Shaiana Davidson

I am a detail-oriented and customer-focused healthcare operations professional with extensive experience in claims processing, insurance verification, and medical record administration. My career has been dedicated to improving healthcare operations and ensuring compliance with industry standards. I am currently seeking to leverage my strong analytical, communication, and claims adjudication skills as a Claims Examiner with Western Growers Assurance Trust.

In my recent role as Operations Lead at Aspen Dental, I successfully reviewed Explanation of Benefits (EOBs), verified insurance eligibility, and managed dental claims inquiries. I led front-desk operations and supervised a team of four, ensuring that patient consultations were conducted effectively while maintaining HIPAA compliance. My previous experience as a Referral Manager in the U.S. Air Force allowed me to process and manage referrals for out-of-network specialty care, collaborating with multiple providers to resolve billing discrepancies and improve service coordination.

Throughout my career, I have demonstrated my ability to lead teams and implement efficient workflows. As the Infection Prevention & Instrument Processing Manager, I oversaw compliance for sterilization protocols and conducted audits to ensure safety standards were met. I am passionate about enhancing patient care and operational efficiency in the healthcare sector.