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Sonia DeWalt

Student at Springfield College majoring in Human Services, minoring in Mental Health
I have 25 years of progressive experience in the healthcare industry working for Cigna Healthcare and Blue Cross Blue Shield. After layoffs from both companies, I decided it was time for me to start a new chapter in my professional life. Returning to College was my first step toward that success. My mother Deborah Thomas who is the Director of Wilmington Head Start is a proud graduate of Springfield College, and she loved her experience. My goal is to be a License Clinical Social Worker (LCSW) and provide Mental Health counseling within my community. Im a proud mother of two beautiful girls Saniya 14 and Sierra 12, they are the loves of my life and provides me the strength that I need to achieve. My family is everything, God and Love sustain me. Once I earn my BA in Human Service I plan to continue my education work toward my Masters in Social Work.
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Sonia DeWalt of Newark, DE Named to Springfield College Dean's List

Springfield College has named Sonia DeWalt of Newark, DE to the dean's list for academic excellence for the fall 2018 term. DeWalt is studying Human Services . Criteria for selection to the de...

February, 14 2019 - Verified by Springfield College
Sonia DeWalt of Newark, DE Named to Springfield College Dean's List

Springfield College has named Sonia DeWalt of Newark, DE (19711) to the dean's list for academic excellence for the spring 2017 term. DeWalt is studying Human Services (UG) . Criteria for sele...

May, 30 2017 - Verified by Springfield College
Sonia DeWalt of Newark, DE Named to Springfield College Dean's List

Springfield College has named Sonia DeWalt of Newark, DE (19711) to the dean's list for academic excellence for the fall 2016 term. DeWalt is studying Human Services . Criteria for selection to ...

January, 18 2017 - Verified by Springfield College
Sonia DeWalt was recognized for graduating
Medial Lab Assistant
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Sonia DeWalt was recognized for enrolling
Softball Scholarship
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Vocational Industrial Clubs of America (VICA)
VICA hosted the International Youth Skill Olympics—held a competition following the National Leadership and Skills Conference (NLSC)—for the first time in 1981, in Atlanta. In 1995, the national competition, then known as the United States Skill Olympics, was renamed to the SkillsUSA Championships during the NLSC.
Fall 1983 - Spring 1987 - Howard High School of Technology
Varsity Basketball
Fall 1983 - Spring 1987 - Howard High School of Technology
Varsity Softball
Fall 1983 - Spring 1987 - Howard High School of Technology
Varsity Volleyball
Fall 1983 - Spring 1987 - Howard High School of Technology
Office Manager at Pittman Behavioral Health
Responsible for the day-to-day administrative task within the office. Verify insurance coverage, sending billing statements, making appointment and filing medical claims.
December 2016 - Present
Access Coordinator at Christiana Care Health System

Collaborates with physicians and interdepartmental staff to ensure seamless
delivery of patient care and appropriate fiscal management
Performs daily operational activities (registration/verification) as associated with accurately and efficiently managing patient encounters.
Registration of encounters as dictated to meet the clinical/fiscals need of the patient and institution.
Coordinates patient care activities with insurance companies, care managers, and physician office staff to minimize financial risk and maximize delivery of patient care.
Perform the assigned work safely adhering to established safety rules and practices.
Reports any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients, and visitors promptly

October 2015 - Present
Manage Care In-Take Coordinator, Outpatient Referrals at Highmark Blue Cross Blue Shield
Completed service provider calls and fax inquires for outpatient office visits and surgery authorizations. Performed first-level reviews of outpatient utilization, aligned with policies/procedures for the services being requested by physicians, and/or hospitals using established guidelines. Obtained and reviewed medical information for ambulatory services for plan members. Built medial cases for Medical Director approvals/denials. Made case determinations on authorizations for outpatient services. Reviewed KC30 claims and EWOs from customer and provider services.
August 2005 - November 2016
Pharmacy & Health Service Representative, Managed Care at Cigna Healthcare of Georgia
Quickly responded to inquiries from internal/external customers regarding prescription benefits; performed first-level pharmacy reviews based on established guidelines, and input medication overrides for members as needed. Obtained/reviewed medical information for ambulatory services for health plan members. Determined case dispositions based on authorizations for outpatient services. Provided health/pharmacy services for the CIGNA for Seniors Department.
January 1996 - May 2005
Financial Analysis Senior Associate at Cigna Healthcare of Delaware
Oversaw claims over payment identification and the collection process for risk group providers and other caped contracts; leading to reducing claims over payments, and maximizing recoveries. Coordinated with risk provider groups and internal constituents to resolve disputed claims. Research root causes and collaborated with the Claims Department to resolve issues with training and development.
February 1991 - January 1996
Sonia DeWalt
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