Shanita Smith

I am an analytical, performance-driven Authorization Specialist with over four years supporting Medicaid eligibility, prior authorizations, and payer communication in a high-volume dental environment. I consistently process 150+ authorizations daily using DentaPro and EDI workflows with 98% accuracy while maintaining HIPAA compliance and audit readiness.

My work has improved payer approval rates and operational efficiency — I standardized documentation and optimized EDI submissions to increase approvals by 20% and redesigned workflows to reduce turnaround time by 25%. I partner closely with providers and cross-functional teams in Utilization Management, RCM, and Billing to validate medical necessity, improve first-pass approvals, and reduce denials.

I hold current compliance and HIPAA certifications and am progressing toward Certified Revenue Cycle Specialist status. I bring disciplined documentation controls, SLA-focused performance, and measurable improvements in payer relationships and revenue cycle operations.