensuring seamless collaboration.Addressed client complaints and grievances, upholding client rights while maintaining agency policy integrity.Assisted in marketing and advertising strategies to enhance outreach and service accessibility.Interviewed and hired qualified personnel (Doctors, Nurses, Therapists, and Administrative Staff) to meet Medicaid and commercial insurance’s compliance standards.Attended all Medicaid provider meetings, staying updated on regulatory changes and ensuring agency adaptability.