Latara C. McFee
Monroe,LA
Summary
Enthusiastic client services professional with strong background in insurance healthcare and customer service. Experienced in fast-paced environments. Skilled in communication, problem solving and, positive relationships with customers promoting customer retention
Overview
13
13
years of professional experience
Work History
Claims Benefits Specialist
Aetna/ CVS
09.2022 - Current
- Reviews and adjudicates routine claims in accordance with claim processing guidelines, (Commercial, Medicaid, Medicare)
- Process 80 to 100 plus claims daily depending on the complexity of claims, meeting daily production
- Participated in new hire training workshop; helping to implement strategies to retain new hires and simplify training process
- Effectively manages time working in high production environment
- Efficiently use multiple systems and screens to obtain and record claim information
Marketing/Customer Service Representative
Blue Cross Blue Shield
09.2013 - 09.2021
- Receive 40 plus incoming calls and inquiries regarding benefits claims and general assistance
- Make outbound calls contacting customers updating plan product changes and benefits and concerning delinquent accounts
- Suggested and was able to implement walk-in sign in sheet to track new and potential customers leading to increase of sales
- Assisted with the preparation of promotional materials to hand to walk-ins or mail to members or potential clients
- Assisted Manager in hiring process and trained new employees on daily operations and customer service procedures
Billing Specialist
Amity Healthcare
06.2011 - 09.2013
- Responsible for collecting posting and managing account payments
- Submit claims and follow up with insurance companies in a timely manner
- Identifies and resolves patient billing complaints
- Prepares reviews and sends patient statements
- Adjusting previously paid claims and initiating procedures to recover funds on overpaid claims
- Receive incoming calls from patients to answer their questions and reach payment resolution on account(s)
Education
Carroll High School
05.1996
Some College (No Degree) -
Northeast Louisiana University/ University of Louisiana @ Monroe
Skills
- Conflict Resolution
- Time Management
- Knowledge of CRM
- Inbound and Outbound Calling
- Active Listening
- Empathy and Compassion
Timeline
Claims Benefits Specialist
Aetna/ CVS
09.2022 - Current
Marketing/Customer Service Representative
Blue Cross Blue Shield
09.2013 - 09.2021
Billing Specialist
Amity Healthcare
06.2011 - 09.2013
Carroll High School
Some College (No Degree) -
Northeast Louisiana University/ University of Louisiana @ Monroe