Latasha Stell
Pleasant Hill,CA
Summary
Efficient billing professional with 25 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
10
10
years of professional experience
Work History
Insurance Follow-Up Specialist
Optum
08.2021 - Current
- Processed online and paper appeal submissions and refund requests.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Handled account payments and provided information regarding outstanding balances.
- Generated monthly billing and posting reports for management review.
- Corrected, completed and processed claims for multiple payer codes.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Responded to customer concerns and questions on daily basis.
- Verified accuracy of accounts payable payments, resulting in a reduction in payment errors and check reissues.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals
- Educated customers about billing, payment processing and support policies and procedures
- Increased efficiency and team productivity by promoting operational best practices
- Exhibited high energy and professionalism when dealing with clients and staff
Reimbursement Coordinator
Diablo Valley Oncology
03.2020 - 08.2021
- Generated monthly billing and posting reports for management review.
- Corrected, completed and processed claims for multiple payer codes.
- Utilized various software programs to process customer payments.
- Assisted in reconciling deposit and patient collections.
- Logged charges and payments within Epic software.
- Processed billing calls and answered questions from patients and third-party carriers.
- Collaborated with customers to resolve disputes.
- Audited and corrected billing and posting documents for accuracy.
- Process claims, insurance denials, resubmitting corrected claims.
- Escalated files with significant indemnity exposure to supervisor for further investigation
- Conducted full claim investigations and reported updates and legal actions
- Coordinated with contracting department to resolve payer issues
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Processed and recorded new policies and claims
- Prepared insurance claim forms or related documents and reviewed for completeness
- Posted payments to accounts and maintained records
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses
- Followed up with customers on unresolved issues
- Calculated adjustments, premiums and refunds
Patient Account Representative
Washington Urgent Care
09.2018 - 03.2020
- Posted payments and processed refunds.
- Prepared and submitted legal documents to initiate court proceedings.
- Compiled and analyzed data for review by senior management of loan loss reports to measure portfolio performance.
- Prepared reports detailing billing actions, flags and other key information.
- Worked with customer to create debt repayment plan based on current financial condition.
- Electronically submitted bills according to compliance guidelines.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Contacted patients after insurance was calculated to obtain payments.
- Developed and documented collection procedures and policies to comply with government regulations.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Analyzed customer financial records to determine appropriate payment plan.
- Listened to customers and negotiated solutions that met creditor and debtor needs.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Responded to customer inquiries and provided detailed account information.
- Utilized computer programs to create invoices, letters and other documents.
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to patient, family and external payer inquiries.
Medical Billing Analyst
University Healthcare Alliance
01.2016 - 05.2017
- Used data entry skills to accurately document and input statements.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Collected payments and applied to patient accounts.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Facilitated communication between patients and various departments and staff.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Researched and applied relevant healthcare laws and regulations to support compliance.
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Followed document protocols to safeguard confidentiality of patient records.
- Liaised between patients, insurance companies, and billing office
- Delivered timely and accurate charge submissions
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials
Medical Billing and Collections Specialist
Singulex Labs
01.2012 - 03.2016
- Processed and tracked requests for medical records from external organizations.
- Adhered to established standards to safeguard patients' health information.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Identified new methods to optimize medical records management.
- Maintained accuracy, completeness, and security for medical records and health information.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Assisted in training new staff on medical record processing and filing procedures.
- Scanned and uploaded medical records into electronic medical records system.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Transcribed and entered patient medical information into electronic medical records systems.
- Posted payments and collections on regular basis.
- Researched and resolved medical record discrepancies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Collected payments and applied to patient accounts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Education
Certificate of Completion - Medical Billing & Coding
AAPC Coding Course Certificate of Completion
Oakland, CA2016
Associate of Applied Science - Criminal Justice
Heald College - Central Administrative Office
Hayward, CA2011
Skills
- Data Communications
- Insurance Advising
- Computational Abilities
- Reconciling Accounts
- HIPAA Compliance
- Organization and Prioritization
- Reimbursement Processing
- Correspondence Writing
Timeline
Insurance Follow-Up Specialist
Optum
08.2021 - Current
Reimbursement Coordinator
Diablo Valley Oncology
03.2020 - 08.2021
Patient Account Representative
Washington Urgent Care
09.2018 - 03.2020
Medical Billing Analyst
University Healthcare Alliance
01.2016 - 05.2017
Medical Billing and Collections Specialist
Singulex Labs
01.2012 - 03.2016
Certificate of Completion - Medical Billing & Coding
AAPC Coding Course Certificate of Completion
Associate of Applied Science - Criminal Justice
Heald College - Central Administrative Office
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