Janae Latson
Cigna Evernorth- Express Scripts
Stone Mountain
10
years of professional experience
Detail-oriented Claims Professional with 9+ years of healthcare experience in claims processing, appeals, medical records review, and HIPAA compliance. Skilled in reviewing and validating claims information, identifying discrepancies, maintaining accurate documentation, and ensuring compliance with processing guidelines and regulatory requirements. Proven ability to meet productivity and quality standards in fast-paced, high-volume environments while delivering accurate results and exceptional attention to detail.
Work History
Patient Care Advocate
8 Months- Collaborated with internal departments to resolve medication inquiries and order status for patients.
- Ensured accuracy of patient records in electronic health system, enhancing information reliability.
- Facilitated follow-up by documenting customer interactions in CRM system.
- Delivered outstanding support to customers via inbound calls, resolving issues promptly.
- Provided support in processing medication requests and ensuring timely delivery.
Claims Examiner II
1 Year 6 Months- Processed dental insurance claims with a 98% accuracy rate, exceeding quality metrics.
- Reviewed complex claims to ensure accuracy and adherence to policy guidelines.
- Utilized multiple software programs for efficient claims processing and record-keeping.
- Upheld quality and productivity goals, ensuring compliance with regulatory requirements.
Escalation Complaint Coordinator
1 Year 9 Months- Processed dental insurance claims with a 98% accuracy rate, exceeding quality metrics.
- Reviewed complex claims to ensure accuracy and adherence to policy guidelines.
- Utilized multiple software programs for efficient claims processing and record-keeping.
- Upheld quality and productivity goals, ensuring compliance with regulatory requirements.
Dental Assistant | Front Desk | Asst. Manager
6 Years- Managed front office operations, appointment scheduling and insurance verification reducing claim delays.
- Optimized patient intake processes, cutting wait times, and improving overall satisfaction.
- Collaborated with providers on claim coding accuracy increasing reimbursement efficiency.
- Trained staff on procedures to enhance teamwork and operational excellence.
- Analyzed patient feedback to identify service gaps, enabling targeted improvements for retention.
- Promoted to Assistant Practice Manager in 2020 due to outstanding performance.
Education
Dental Assistant - Dental Hygiene
- Professional Development: 8 week in field internship
- Professional Development: Insurance and Billing
High School Diploma
- Completed AP course in Advanced Trigonometry
- 3.8 GPA
Skills
Managed front office operations
appointment scheduling and insurance verification reducing claim delays.
Optimized patient intake processes
cutting wait times
and improving overall satisfaction.
Collaborated with providers on claim coding accuracy increasing reimbursement efficiency.
Trained staff on procedures to enhance teamwork and operational excellence.
Analyzed patient feedback to identify service gaps
enabling targeted improvements for retention.
Promoted to Assistant Practice Manager in 2020 due to outstanding performance.
Timeline
Patient Care Advocate
Cigna Evernorth- Express Scripts
10.2025 - CurrentRead More
Claims Examiner II
Delta Dental Insurance Company
10.2023 - 04.2025Read More
Escalation Complaint Coordinator
Delta Dental Insurance Company
01.2022 - 10.2023Read More
Dental Assistant | Front Desk | Asst. Manager
Windham Dentistry Group
01.2016 - 01.2022Read More
Everest Institute
Dental Assistant from Dental Hygiene
Read More
Lithonia High School
High School Diploma
Read More