LATOYA STEWART

EDUCATION

New Horizon Medical College, Nashville, TN 2011

Certified Medical Office Administration

PROFESSIONAL EXPERIENCE

Cummins, Nashville, TN March 2017 – April 2018

Accounts Receivable Analyst

Handle high visibility customers and a complex portfolio

Prepare reports upon request of management and internal customers

Interact with marketing/sales as appropriate to resolve AR issues

Work cross-functionally and/or with multiple entities to identify problems and potential solutions

Participate in projects related to AR improvement

Handle various assignments, which are broad in nature and require strong analytical thinking to complete

Effectively utilize technology and other tools to accomplish tasks

Community Health Systems, Franklin, TN June 2014 – March 2017

Cash Application Specialist (April 2016 – March 2017)

Accurately posted patient and payor payments to the patient accounts

Accurately balanced the daily lockbox, EFT, local depository, and credit card payments

Researched and refunded credits due to overpayment as required

Prepared the daily deposits

Utilized Hyland OnBase, Artiva, MedHost, Obsidian, HMS AS400, Outlook, Microsoft Word, Optum 360, and Excel to ensure account resolution

Administrative Assistant (June 2014 – April 2016)

Served as primary administrative assistant for the Medicare/Medicaid/Tricare, Insurance and Billing departments due to short staffing

Trained new support staff in billing and collection support programs and processes to fill the need of the Insurance and Billing departments

Prepared hard copy UB-04 and HCFA 1500 forms for claim submission and used excel to analyze, generate and calculate disposition reports weekly

System knowledge of FACS, AS400/HMS, Citrix, DAR, UB-04 and HCFA 1500 data entry program, Microsoft Word, Excel, Publisher, and Visio required

Cigna-HealthSpring Inc., Nashville, TN October 2013 – June 2014

Triage Specialist

Handled appeals involving medical necessity, retroactive authorizations, prescription drug coverage, and/or member eligibility

Verified insurance for patients in order to approve surgeries and specialist visits

Typed medical orders for procedures and laboratory tests

Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes

Participated in unit-based Quality Assurance Program

Adin Healthcare, Brentwood, TN March 2011 – September 2013

Insurance Processor

Recorded and filed patient data and medical records for workman's comp claims

Validation and data entry of procedure and diagnosis codes documented on the Daily Patient List submitted by physicians

Performed follow-up with insurance payers via phone or website to resolve claims and reviews

Accurately entered procedure codes, diagnosis codes and patient information into billing software

Interpreted medical reports to apply appropriate ICD9, CPT4 and HCPCS codes

Contacted injured parties and legal representatives to negotiate final settlements for claims

Reviewed collection files to determine next steps in the collection process

Drafted statement of loss to summarize damages, payments and underlying policy coverage

Performed debit, credit and total accounts on computer spreadsheets/databases, using specialized accounting software

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