LaTasha Robinson

• Provided assistance to nurses, doctors, and other healthcare professionals in the delivery of patient care services
• Administered medications according to physician instructions while documenting all medication administration activities
• Maintained accurate records of patient progress and provide updates to medical staff as needed
• Demonstrated excellent time management skills by managing multiple tasks simultaneously without compromising quality of care
• Ensured compliance with all applicable regulations including HIPAA privacy laws when handling confidential patient data

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• Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
• Maintained confidentiality of patient data and condition to safeguard health information.
• Verified patient insurance eligibility and entered patient information into system.
• Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
• Investigated insurance claims denials and appeals.
• Verified insurance eligibility and coverage for patients.
• Entered patient demographic and insurance data into electronic medical record system.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Proficiency in all Microsoft Office Programs including Words, PowerPoint, Excel, Access, etc
• Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
• Resolved third-party billing, computer system and customer service issues.
• Demonstrated excellent organizational skills by managing multiple tasks simultaneously in a fast-paced environment utilizing several systems such as CRM, ScriptMed, RxNova, Teams, One Note, Five9, LaunchPad, Sure Script, Specialty Drug List
• Throughout the course of shift
• Generated leads through cold calling prospective clients or attending networking events
• Analyzed insurance benefits, coverage limitations, network restrictions, and other factors related to prior authorization requests
• Applies medical necessity guidelines, determines coverage, complete eligibility verification, identify discrepancies and applies all cost containment measures to assist in the claim adjudication process
• Proofs claim or referral submission to determine, review or apply appropriate guidelines, coding, member identification process, diagnosis and pre-coding requirements
• Experience taking Eligibility, Benefit, and EAP calls
• Collaborated with colleagues across departments to ensure that patient needs were met promptly
• Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts
• Respond to telephone inquiries and complaints following standard operating procedures
• Respond to inquiries from customers and provide superior customer service.

• Managed electronic files and archives to keep transcripts organized and accessible.
• Transcribed sensitive documents with complete confidentiality.
• Verified medical terminology and codes to deliver accurate and up-to-date information.
• Communicated with healthcare providers to clarify information and resolve issues.
• Protected patient rights by maintaining medical and financial information confidentiality in accordance with HIPAA
• Assist physicians with procedure set-ups, patient procedures, and examinations.

• Review and analyze multiple complex policies and coverage part
• Excellent verbal and written communication skills
• Verified insurance coverage for medications before dispensing them
• Proficiency in all Microsoft Office Programs including Words, PowerPoint, Excel, Access, etc
• Strong communication, and presentation skills with the ability to share subject matter information clearly to both technical and non-technical audiences
• Accurately transcribed physician orders, instructions and verbal orders into the electronic medical record
• Demonstrated strong time management skills while working on multiple tasks simultaneously in a busy environment
• Exhibited excellence in medical terminology and billing and coding knowledge in documentation
• Assisted physicians with procedure set-ups, patient procedures, and examinations
• Protected patient rights by maintaining medical and financial information confidentiality in accordance with HIPAA
• Documents all patient interactions in a concise manner that is compliant with documentation requirements
• Work under supervision of nursing staff to provide direct care services to Pt with mental illness and substance abuse
• Engaged with clients with varied mental health diagnoses including schizophrenia, personality disorders, substance use disorders, body image and eating disorders, as well as suicidal and homicidal ideation
• Participated in treatment planning by helping to identify patients' problems, needs and strengths
• Utilized appropriate interventions for de-escalating violent behaviors exhibited by patients
• Educated patients regarding mental illness diagnosis, symptoms management techniques and available resources
• Coordinate and supervise daily/weekly/monthly activities of a team members
• Identify and resolve operational problems using defined processes, expertise and judgment
• Demonstrated success in building relationships with clients and providing emotional support
• Facilitated care and treatment via scheduling, information sharing and case coordination.

• Maintained accurate records of client progress and documentation of all contacts with clients
• Recognized and reported abnormalities or changes in patient health status to nursing supervisor
• Accepted clinical phone calls to answer medical questions at request of patients and physicians
• Correctly dispensed medications to patients in accordance with facility protocols
• Managed medication cart for complete, up-to-date supplies and quality control
• Complied with all state laws governing the practice of pharmacy technicians
• Prepared and dispensed medications as prescribed by physicians, accurately and in a timely manner
• Documented medical data in patient charts, facilitating accurate records
• Advised customers on the best course of action for filing a successful claim based on individual circumstances
• Performed quality assurance reviews on submitted documentation to verify accuracy and completeness prior to processing the claim
• Communicated effectively with customers via phone, email, or written correspondence regarding questions about their benefits or claim status
• Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals
• Trains and mentors claim benefit specialists to Make outbound calls to obtain required information for claim or reconsideration
• Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment measures to assist in the claim adjudication process.

• Maintained accurate records of client progress and documentation of all contacts with clients
• Recognized and reported abnormalities or changes in patient health status to nursing supervisor
• Accepted clinical phone calls to answer medical questions at request of patients and physicians
• Correctly dispensed medications to patients in accordance with facility protocols
• Managed medication cart for complete, up-to-date supplies and quality control
• Complied with all state laws governing the practice of pharmacy technicians
• Prepared and dispensed medications as prescribed by physicians, accurately and in a timely manner
• Documented medical data in patient charts, facilitating accurate records
• Advised customers on the best course of action for filing a successful claim based on individual circumstances
• Performed quality assurance reviews on submitted documentation to verify accuracy and completeness prior to processing the claim
• Communicated effectively with customers via phone, email, or written correspondence regarding questions about their benefits or claim status
• Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals
• Trains and mentors claim benefit specialists to Make outbound calls to obtain required information for claim or reconsideration
• Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment measures to assist in the claim adjudication process.