Latasha Chaney-Jones
Hagerstown,MD
Summary
CAREER SUMMARY Provide support to the organization by obtaining, analyzing and verifying the accuracy of order information in a timely manner. Initiates and/or implements corrective action as needed in order to ensure that an excellent standard of service and a high level of satisfaction are maintained. Also coordinates the handling of difficult and/or unusual situations.
Overview
16
16
years of professional experience
Work History
PFS Quality Management Analyst
Inova Health System
11.2020 - Current
- Develop and implement quality control policies and procedures Administer quality control activities
- Participate in development of quality assurance testing standards and protocols
- Oversee creation of manual and automated quality assurance testing templates and scripts
- Identify performance improvement opportunities
- Monitor and assist in preparation of status reports for weekly/monthly project review
- Analyze systems, utilizing workflows, spreadsheets, templates and other existing material
- Monitors department development goals through active mentoring, ongoing assessments and communication
- Assists in creation and execution of plans to continually improve quality, operating efficiency, and outcomes using lean methodology
- Provide timely feedback and analysis regarding process and quality improvement opportunities to relevant departments
- Conduct quality assurance, productivity audits and reviews.
HB Billing PFS Supervisor
Inova Health System
12.2019 - 11.2020
- Supervises team of (9) billers in day-to-day operations of Patient Financial Services Department
- Strategic insight and recommendations on HB Billing to Billing Manager and is responsible for reduction of A/R days though oversight of work assignments
- Work with manager to formulate plan for professional development
- Develop relationships with different departments to help speed resolution to adjudication problems
- Conduct audits of billing staff to improve efficiency and ensure compliance with organization and governmental regulations
- Assesses needs and develops and implements staff development and training and in-services programs as appropriate
- Suggest improvements and follow up to ensure problems are resolved
- Report on problems with electronic billing system causing billing delays
- Oversees, coordinates and directs activities pertaining to daily operations of department
- Supervises staff and ensures adherence and compliance to departmental, organizational, and regulatory procedures and guidelines.
Patient Account Rep II
Howard University Hospital
03.2019 - 12.2019
- Review and update patient accounts insurance information and ensuring third party payer information are complete and accurate
- Update patient's insurance and demographic information into one or more computer system
- Prepares and submits hard-copy billing claim, including collecting of all necessary materials for proper claim creation/modification; making payer specific data changes as required for accurate and timely billing
- Monitors claims submissions, follow-up activity and secondary claim processing; verifies that payments and account balances are correct and compliant with payer contracts and billing rules and regulations
- Inform insurance company of action plan if there is a delay in resolving account for adjudication
- Identify review and resolve denied claims daily
- Monitor status of patient accounts and accounts receivable information using computer system, Medicaid Portal, CareFirst, and MCO Portals
- Respond timely to internal/external phone calls, correspondence, and inquiries related to patient accounts.
Patient Account Rep II
GW Medical Faculty Associates
11.2016 - 02.2019
- Responded to patient, family and external payer inquiries.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Electronically submitted bills according to compliance guidelines.
- Performs all patient accounting functions to include insurance verification, billing, follow-up, and collections of accounts receivables to meet monthly budgeted cash collection projections of assigned financial class team(s).
- Completes daily work to ensure that the assigned financial class team(s) Implements appropriate account processing based on established policies and procedures for billing, rebilling, and write-offs.
- Aggressively researching account issues and collecting unpaid debt.
- Review and analyze claims denials to perform the appropriate appeals necessary for reimbursement.
- Corrects and/or updates patient registration data.
- Researches and effectively resolves issues.
Billing Representative Manager
National Children's Center
06.2014 - 11.2016
Medical Biller /Collector
Medix Staffing Agency, Howard University Hospital
08.2013 - 05.2014
HMO Medical Biller /Collector
United Medical Center
07.2008 - 08.2013
Education
Diploma -
Prince Georges Community College
Largo,MD03.2010
Office Administrative - Medical
Applied Career Training
Arlington,VA03.2001
AAHAM Certified Revenue Cycle Specialist -
AAHAM
Falls Church, VA11.2022
Skills
- Interpersonal Communication
- Adaptability
- Responsible
- Audit Assistance
- Performance Testing
- Operations Monitoring
- Good Listening Skills
- Multitasking Abilities
- Conflict Resolution
Timeline
PFS Quality Management Analyst
Inova Health System
11.2020 - Current
HB Billing PFS Supervisor
Inova Health System
12.2019 - 11.2020
Patient Account Rep II
Howard University Hospital
03.2019 - 12.2019
Patient Account Rep II
GW Medical Faculty Associates
11.2016 - 02.2019
Billing Representative Manager
National Children's Center
06.2014 - 11.2016
Medical Biller /Collector
Medix Staffing Agency, Howard University Hospital
08.2013 - 05.2014
HMO Medical Biller /Collector
United Medical Center
07.2008 - 08.2013
Diploma -
Prince Georges Community College
Office Administrative - Medical
Applied Career Training
AAHAM Certified Revenue Cycle Specialist -
AAHAM
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