Summary
Overview
Work History
Education
Skills
Timeline
Generic

Latasha Fleming

Waco

Summary

I have been doing customer service and working well with others for the past 20 years and counting.

I have at least six years in the healthcare industry, ranging from customer service representatives to medical records.

I'm very loyal and dependable.

Willing to relocate to Waco, TX. Authorized to work in the U.S. for any employer.

Overview

13
13
years of professional experience

Work History

Claims Specialist

Meduit
06.2022 - Current
  • Roles was identified if claim was received and processed from health insurance companies.
  • Overturn claims denials in a timely manner. Which include reviewing medical records, sending requests documents, sending appeals etc
  • Claims correction is needed.

Insurance Verification Specialist/ pre -reg

Baylor Scott & White Health
08.2018 - 06.2022
  • Check and correct health insurance and request and follow up on authorizations and referral for medical outpatient and inpatient procedures. Pre-Reg patients for their upcoming procedures, also front desk clerk where I check in or out patients and reschedule for a follow up if needed

Application Verifier

ESMI
03.2016 - 08.2018
  • Verify correction information on the application for health insurance. Go over application with applicant over health problems or issue they may have.

Customer Service Agent

C3/CustomerContactChannels
04.2015 - 11.2016
  • Work for Aetna as a health concierge
  • Responsibilities
  • Go over members benefits and policies
  • Go over medical claims with mem sent claims back for reprocessed if needed
  • Update COB add or remove or modify
  • Assist members set up websites portal

customer care

gc service
09.2012 - 02.2014
  • Responsibilities
  • Answer calls assisting customer over phone, resolve custom issue or problem with billing.
  • Skills Used
  • Call center

Education

High School Diploma - Basic

Killeen High School
Killeen, TX
05.2007

Skills

  • Human resources
  • Microsoft Word (6 years)
  • CPT Coding (3 years)
  • Insurance Verification (3 years)
  • Medical terminology (3 years)
  • Medical Records (3 years)
  • Microsoft Access (3 years)
  • Have good typing skills, and great customers service
  • Epic (5 years)
  • PeopleSoft
  • Customer Service Skills (10 years)
  • Medical office experience
  • Documentation review (3 years)
  • ICD-10 (3 years)
  • ICD-9 (3 years)
  • Sales Support
  • Microsoft Excel (3 years)

Timeline

Claims Specialist

Meduit
06.2022 - Current

Insurance Verification Specialist/ pre -reg

Baylor Scott & White Health
08.2018 - 06.2022

Application Verifier

ESMI
03.2016 - 08.2018

Customer Service Agent

C3/CustomerContactChannels
04.2015 - 11.2016

customer care

gc service
09.2012 - 02.2014

High School Diploma - Basic

Killeen High School

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