Summary
Overview
Work History
Education
Skills
Timeline
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LaRona Blakey

Eden Prairie,MN

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Provider and Compliance Specialist position. Ready to help team achieve goals of processing large volumes of work.

Overview

28
28
years of professional experience

Work History

Provider Reimbursement Representative

United Healthcare
04.2023 - Current
  • Reprice claims and reimburse providers in an efficient manner
  • Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
  • Responsible for submitting documents to secure reimbursements for medical procedures
  • Establish and communicate team priorities
  • Measure work against established metrics and ensure effective processes



Claims Coordinator

PreferredOne
05.1997 - 04.2024
  • Collaborated with team members to develop strategies for optimizing the claims process, resulting in improved client experience.
  • Established strong relationships with key stakeholders, including clients, adjusters, attorneys, and medical providers, facilitating smooth communication throughout the claims process.
  • Negotiated settlements with clients and insurance companies, securing favorable terms for all parties involved.
  • Handled litigation, complex claims and high-profile cases involving large settlement values.


Nursing Home Administrator Intern

Presbyterian Homes
01.2022 - 04.2023
  • Hands on experience in Long Term Care management as an intern
  • Assisting in ensuring adherence to relevant laws for LTC
  • Assisting in monitoring financial reports
  • Practical experience in revenue cycle management
  • Assisted administrator with maltreatment allegations
  • Strong interpersonal skills with older adults and people of different backgrounds


Education

Master of Arts - Health And Human Services

St. Mary's University of Minnesota
Minneapolis, Minnesota
01.2023

Bachelor of Science - Human Services

Metropolitan State University
St. Paul, Minnesota
12.2019

Skills

  • Customer Support
  • Goal-oriented mindset
  • Customer Relations
  • Data entry proficiency
  • Records Management
  • Knowledge of Minnesota Nursing Home statutes
  • Knowledge of administrative affecting investigative processes
  • 27 years data processing and reporting
  • 4 years experience working with older adult population

Timeline

Provider Reimbursement Representative

United Healthcare
04.2023 - Current

Nursing Home Administrator Intern

Presbyterian Homes
01.2022 - 04.2023

Claims Coordinator

PreferredOne
05.1997 - 04.2024

Master of Arts - Health And Human Services

St. Mary's University of Minnesota

Bachelor of Science - Human Services

Metropolitan State University

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LaRona Blakey