Latasha Hailey
McKinney
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
14
14
years of professional experience
Work History
Verification Specialist
Application Insight
03.2022 - Current
- Performed verification of customer accounts and ensured data
- Researched and evaluated customer information for compliance with internal policies and procedures
- Maintained detailed records of customer verifications and associated documentation
- Reviewed incoming documents for completeness, accuracy, and compliance with established standards.
- Participated in regular performance reviews, using constructive feedback as an opportunity for growth and development within my role as a Verification Specialist.
- Prioritized workload efficiently, managing multiple cases simultaneously without compromising on quality or accuracy.
Verification Specialists II
Global Insight
03.2023 - 12.2023
- Resolved customer inquiries and complaints requiring Savings card
- Reimburse patient for payment regarding Specialty Pharmacy balance
- Call Pharmacy Benefit Manager for benefits for patient's responsibility for medication and to see if it's covered
- Resolved customer inquiries and complaints requiring management-level escalation.
- Applied problem-solving skills when faced with challenges or discrepancies during the verification process, seeking guidance from supervisors when needed.
- Reduced errors in documentation by thoroughly cross-checking data against established parameters.
Verification Specialist
Lash Group
01.2020 - 09.2022
- Verified insurance eligibility for both medical and pharmacy insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly
- Verified insurance coverage for potential new and re-verify insurance coverage for existing patients
- Create summary of benefits for medical office/hospital facility
- Updated patient database with new insurance information
- Obtain prior authorization/pre-certification
- Multi-tasking and high production between different screens and various outbound calls
- Followed HIPPA rules and regulations when discussing patient information.
- Collaborated effectively with other departments, facilitating smooth handovers between teams involved in the verification process.
- Generated reports to track insurance verifications and claim progress.
Agent
Iqor
06.2018 - 12.2019
- Collect initial premiums and issue receipts
- Interview clients and take their calls to provide customer service and obtain information on claims
- Modify, update and process existing policies and claims to reflect any change in coverage, or insurance type
- Determined payment or denial for each claim based on established rules and processes
- Supported agents with claims issues, documentation needs, and general questions
- Processed new insurance policies, documenting premiums, coverage limits, and account holder information.
- Informed clients of policies and procedures.
- De-escalated and resolved customer complaints with punctual, polite and professional service.
Customization Department Lead
Lotus & Windoware
06.2010 - 02.2018
- Controlled inventory levels by conducting physical counts and reconciling with data storage systems
- Collaborated with other departments to improve interdepartmental communication, enhancing overall organizational effectiveness.
- Mentored new hires within the department, providing guidance on company policies and procedures as well as job-specific tasks.
- Boosted overall employee morale by fostering a positive work environment and promoting open communication.
- Oversaw efficient inventory stocking and supply rotation.
- Oversaw daily operations of the department, ensuring smooth workflow and adherence to deadlines.
Education
High School Diploma -
Cornerstone Christian Correspondence High School
15938 US Hwy, Townsend,GA 3133103.2019
Skills
- Data entry
- Coverage and Authorizations
- Production Planning
- Staff Management
- Excellent verbal and written Communication skills
- Excellent computer, multi-Tasking and phone skills
- Shipping and receiving
- Microsoft, Outlook
- Claims Processing
- Patient contact
- ICD-9/10 Codes
- Forklift Operations
- Reimbursement
- Document Verification
- Background Checks
- HIPAA Compliance
- Accuracy and Precision
- Data Entry and Review
- Patient Communication
- Patient confidentiality
- Insurance Billing
- Medical Terminology
Timeline
Verification Specialists II
Global Insight
03.2023 - 12.2023
Verification Specialist
Application Insight
03.2022 - Current
Verification Specialist
Lash Group
01.2020 - 09.2022
Agent
Iqor
06.2018 - 12.2019
Customization Department Lead
Lotus & Windoware
06.2010 - 02.2018
High School Diploma -
Cornerstone Christian Correspondence High School