Latasha Greer
Virginia Beach, VA 23464-4841,VA
Summary
Results-driven operations expert with over four years of experience in claims analysis and data management. Proven ability to identify trends, enhance processes, and mentor teams, contributing to improved accuracy and compliance in claims processing.
Overview
8
8
years of professional experience
Work History
Operations Expert
Elevance Health
Norfolk, Virginia
11.2022 - Current
- Reviewed medical claims for accuracy and compliance with policies.
- Analyzed claim data, revealing trends and discrepancies to inform decision-making.
- Processed claims using industry-standard software and tools efficiently.
- Communicated findings and recommendations to team members clearly.
- Trained new analysts on best practices in claims processing.
- Developed comprehensive reports on claim outcomes, facilitating strategic insights for management.
- Investigated claim denials to uncover root causes and formulated actionable resolution strategies.
- Managed workflow tasks according to established timelines and departmental standards.
- Collaborated with fellow team members to manage large volume of claims.
Claims Analyst
Elevance Health
Norfolk, Virginia
03.2018 - 11.2022
- Conducted investigations to gather evidence in support of claims resolution.
- Analyzed claims data to identify discrepancies, facilitating prompt resolutions.
- Reviewed policy documents to ensure compliance with regulatory standards.
- Verified documents for accuracy, ensuring reliability of information from providers.
- Implemented procedures to uphold data confidentiality, safeguarding sensitive information.
Education
Associate of Applied Science - Health Care Administration
Centura College
Virginia Beach, VA08-2015
Skills
- Claims processing proficiency
- Claims analysis
- Claim resolution strategies
- Reviewing medical claims
- Electronic claims processing
- ICD codes
- ICD-10 coding
- Data management
- Data accuracy
- Quality assurance
- Process improvement
- Proficiency in Macess, Facets, ClaimWorkstation, Interact, NexGen, OBI Reporting, ACMP, Thoughtspot
- Attention to detail
- Problem solving
- Critical Decision-making
- Team collaboration
- Training and mentoring
- Time management
- Adaptability
- Effective communication
- Professionalism and ethics
- ICD-10 coding
- Electronic claims processing
Timeline
Operations Expert
Elevance Health
11.2022 - Current
Claims Analyst
Elevance Health
03.2018 - 11.2022
Associate of Applied Science - Health Care Administration
Centura College