Latasha Hailey
McKinney,TX
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
15
15
years of professional experience
Work History
Patient Assistance Counselor II
Collaborative LLC (Contractor) Abbvie
3720 Running Springs Rd Ellicott City, MD 21042
08.2024 - Current
- Conducted assessments to evaluate patients application.
- Verify benefits for patients who have Medicare, Commerical, Uninsured and Military insurance.
- Educated clients on denials and next steps.
- Conduct inbound/outbound calls to patients and doctors office regarding missing information.
- Listened to clients' concerns and provided encouragement and support.
- Assist PCC team with questions about patients case.
- Maintained accurate documentation of client interactions, assessments, and application notes for effective case management.
- Send email and fax to HCP and Patients
Verification Specialist
Application Insight
New Port Richey, FL
03.2022 - 04.2025
- 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 role as a Verification Specialist.
- Prioritized workload efficiently, managing multiple cases simultaneously without compromising on quality or accuracy.
- Handle 80 calls throughout the day, sent emails and faxes to clients.
Verification Specialists II
Global Insight
Dallas,Tx
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.
- Managed approximately 30 incoming calls, emails and faxes per day from customers.
Verification Specialist
Lash Group
Frisco, TX
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
- Managed approximately 15 outbound calls per hour.
- 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
Plano, TX
06.2018 - 12.2019
- Collect initial premiums and issue receipts
- Handles 45 calls per hour 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
Memphis, TN
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
03.2019
Skills
- Data entry
- Production Planning
- Staff Management
- Microsoft, Outlook
- Claims Processing
- ICD-9/10 Codes
- Forklift Operations
- Background Checks
- HIPAA Compliance
- Data Entry and Review
- Patient confidentiality
- Insurance Billing
- Medical Terminology
- HIPAA
- Intake assessments
Timeline
Patient Assistance Counselor II
Collaborative LLC (Contractor) Abbvie
08.2024 - Current
Verification Specialists II
Global Insight
03.2023 - 12.2023
Verification Specialist
Application Insight
03.2022 - 04.2025
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