Latasha Parker
MSO Billing Reimbursement Coordinator
Wyoming,MI
Summary
Resourceful Reimbursement Coordinator recognized for high productivity and efficient task completion. Possess specialized skills in medical billing, insurance claims processing, and regulatory compliance which ensure smooth financial operations in healthcare settings. Excel in time management, problem-solving, and communication, leveraging these abilities to navigate complex reimbursement landscapes successfully and support fiscal health of organizations.
Overview
27
27
years of professional experience
Work History
MSO Billing Reimbursement Coordinator
University of MI Health West
Wyoming, MI
10.2023 - Current
- Investigated incorrect billings and processed refunds as necessary.
- Worked with team members to identify and develop process improvements.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Maintain daily work queues for denials, review insurance edits, credits, and follow up
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Answered customer inquiries regarding billings, payments, account status.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Provided support to other departments within the organization as needed.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Performed additional duties as assigned by management team.
- Resolved discrepancies between customers' remittances and invoices received.
- Verified insurance coverage and identified third-party payers for billing purposes.
Medicare Billing Specialist
University of MI Health West
Wyoming, MI
09.2018 - 10.2023
- Reviewed medical records, identified relevant diagnosis codes, and applied appropriate procedure codes for billing purposes.
- Investigated denied claims and followed up on appeals as needed.
- Monitored aging reports to ensure timely reimbursement from payers.
- Resolved discrepancies in billing information and updated patient accounts accordingly.
- Ensured compliance with all applicable federal regulations related to Medicare billing processes.
- Maintained a working knowledge of CPT and HCPCS codes, ICD-10 codes, modifiers, fee schedules, insurance plans.
- Identified trends in denials or rejections in order to proactively address problems before they occur.
- Verified and processed Medicare claims with accuracy and efficiency.
- Performed eligibility verifications for Medicare patients utilizing online databases.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
BCBS/BCN Billing Specialist
University of MI Health West
Wyoming, MI
01.2016 - 09.2018
- Performed daily follow-up on outstanding claims to ensure prompt payment from payers.
- Verified insurance eligibility for patients by calling appropriate parties.
- Maintained confidentiality on all patient record data.
- Submitted claims to insurance companies.
Pre-Arrival Specialist
University of MI Health West
Wyoming, MI
08.2008 - 12.2015
- Verify insurance coverage for appointments.
- Pre-registered patients for upcoming service.
- Confirm authorization in place for high tech radiology services and surgical procedures
- Maintained positive working relationship with fellow staff and management.
- Assisting in multiple departments, as needed.
Coordinator
Roskam Baking Company
Grand Rapids, MI
12.2007 - 08.2008
- Train new employees on all aspects and observe performance on job
- Human resource functions: hiring and scheduling
- Fill in for Floor Foreman for vacation coverage or other absence
- Make sure employees are following GMP'S - Good Manufacturing Practice
Supervisor
Meridian Automotive
Grand Rapids, MI
04.1998 - 12.2006
- Supervised employees per scheduling, training, and Quality Management
- Checked inventory prior to production to meet customer demands
- Excellent problem solving skills
- Filled in as Acting Superintendent for vacation coverage or other absence
Education
HFMA - Certified Revenue Cycle Representative -
Healthcare Financial Management Association
04-2018
Certificate -
Beacon Learning Centers
Grand Rapids, MI03.2008
Skills
- Medical billing
- HIPAA compliance
- Denial management
- Benefits coordination
- Healthcare regulations
- Medicare
- Claim adjustment
- Claims processing
- Appeals handling
- Insurance verification
- Explanation of benefits
Additional Information
Hard worker, Fast learner, Ability to multitask, Team player
Timeline
MSO Billing Reimbursement Coordinator
University of MI Health West
10.2023 - Current
Medicare Billing Specialist
University of MI Health West
09.2018 - 10.2023
BCBS/BCN Billing Specialist
University of MI Health West
01.2016 - 09.2018
Pre-Arrival Specialist
University of MI Health West
08.2008 - 12.2015
Coordinator
Roskam Baking Company
12.2007 - 08.2008
Supervisor
Meridian Automotive
04.1998 - 12.2006
HFMA - Certified Revenue Cycle Representative -
Healthcare Financial Management Association
Certificate -
Beacon Learning Centers