Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Latasha Gooch

Nashville,TN

Summary

Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases.

Overview

9
9
years of professional experience

Work History

Claim Benefit Specialist

Insight Global
Nashville, TN
05.2022 - 04.2024
  • Examined and authorized routine claims that were not eligible for automatic approval.
  • Ensured accurate claim adjudication by applying all necessary protocols, including verifying eligibility and identifying discrepancies.
  • Proofed claim and referral submissions for accurate application of guidelines, coding, and member identification processes.
  • Implemented applicable system functions to improve claim processing accuracy and timeliness.

Accounting Technician II

State of TN
Nashville, TN
07.2019 - 05.2022
  • Performed comprehensive financial analysis comprising variance, cost, and trend analysis.
  • Evaluated financial data to identify opportunities for improvement and cost savings, while also assessing potential financial risks.
  • Generated specialized financial reports to meet specific departmental or regulatory needs.
  • Utilized data analysis skills to prepare in-depth financial reports and summaries, offering valuable insights and recommendations for management.

Accounting Technician I

State of TN
Nashville, TN
02.2015 - 07.2019
  • Ensured completeness and adherence to accounting principles by accurately inputting financial transactions into the state's accounting system.
  • Ensured efficient handling of invoices, receipts, and disbursements by following established protocols and maintaining proper documentation.
  • Contributed to the budget preparation process by gathering pertinent financial information and supporting documents.
  • Carried out daily data entry and verification responsibilities to ensure the accuracy and currency of financial records.

Education

High School Diploma -

Stratford Comprehensive High School
Nashville, TN
05.2007

Skills

  • Customer Service
  • Efficient Attention to Detail
  • Accounting/Financial Services
  • Data Entry and Accuracy
  • Claims Processing
  • Ability to quickly learn a variety of computer applications to complete job functions
  • Detail-oriented with experience in applying complex policy/procedure documents
  • Strong organizational skills to maximize available work time
  • Ability to prioritize tasks to ensure job tasks are completed before deadlines
  • Experience working independently in a virtual environment
  • Experience with medical and insurance terminology
  • Knowledge of CPT/ICD-10 codes
  • Exceptional analytical skills, accurate and fast keyboarding skills
  • Advanced computer navigation and knowledge and experience in a Windows environment
  • Effective verbal and written communication skills
  • Electronic authorization processing
  • Account Management
  • Claims Investigation
  • Insurance Claim Forms Review
  • Eligibility Determination
  • Claim Amount Calculations
  • Professionalism

References

References available upon request.

Timeline

Claim Benefit Specialist

Insight Global
05.2022 - 04.2024

Accounting Technician II

State of TN
07.2019 - 05.2022

Accounting Technician I

State of TN
02.2015 - 07.2019

High School Diploma -

Stratford Comprehensive High School

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Latasha Gooch