Summary
Overview
Work History
Education
Skills
Certification
Reading and Writing
Timeline
Generic

LaShonda Perera

Jacksonville,FL

Summary

Skilled Life Coach with trained experience supporting clients in goal-setting, skill-building, and clarity sessions. Versed in communicating effectively and leveraging active listening skills to assess client needs. Personable and direct, focusing on guiding clients toward self-reflection and personal development.

Overview

27
27
years of professional experience
1
1
Certification

Work History

LEAD PHARMACY TECHNICIAN

BAYA PHARMACY
11.2003
  • Effectively communicated with customers to resolve questions to their satisfaction, professionally processed receipts, accurately filled prescriptions, and referred to pharmacists as needed
  • Prioritized daily workflow, maintained patient confidentiality in record keeping and reports, and handled insurance billing procedures.

Senior Reimbursement Specialist

United BioSource Corporation
01.2022 - Current
  • Conduct benefit investigations, verify insurance benefits for patient and physician offices, and submit and obtain prior authorization as the payer requires for pharmaceutical specialty drugs.
  • Accurately enter and maintain data in the client database and patient files.
  • Ensure files are complete so the team can determine the status.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
  • Helped minimize escalations by reaching out to clients in advance of expected problems.
  • Assured timely verification of insurance benefits before patient procedures or appointments.

Provider Enrollment Specialist

Novitas Solutions
10.2015 - 12.2021
  • Accurately screened and validated the providers' submitted applications.
  • Verified information and credentials supplied by the applicant by utilizing websites to investigate sanctions against the providers, providers' education and licensing, practice location, etc
  • Created an enrollment record in the Provider Enrollment Chain Organization System (PECOS) under CMS guidelines
  • Updated provider demographic information in the Multi-Carrier System (MCS). Awarded certificate of excellence for 100% quality for various months. Identified cases of suspected fraud
  • Researched for additional information as needed to complete the enrollment application
  • Assisted providers with various applications to enroll in Medicare Part B coverage.
  • Reviewed applications for different aid programs and determined which qualification criteria for individuals.
  • Assisted providers with navigating online portal systems, enhancing user experience, and expediting application submissions.

EMERGENCY ROOM MEDICAL CODING TRAINEE

MCKESSON
03.2014 - 06.2014
  • Accurately assigned ICD-10 CM and/or CPT-4 and HPCS codes and sequenced diagnosis and procedures per patient medical record
  • Assigned appropriate facility-level codes for each outpatient Emergency Room chart
  • Ensured coded data accurately reflected service provided based on documentation, guarding against fraud and abuse
  • Followed hospital coding guidelines and regulatory rules in governing corresponding coding decisions.

CERTIFIED PHARMACY TECHNICIAN

WALGREENS
11.2011 - 03.2013
  • Data entry of patient demographics and billing information
  • Provided customer service satisfaction
  • Performed clerical skills: faxing, answered telephones, record keeping
  • Maintained pharmacy inventory, filled pharmacy prescriptions
  • Reviewed and investigated rejected claims to identify issues and find solutions
  • Called insurance carriers, physician offices, and patients to resolve rejected insurance claims in a timely manner.

CERTIFIED PHARMACY TECHNICIAN

VETERAN AFFAIRS MEDICAL CENTER
01.2010 - 07.2011
  • Paid close attention to detail while filling, compounding, and preparing IV prescriptions; performed basic aseptic techniques and pharmaceutical calculations
  • Multi-tasked to meet specific deadlines and provided quality work.

PHARMACY TECHNICIAN

WINN DIXIE
04.1997 - 11.2003
  • Answered telephones, faxed, copied documents, and filed reports
  • Data entry of patient demographics, prescriptions, and insurance billing information
  • Maintained pharmacy inventory by checking pharmaceutical stock to determine inventory level.

Education

ACCREDITED Life Coach - Life Coach

The Coaching Master
11.2022

Diploma - Medical Billing And Coding

Ameritech College
01.2013

High School Diploma -

Suwannee High School, High School
06.1995

Skills

  • Written and verbal communication skills, with demonstrated ability to communicate with others at all levels
  • MS Office applications
  • Listening skills/Constructive thinking
  • Medical drug reimbursement/prior authorization/insurance verification
  • Spirituality
  • Customer service
  • Analytical skills
  • Problem-solving skills
  • Staff Leadership
  • Prioritization and Organization
  • Confidentiality Practices
  • Resolving Complaints
  • Attention to Detail

Certification

11/01/22, Coaching Accreditation, International Authority For Professional Coaching and Mentoring (IPC&M), Level 4

Reading and Writing

I have always had a passion for expressing myself through words. Reading books helped cultivate that passion.

Timeline

Senior Reimbursement Specialist

United BioSource Corporation
01.2022 - Current

Provider Enrollment Specialist

Novitas Solutions
10.2015 - 12.2021

EMERGENCY ROOM MEDICAL CODING TRAINEE

MCKESSON
03.2014 - 06.2014

CERTIFIED PHARMACY TECHNICIAN

WALGREENS
11.2011 - 03.2013

CERTIFIED PHARMACY TECHNICIAN

VETERAN AFFAIRS MEDICAL CENTER
01.2010 - 07.2011

LEAD PHARMACY TECHNICIAN

BAYA PHARMACY
11.2003

PHARMACY TECHNICIAN

WINN DIXIE
04.1997 - 11.2003

ACCREDITED Life Coach - Life Coach

The Coaching Master

Diploma - Medical Billing And Coding

Ameritech College

High School Diploma -

Suwannee High School, High School

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