La Tonia Lofton-Adams

Houston, TX *****

adxqb8@r.postjobfree.com

+1-713-***-****

To obtain a position that will enable me to maximize my skills and education in a manner that will provide

growth and opportunity as an asset in your organization. Authorized to work in the US for any employer

Work Experience

Resolution/Appeals Specialist

TTEC Healthcare Solutions(UnitedHealth Group) - Remote August 2021 to Present

• Advise and help resolve customer service advocates inquiries and issues by providing job aids and by identifying the plan members's needs such as benefits, eligibility, claims, financial spending accounts and letter writing correspondence

• Help guide and educate customer service advocates with fundamentals and benefits information to better assist the plan members

• Provide customer service advocates assistance with member billing inquiries, enrollment/ disenrollment/disputes,refund requests, and to maximize the value of their health plan benefits and choose quality care providers

• Provide guidance for customer service advocates when contacting care providers on behalf of the plan member to assist with appointment scheduling, Prior Authorizations and connections with internal specialists.

• Assist customer service advocates in navigating UnitedHealth Group websites and tools to assist customer needs

• Medicare and medicaid dual plan experience

• Payment processing

• Medical and prescription Claims review

• Coordination of Benefits resolution

Real Estate Agent

Independent contractor - Houston, TX

August 2018 to Present

• Develop a marketing plan for clients to attract and address the needs of buyers

• Identify properties for sale through multiple listing services and present them to clients

• Assist clients as they explore financial options

• Gather client information in regards to features in a home, financial ability,home types and neighborhoods of interest

• Present offers to clients

• Preside over negotiations and advise clients on suitable courses of action Operations Assistant

NRG ENERGY - Houston, TX

January 2007 to September 2017

Accounts Payable Specialist

• Exercise knowledge of power plant operation

• Create Service Entries

• Vendor account management

• GR/IR reconciliation

• Reduce and resolve duplicate and overpayments.

• Match and enter bill of ladings

• Freight/logistics disbursements.

• Liaison for managers, engineers and clients

• Facilitates meetings with various departments and suppliers to streamline processes and provide root cause analysis

• Obtain DOA approval for invoices

• Research and Resolve invoice issues

• Code Non PO invoices

• Process biweekly payroll for 100 plus employees

• Enter timesheets for bargaining unit employees

• New hire onboarding in SuccessFactors, I9 & e Verify

• Review overtime report

• Obtain vacation, overtime and PTO approvals

• Participate in payroll close

• Investigate and resolve payroll issues

• Enter and update direct deposit information. Purchasing Buyer

• Create service and material Purchase Orders

• Create RFQs

• Create and manage blanket purchase orders

• Obtain quotes and negotiate pricing for cost effective savings for materials, chemicals, repairs and equipment rentals

• Purchase of gas turbine parts and services

• Responsible for inventory control and management

• Participate in annual inventory audits.

• Prepare bid specification orders

• Assist with sales transactions tax audits

• Prepare monthly and annual plant budget reports

• Manage and create journal entries

• Present budget reports in monthly metrics meetings.

• Review monthly tax report for errors on invoices over $100.00, send corrections to tax department for refund of taxes overpaid

• Provide correct coding, for general ledgers and each PO line,

• Prepare spreadsheet to report cost savings that will impact plant budget monthly based on tax analysis

• assist tax department with preparation of filing tax refunds Billing Coordinator

Parkway Hospital Houston - Houston, TX

February 2006 to April 2010

• Assisted patients with insurance forms and claims.

• Perform billing tasks

• Ensure Insurance claims were billed correctly to the insurance companies.

• Post payments to patient accounts

• Daily cash balance and posted.

• Assign accounts in Collections queues for follow

• resolutions: appeals and denials

• Perform Customer Services calls in a timely manner

• Obtain insurance approvals and prior authorizations in a timely manner

• Notify patients in advance of out of pocket expenses prior to services rendered

• Complete and submit insurance claims

Education

License in Real Estate Sales

Champions School of Real Estate - Houston, TX

2018 to 2018

Certificate in Train the Trainer

San Jacinto Community College - Houston, TX

2015 to 2015

Diploma in Medical Assistant

Allied Health Careers - Austin, TX

1993 to 1994

High school diploma or GED

Skills

• ACCOUNTING (10+ years)

• ACCOUNTS PAYABLE (10+ years)

• AUDITS (10+ years)

• BUDGET (10+ years)

• BUYING/PROCUREMENT (10+ years)

• Microsoft Office

• Human Resources Administration (8 years)

• Payroll

• Scheduling

• Real Estate

• Hiring

• SAP

• Maximo

• SAP SuccessFactors

• Alzheimer's Care

• PeopleSoft

• Accounts Receivable

• Root Cause Analysis

• General ledger reconciliation (9 years)

• JD Edwards

• Office Management

• SOX

• Purchasing

• Journal Entries

• Account Reconciliation

• Medical Billing

• Hospice Care

• SharePoint

• Management

• Medical collection

• Analysis skills

• Typing

• Tax Experience

• Bank Reconciliation

• QuickBooks

• Manufacturing

• Presentation skills

• ERP systems

• Data collection

• Windows

• HIPAA

• Customer service

• Kronos (6 years)

• Benefits administration

• SAP CRM

• Microsoft Access

• EDI

• Process improvement

• Phone etiquette

• Communication skills

• ICD-10 (3 years)

• ICD-9 (5 years)

• IVR (6 years)

• CPT coding (6 years)

• UKG (2 years)

Certifications and Licenses

Real Estate License

Assessments

Sales skills — Proficient

September 2020

Influencing and negotiating with customers

Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

PROFESSIONAL SKILLS

Proficient in: Microsoft Word, Excel, PowerPoint, Word Perfect, SAP, ADP, PeopleSoft, Quickbooks, Maximo, Medisoft, JD Edwards, Full Cycle Accounting: Accounts Payable, Accounts Receivable, Cash Applications, Budget Analysis,

Journal Entries, Data Entry, Payroll Processing, New Hire Onboarding, warehouse audits, Success Factors, Bargaining Unit experience, logistics support, Medical Insurance Billing, PBX/Switchboard Operation, dispatching, 10-Key, Excellent Team Player, Detail Oriented, Strong Oral & Communication Skills, Sales, Purchasing, Insurance Verification, Scanning, chat/ email support, First Aid & CPR Certified, CD-9 & CPT Coding, Home Health Care: Hospice, Medicare Specialist, HIPAA, Dementia and Alzheimer's, Phlebotomy, Health Insurance Advocate, Medical Assistant,Courier/Delivery driver

Contact this candidate