LaVetta Hankins-Price

702-***-****

ad2ogs@r.postjobfree.com

I Work well in fast paced/challenging environments, multi-tasking, well-organized, computer literate (a quick learner), excellent communication/customer service skills. I type anywhere between 60-85wpm. I have used the following programs: Microsoft works/word, Power Point, Excel, SXC, NASCO, PEGA (NextGen), ACMP, WGS, Solution Central, SharePoint, Internet Explorer, Microsoft Edge, Microsoft Outlook, Facets, CTRS, Macess, Panorama, Sfax, Genelco, RedCard, CareRadius, Adobe PDF, NitroPro, . AS400,ePremis,Access, Lotus, Timberland, Tenant Pro, ADP, Easy Cap, Peach Tree, Tax Wise, Points, Computer Ease, Orrotax, Med soft, Medi-care/Medi-cal electronic Billing,Yardi. With experience in A/P, A/R, ICD9, CPT and RVS coding, Assistant Living Billing, Worker's Comp, Medicare, Medical part A&B. I learn quick when it comes to working with new software programs, handle change well and adapt to changes within any department.

EXPERIENCE:

7/2021- 2/2023

Molina Healthcare

Appeals and Grievances Specialist

Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid.

4/2015- 7/2021

PrideStaff

Accounting/Admin Asst/Payroll/HR Manager

Ensured financial balance sheet accounts and bank reconciliations were accurate, deductions legally and statutorily correct and reports on controls and processes; and, Identified and described areas where problems and inefficiencies were systemic in nature. Managed Human Resources (HR) compliance by conducting period reviews, audits, and annual submissions, including, but not limited to, gathering, reviewing, and analyzing internal records. Monitored and ensured compliance with HR policies and procedures and employment laws. Collected and verified timesheets, ensuring that federal and state compliance rules were met and prepared payroll each work period. I was also responsible for managing the schedules and communications of key company executives. Prioritizing emails and phone calls, gathering documents to prepare for meetings and coordinating travel arrangements.

2/2000-Present

Owner

Accountant/Personal/Business Taxes/Consultant,

IRS certified, handle bookeeping, payroll, and corporation set-ups. I prepare tax provisions schedules, returns, payments, reports and maintain companies tax database. Find tax solutions to complicated tax issues or errors from incorrect tax filings. Identify legal tax savings and recommend ways to improve profits. Help clients create financial plans to achieve their goals. Answer financial questions and address concerns. Respond to client calls and emails promptly. Build long-term client relationships.

11/2010-3/2015

Dr. Gregory Prestruph General Medicine

Biller/Coder/Administrative Assistant

Process bills and invoices. Assign appropriate CPT and ICD-10 codes to inpatient and outpatient hospital services. Review medical documentation and translate notes into diagnosis codes, treatment/service codes, and medical hardware codes. Communicate with medical providers and insurance companies or other payers. Handled referrals, collections for unpaid claims/patient billing, as well as other administrative/accounting duties.

01/1995-10/1998

Kaiser Personal Appeals and Grievances Representative, Collections

Processing monthly skilled nursing therapy & room/board claims for Medicare, Medicaid and third party insurances, posting insurance. Record and maintain insurance policy and claim information in database systems and determine policy coverage while calculating claim amounts. Process claim payments when applicable and ensured compliance with federal, state, and company regulations and policies. Reviewed details and expectation of referral with the potential patients. Assist patients in problem solving potential issues related to financial or social barriers, requested interpreters as appropriate, and transportation services. Ensure referrals were addressed in a timely manner. Reviewed and resolved member and provider complaints/appeals and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established.

EDUCATION:

Hartford University- St Paul, Minnesota

August 2004- Graduated

Master of Business Administration/Accounting

Miss Wades Merchandising College- Dallas, Texas

September 1984- Graduated

Associate of Arts-Merchandising

License and Bonded Notary

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