Latasha Butler
Greenbelt,United States
Summary
Health Benefits Specialist with 16 years of experience in health benefits and patient financial services. Expert in benefit verification, claims resolution, and life insurance, with a strong background in education and customization of member services.
Skilled in remote communication, dedicated to supporting members with meticulous case management and data integrity.
Overview
17
17
years of professional experience
Work History
Health Benefits Officer
AFSPA
Washington, DC
04.2017 - Current
- Provides administrative support including benefit verification, authorization management, and claims inquiries, ensuring efficient case documentation and member/provider assistance.
- Conducts initial review of authorization requests and directs cases for clinical review, streamlining the resolution process.
- Delivers comprehensive support services, including managing telephone communications, correspondence, information research, and effective problem-solving.
- Facilitates data management task such as reporting and tracking for Continuity of Care and Peer to Peer reviews, enhancing information accuracy and accessibility.
- Manages beneficiary interactions by supplying accurate plan benefit information and making eligibility determinations, while maintaining patient confidentiality and data Integrity.
- Drafted investigation and incident reports and submitted to appropriate personnel.
- Created presentations summarizing key findings from research projects.
Teleservice Representative
Kaiser Permanente
Fairfax, VA
11.2016 - 01.2017
- Efficiently handled inbound communications and proactively reached out to customers, providing service and support while explaining membership benefits.
- Addressed and overcame customer objections through the use of persuasive communication techniques, ensuring a positive customer experience.
- Coordinated customer appointments effectively, respecting schedule constraints, and upheld the strict confidentiality of patient information.
Reimbursement Specialist
AmerisourceBergen
Rockville, MD
10.2016 - 11.2016
- Analyzed and resolved insurance claim rejections by navigating carrier-specific regulations to ensure medical necessity and compliance, enhancing the reimbursement process.
- Collaborated with the billing department to mitigate errors in contract implementation and coded patient care records, improving billing accuracy and efficiency.
- Facilitated patient access to financial assistance by verifying eligibility, initiating applications, and providing counseling on financial obligations, thereby streamlining the admissions and check-in procedures.
Patient Financial Counselor
Washington Hospital Center
Washington, DC
04.2007 - 07.2016
- Investigated claim rejections and conducted appeals by adhering to individual insurance carrier regulations to ensure medical necessity and proper claim processing.
- Collaborated with the billing department to resolve contract implementation discrepancies, contributing to enhanced accuracy in patient billing.
- Facilitated patient access to financial assistance by evaluating uninsured accounts and initiating enrollment in medical assistance, charity care, and drug replacement programs.
- Provided comprehensive financial counseling to patients, confirming insurance details, explaining financial obligations, and securing appropriate payment arrangements in alignment with hospital policies.
Education
Vocational - Medical Assisting
Sanford Brown Institute
Landover, MD12.2005
Skills
- Proficient in Medicare/Medicaid billing regulations and guidelines
- Knowledge of medical terminology CPT/ICD coding
- Working knowledge of medical and private insurance authorizations and procedures
- Strong organizational skills
- Ability to prioritize and manage multiple task with efficiency
- Experience with third-party practices and procedures
- Claims Processing
- Financial Counseling
- Insurance Verification
- Patient Registration
- Verbal and written communication
- Customer Service
- Conflict Resolution
Timeline
Health Benefits Officer
AFSPA
04.2017 - Current
Teleservice Representative
Kaiser Permanente
11.2016 - 01.2017
Reimbursement Specialist
AmerisourceBergen
10.2016 - 11.2016
Patient Financial Counselor
Washington Hospital Center
04.2007 - 07.2016
Vocational - Medical Assisting
Sanford Brown Institute
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