LATONYA R. WILLIAMS

ad2f7u@r.postjobfree.com

**** ** ***** ******, ***** Gardens, FL 33056

407-***-****

EDUCATION

Universal Career Academy

**/**** ************ *******: Medical Billing and Coding National School of Technology

07/2006 Occupational Diploma: Medical Billing and Coding PROFILE

Healthcare support professional with years’ of experience in the field. Excellent communication skills, proven customer satisfaction record, with various positions throughout the industry. Team player with diligent work habits and the willingness to learn, adapt and excel. EXPERIENCE

Broward Community and Family Health Center Hollywood, FL Health Information Management Clerk 01/2022 - Present Works as part of the administrative medical office team; processing referrals and or authorizations, scanning in progress notes, test results in patients charts and processing medical records requests in a Clinic setting, for continuing care of patients. Performs customer service for patients and Providers offices by telephone, fax, email and walk-ups. Ensures overall satisfaction by patient education and communicating with clinical staff of patients’ concerns. Jacobson Chicago, IL

Provider Services Agent (Temporary position) 08/2021 - 01/2022 Worked remotely answering inbound calls from Medical Providers, providing Commercial/Group/Medicare Advantage benefits, eligibility and claims status. Assisting members with benefits, provider selections, appointments, and scheduling rides to and from appointments. United Healthcare through Randstad Staffing Miami, FL Medical Records Retrieval Specialist (Temporary position) 02/2021 – 05/2021 Ensures all documents are managed and routed supporting HEDIS data collection efforts. Identify documents, and appropriately route for processing, conduct document indexing, and route invoice processing for payment of medical records. Attend daily team meetings for updates and weekly general meetings.

Healthfirst Lake Mary, FL

Customer Service Agent 09/2018 - 10/2019

Responsible for assisting members with inquiries and issues regarding their health insurance benefits, eligibility, claims, complaints, and member education. Processed payments, updated demographics and made PCP changes.

GDKN at Humana Pembroke Pines, FL

Medical Records Retrieval Specialist (Temporary position) 02/2018 – 05/2018 Schedule appointments with providers to make site visits for retrieving medical records for HEDIS. Retrieve medical records, based on requested measures by Medicare in a timely manner. Scan and upload records to Humana’s database for review. Maintain database of assigned sites to ensure timely retrieval and notes are documented to monitor progress. Follow-up on providers who have stated they will either fax or upload records to Humana’s portal and monitor voicemail for timely response. Ciox Healthcare Alpharetta, GA – Field Location Cleveland Clinic Florida, Weston, FL

Client Services Representative (ROI) 04/2015 – 10/2017 Process release of information requests for medical records from Patients, Physicians, Attorneys, and Government agencies by incoming mail, assisting walk-ins, telephone and facsimile inquiries. Accurately retrieve patients’ medical charts, scan medical records and transmit daily according to established procedures and standards of quality and productivity. Pick up and process Subpoenas for medical records as requested by Attorneys.

Physicians United Plan Orlando, FL

Provider / Member Services, Enrollment Verification Representative 01/2011 – 06/2014 Provided accurate information and research to resolve issues and updates regarding eligibility, benefits, review of claims, authorization status and initiated the grievance and appeals process. Provided Formulary information, medication copays, coverage gap and LIS status * Assisted the Grievance and Appeals Department with special projects by preparing and mailing out Acknowledgement and Resolution letters, contacted members verbally regarding complaints to obtain clarification of claim and facts about incidents; documented accounts accordingly * Logged all incoming claims and actions taken to maintain a record for analyzing * Contact new members welcoming them into the plan, providing an overview of their benefits, and eligibility status as per Medicare guidelines * Insured timely mail-out of welcome letters; second and third attempts correspondence to confirm decision to join the plan * Logged and reported team’s daily progress to aid in productivity reporting * Conducted training for new team members.

VOLUNTEER

AmeriCorps – The Ed Fund North Miami, FL

Reading Tutor 08/2002 – 06/2003

Tutor reading skills to students grades k-3 * Organize / worked on special projects within the school * Participated in various community service projects throughout the community.