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Demetrias MasonDM
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Demetrias Mason

@demetriasmason

Prior authorization and banking support professional who resolves complex cases with HIPAA- and compliance-first accuracy.

United States
Message

What I'm looking for

I’m looking for a compliance-focused role where I can own high-volume workflows, communicate clearly with providers and clients, and consistently meet productivity and quality goals—using my prior authorization expertise to solve complex cases fast.

I’m a results-driven customer service, healthcare, and financial services professional focused on delivering exceptional client support while resolving complex issues and maintaining regulatory compliance. Across my prior authorization roles, I reviewed and processed requests, verified patient eligibility, benefits, and coverage, and kept detailed patient records in electronic systems. I communicate authorization status updates clearly to providers, insurance representatives, and patients, resolving denials and escalating complex cases when needed.

I also bring strong account and confidentiality experience from banking operations, where I supported clients with account management and banking products, handled inquiries, and ensured compliance with banking policies and federal regulations. Earlier, as a Clinical Research Coordinator, I managed participant records under HIPAA/NIH guidelines, coordinated study activities and follow-ups, collected and documented clinical trial data, and supported IRB submissions and regulatory compliance processes.

Experience

Work history, roles, and key accomplishments

MC

Prior Authorization Specialist

Managed Staffing / CVS-Aetna

Feb 2025 - Jan 2026 (11 months)

Reviewed and processed prior authorization requests while ensuring compliance with healthcare regulations and insurance policies. Verified patient eligibility and coverage, communicated authorization status updates, maintained detailed electronic records, and escalated complex denials when necessary.

Education

Degrees, certifications, and relevant coursework

MS

Murrah High School

High School Diploma, High School

Completed a High School Diploma at Murrah High School.

Tech stack

Software and tools used professionally

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