Lakeisa Taylor
Seffner,FL
Summary
Experienced Healthcare & Insurance Professional with expertise in customer service, patient scheduling, insurance verification, and claims processing. Demonstrated ability to streamline operations in high-volume environments, manage prior authorizations, and ensure accurate benefits verification. Committed to enhancing patient coordination and maintaining compliance with Medicare and Medicaid guidelines.
Overview
8
8
years of professional experience
Work History
Cardiac Monitor Technician
Tampa General Hospital
Tampa, FL
04.2026 - Current
- Monitored patient heart rhythms using telemetry equipment.
- Recorded and analyzed vital signs for cardiac patients.
- Assisted healthcare team in interpreting cardiac data.
- Responded promptly to alarms and alerts from monitoring systems.
- Maintained accurate documentation of patient information and observations.
Unit Customer Rep
Tampa General Hospital
Tampa, FL
12.2024 - 04.2026
- Assisted patients with scheduling appointments and managing inquiries.
- Handled patient intake processes, ensuring accurate data entry into systems.
- Collaborated with medical staff to coordinate patient care and services.
- Resolved patient complaints by listening actively and addressing concerns promptly.
- Educated patients on insurance processes and eligibility requirements clearly.
- Provided clear information about hospital services and procedures to visitors.
- Communicate with physicians via email regarding authorization for approvals of procedures
- Handle all urgent consultations from physicians
- Maintained organized records of patient interactions and follow-ups efficiently.
- Supported administrative tasks by managing phone calls and incoming correspondence effectively.
- Maintained customer records in company database.
- Demonstrated strong problem solving skills in addressing customer issues.
Inbound Contact Rep lll
Humana-remote
03.2023 - 12.2024
- Assisted members with inquiries regarding health plans and services.
- Processed claims and verified member information efficiently.
- Educated clients about benefits and coverage options available.
- Handled escalated calls regarding Medicare benefits, claims, billing, authorizations, and insurance coverage.• Verified member benefits and eligibility while assisting with provider coordination.• Resolved denials, processed ID/benefit cards, and supported grievances, appeals, and pharmacy benefits
- Maintained up-to-date knowledge of company policies and procedures.
- Handled sensitive information while ensuring confidentiality and compliance.
- Performed administrative tasks such as filing, data entry, and document preparation.
- Attended training sessions aimed at enhancing knowledge of relevant software applications and systems used in the contact center environment.
Workers' Compensation Claims Specialist
Optum
Tampa, FL
02.2021 - 03.2023
- Evaluated complex workers' compensation claims for accuracy and compliance.
- Reviewed claims for fraud, ensuring adherence to company policies and regulations.
- Process claims end-to-end
- Determine eligibility, verify data accuracy
- Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
- Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
- Collaborated with medical professionals to assess treatment plans and costs.
- Request additional information when needed
- Maintain accurate records of all claims including status updates, payment histories and other pertinent information.
- Identify and escalate complex or unusual claims for further review or investigation.
Billing Resolution Specialist
Carecentrix
Tampa, Florida
01.2018 - 02.2021
- Resolved complex billing inquiries for clients and healthcare providers.
- Reviewed and analyzed billing discrepancies for timely resolution.
- Coordinated with internal teams to ensure accurate billing information.
- Provided support to other departments regarding billing-related questions or requests for information.
- Responded to customer emails, telephone calls, and written correspondence promptly and professionally.
Education
Stone Coast Academy
Miami, FlSkills
- Problem solving
- Effective communication
- Active listening
- Time management
- Detail orientation
- HIPAA compliance
- High Call volume in Call Center
- Data Entry, Customer Service
- Claims
- Insurance Verification
- Coordinator of Benefits
- Varies system usage
- Internet Proficiency
Timeline
Cardiac Monitor Technician
Tampa General Hospital
04.2026 - Current
Unit Customer Rep
Tampa General Hospital
12.2024 - 04.2026
Inbound Contact Rep lll
Humana-remote
03.2023 - 12.2024
Workers' Compensation Claims Specialist
Optum
02.2021 - 03.2023
Billing Resolution Specialist
Carecentrix
01.2018 - 02.2021
Stone Coast Academy