LATASHA MARTIN
Claims Processor
Halethorpe,MD
Summary
Hard working professional HIPAA certified medical claims processor with 15+ years’ experience and knowledge in the health claims industry also proficient in office administration, and customer service.
Overview
16
16
years of professional experience
2
2
years of post-secondary education
Work History
MEDICAL CLAIMS PROCESSOR
ELECTRICAL WELFARE TRUST FUND
Lanham, MD
02.2015 - 03.2023
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Managed large volume of medical claims on daily basis.
- Respond to member inquiries concerning medical claims
- Review and adjust claim as needed
- Audit claims for errors and overpayments
ADMINISTRATIVE ASSISTANT
ELECTRICAL WELFARE TRUST FUND
Lanham, MD.
02.2008 - 01.2015
- Operated computers for word processing, database management, and other applications
- Run EDI 837 professional and institutional health claims file
- Make edits to the EDI 837 report via provider matching for claims auto adjudication
- Set up and maintained paper and electronic filing systems for records, correspondence, and other material
- Located and attached appropriate files to incoming correspondence requiring replies
- Executed record filing system to improve document organization and management.
SCAN TECHNICIAN
ELECTRICAL WELFARE TRUST FUND, PROMOTED
Lanham, MD
02.2007 - 02.2008
- Open, sort and prep incoming mail to be scanned or distribute to the appropriate individual
- Operated and troubleshooting office equipment such as fax machines, copiers, and scan machines to input claims data into the Eflo system for claims processing
- Filed away documents to be stored once claims have been processed and completed
- Trained new scan technicians on all aspects of the job
- Complied with HIPAA and company regulations to maintain confidentiality regarding patient health data and medical records.
Education
Business Management
Prince George’s Community College
09.2004 - 12.2006
CompTIA A+ - Information Technology
Per Scholas Sponsored By Google
Baltimore, MD 04.2023 - Current
Associate of Applied Science - Health Information Technology
Eastern Gateway Community College
Steubenville, OH 03.2023 - Current
Skills
Medical terms knowledge
Proficient in Mircosoft 365
Insurance claims processing
Strict Confidentiality of pertinent information
Excellent Judgment and decision-making skills
Knowledge in Procedural Terminology
ICD-9 and10 knowledge
Timeline
CompTIA A+ - Information Technology
Per Scholas Sponsored By Google
04.2023 - Current
Associate of Applied Science - Health Information Technology
Eastern Gateway Community College
03.2023 - Current
MEDICAL CLAIMS PROCESSOR
ELECTRICAL WELFARE TRUST FUND
02.2015 - 03.2023
ADMINISTRATIVE ASSISTANT
ELECTRICAL WELFARE TRUST FUND
02.2008 - 01.2015
SCAN TECHNICIAN
ELECTRICAL WELFARE TRUST FUND, PROMOTED
02.2007 - 02.2008
Business Management
Prince George’s Community College
09.2004 - 12.2006