Summary
Overview
Work History
Education
Skills
Timeline
Generic

LaTanya Butler

Chandler,AZ

Summary

15 years of Healthcare experience including extensive experience with Prior Authorizations, Insurance Verification, Claims, etc. Comfortable speaking with both Members and Providers, as well as Commercial and Government payers Experience working for Managed Care/Health Plans Knowledge of ICD-9, ICD-10, and CPT codes Extensive Call Center/telephonic experience

Overview

23
23
years of professional experience

Work History

Referral Specialist

TOCA Banner Health
Phoenix, AZ
08.2022 - Current
  • Scheduled appointments with specialists on behalf of clients.
  • Partnered with other departments to provide top-notch service to clients.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.

Insurance Verifier

East Valley Gastroenterology
06.2021 - 08.2022

Verify insurance benefits for new and existing patients. Update insurance info for existing patients. Collects/receives patient demographic information via phone , email or internet . Documents this information timely and accurately in EMR system.

Authorizations/Benefits Investigation ( Contract )

McKesson
07.2020 - 01.2021
  • Verify patients’ benefits
  • Assess if prior authorization is needed for medical claims
  • Contact providers and insurance companies to follow through on authorization requests
  • Assist with other inquiries as needed
  • Gap in Employment: Stay at home parent

Benefits Verification Representative/Prior Authorizations Specialist

CVS Health
04.2017 - 04.2019
  • Verify insurance coverage for both new and existing patients in order to process patient prescription orders in a timely manner
  • Submit medication claims and initiate prior authorizations
  • Educate patients on drug cards, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs
  • Set patients up with DME shipments
  • Gap in Employment: Stay at home parent

Member Service Representative/Prior Authorizations Specialist

Magellan Health
02.2014 - 03.2015
  • Answer calls from doctors' offices and patients who were requesting prior authorization for diagnostic radiology procedures such as MRI's, PET scans, CT scans, Heart catheters
  • Verify patient information and ask clinical questions related to study being ordered
  • Initiate prior authorizations
  • Contact providers to obtain information
  • Additional Related Experience

Prior Authorizations Representative/Scheduler

Modern diagnostic Imaging
01.2007 - 01.2014

Prior Authorizations Representative

MHIS
01.2004 - 01.2005

O. Medical Assistant/Referral Coordinator

Sun Lakes Family Physicians
01.2001 - 01.2002

Education

GED -

Arizona Department of Education
Phoenix, AZ
02.2010

No Degree - Medical Assisting

Apollo College
Mesa, AZ
10.1997

Skills

  • Extensive commercial insurance experience
  • Customer service experience
  • Strong MS Office abilities
  • Medicaid knowledge
  • Electronic authorization processing
  • Insurance terminology
  • Medical terminology
  • Insurance plan verification
  • Communication
  • Computer skills

Timeline

Referral Specialist

TOCA Banner Health
08.2022 - Current

Insurance Verifier

East Valley Gastroenterology
06.2021 - 08.2022

Authorizations/Benefits Investigation ( Contract )

McKesson
07.2020 - 01.2021

Benefits Verification Representative/Prior Authorizations Specialist

CVS Health
04.2017 - 04.2019

Member Service Representative/Prior Authorizations Specialist

Magellan Health
02.2014 - 03.2015

Prior Authorizations Representative/Scheduler

Modern diagnostic Imaging
01.2007 - 01.2014

Prior Authorizations Representative

MHIS
01.2004 - 01.2005

O. Medical Assistant/Referral Coordinator

Sun Lakes Family Physicians
01.2001 - 01.2002

GED -

Arizona Department of Education

No Degree - Medical Assisting

Apollo College
LaTanya Butler