Latoya Turner

Jacksonville, FL ***** 904-***-**** adytto@r.postjobfree.com

Professional Summary

Senior Healthcare Insurance Billing Specialist and outstanding performer in Billing and Coding within medical offices. Proven success in leadership, operational excellence and organizational development with keen understanding of elements of patient focused business. Recognized for inspiring management team members to excel and encouraging creative work environments.

Skills

●Billing & Coding

●Customer Service

●E-Clinical Works

●Quality Management

●Healthcare Operations

●Data Collection & Analysis

●Health information systems

●Sales Strategy

●Supervisory Skills

●Staff Management

●Medicare & Medicaid

●Business Administration

●Teamwork & Collaboration

Work History

Insurance Billing Specialist 12/2019 to Current

Advanced Diagnostic Group – Jacksonville, FL

●Assured timely verification of insurance benefits prior to patient procedures or appointments

●Pursued contact with insurance carriers to discuss policies and individual patient benefits

●Maintained strong knowledge of basic medical terminology to better understand services and procedures

●Observed strict procedures to protect sensitive patient information, including medical records and payment data

●Accurately input all patient and insurance information into company's computer system using One Source

●Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy

●Performed billing and coding procedures for patient service

●Managed over 50 collections claims for unpaid bills against patients

Patient Access Team Lead/Referral Coordinator 05/2016 to 09/2019

Southeast Orthopedic Specialists – Jacksonville, FL

●Continually maintained and improved company's reputation and positive image in markets served

●Managed, led, and developed team members by initiating mentorship and personal trainings through constructive criticism and feedback

●Led facility management staff and consultants in producing business plan that focused on all aspects of facility operations, including setting priorities and job assignments

●Verified important patient information such as medical history, insurance and payment options for entry into patient management system

●Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy

●Engaged in continuous learning and development opportunities to promote continued performance improvement

●Answered average of 50 calls emails and faxes per day, addressing customer inquiries, solving problems and providing procedural information

●Scheduled and confirmed patient appointments with patients and healthcare professionals

●Explained plans for treatment and payment options.

●Assisted patients in filling out check-in and payment paperwork.

Customer Service/Claims Processor 06/2015 to 01/2016

One Call Care Management – Jacksonville, FL

●Managed over 50 calls per day

●Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly

●Responsible for taking orders for medical supplies, hearing aids and respiratory supplies accessories

●Procuring written authorization for all supplies shipped or ordered

●Responsible for follow up calls

●Maintained and add to monthly list

●Explained services to new patients in regard to medical supplies and medications if needed

●Took referrals from adjusters, case managers and sales representatives

●Filed past orders in patient file and also filed information in patient files

●Researched items requested via catalogs, internet and by phone

●Researched missing packages, orders and problem issue for patients, nurse case manager,and or adjusters

●Ordered items for drop shipment from vendors and distributors

●Built rapport and trust with injured insured through effective customer service techniques which involved fair and prompt processing of claims

Patient Information Specialist 06/2014 to 06/2015

UF Health – Jacksonville, FL

●Scheduled surgeries, managed pre-certifications and verified insurance coverage

●Transferred all incoming calls to appropriate location

●Assisted employees in placing domestic and international call/faxes

●Received and paged all emergency calls, including trauma, pediatric trauma, code blue, etc

●Interpreted and changed on-call schedule

●Provided patient appointment information

●Managed approximately 50 incoming calls, emails and faxes per day from customers

●Provided after-hour pager replacement services

●Checked identification of all persons entering and exiting facility

Education

Associate of Arts: Psychology 2014

Keiser University - Jacksonville, FL

High School Diploma 2002

Mandarin High School - Jacksonville, FL

Accomplishments

●New Hire Integration

Participated in other out of state training courses for Southeast Orthopedic and trained new employees on procedural concepts & practices applicable for daily job duties

●Lesson Implementation

Met all assigned learning goals through the implementation of procedural updates and healthcare policies

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