Latashia Hughes
Sachse,TX
Summary
Competent Accounts Receivable Specialist bringing 12 years of experience handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives.
Overview
13
13
years of professional experience
Work History
AR Specialist II
Methodist Health
Dallas, TX
08.2022 - 09.2024
- Follow up on claims with different types of Payors, such as Medicare, Medicaid, Work Comp, Commercial, and Managed Care plans
- Respond promptly to billing inquiries from patients, insurance companies and departments
- Work with clinics to identify and resolve issues regarding outstanding account balances
- Resolve denials and submit appeals
- Utilizes the most efficient resources to secure timely payment of open claims
- Researches assigned correspondence and takes necessary action to resolve requests
- Ensures daily accomplishments contribute toward company goals for A/R
- Resolve accounts in follow-up queues
- Identify denial trends and determine process changes to prevent future denials
- Assist with or obtain pre-authorization as required by various carriers
- Work with other teams to address editing coding and payment related issues
Medical Collector/Biller
Post acute medical
Plano, TX
06.2021 - 12.2021
- Follow up on claims with different types of Payors, such as Medicare, Medicaid, Work Comp, Commercial, and Managed Care plans
- Respond promptly to billing inquiries from patients, insurance companies and departments
- Work with clinics to identify and resolve issues regarding outstanding account balances
- Resolve denials and submit appeals
- Utilizes the most efficient resources to secure timely payment of open claims
- Researches assigned correspondence and takes necessary action to resolve requests
- Ensures daily accomplishments contribute toward company goals for A/R
- Resolve accounts in follow-up queues
AR Specialist II
Home Care Providers of Texas Inc.
Dallas, TX
04.2019 - 05.2021
- Maintained all A/R, such as reviewing denials and submitting appeals if needed to avoid any aging claims
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction
- Submits as assigned primary and secondary claims electronically or by paper each day to ensure timely reimbursement
- Actively searches for solutions to problems and presents ideas and recommendations to Management
- Proficiency with two or more receivables management system modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports, and patient information inquiry
Medical Billing and Coding Specialist
WellCare
Las Vegas, NV
11.2017 - 12.2018
- Managed billing for Therapy Providers with two locations involving 40 providers
- Maintained all A/R such as reviewing denials and submitting appeals if needed to avoid any aging claims
- Billed for services of Transformation Care, New hope housing and Bedside Delivery
- Handled Mobile Crisis Assessment Therapy Billing with total of 30 providers
- Enter hospital charges as needed
- Keeps appropriate logs, and files to track patient accounts
Customer Service Recovery Specialist
Check City Partnership
07.2016 - 09.2017
- Recover outstanding debt while providing exceptional customer service that encourages repeat business and word or mouth product and service promotion
- Locating and notifying customers of delinquent accounts by telephone to solicit payment
- Duties include receiving payment and posting amount to customer's account
- Preparing statements if customer fails to respond; keeping records of collection and status of accounts
Collector, Loss Mitigation
Jp Morgan Chase&Co
01.2012 - 11.2015
- Negotiating with past due customers while taking into consideration their current financial situation
- Demonstrates an understanding that I am at the forefront of the organization and my professionalism
- Utilize and run an efficient predictive dialer, and account manage a monthly list of clients for account resolution
- Review accounts, built client relationships, negotiate repayments and provided customer service
Education
Certification - MEDICAL BILLING AND CODING
BRIGHTWOOD COLLEGE
Las Vegas, NV05.2018
Skills
- BILLING
- CPT
- EXCEL
- ICD
- MEDICAID
- MEDICARE
- WORD
- ICD-10
- Medical Billing
- Medical Coding
- Documentation Review
- Medical Collection
- Accounting
- Microsoft Office
- EMR Systems
- Hospital Experience
- Insurance Verification
- ICD-9
- Transcription
- Accounts Receivable
- Anatomy Knowledge
- Physiology Knowledge
- Power Point
- HCPCS
- Medicare guidelines
- Medicaid guidelines
- Multitask
- Fast phase environment
- Health Insurances
- Billing software
Timeline
AR Specialist II
Methodist Health
08.2022 - 09.2024
Medical Collector/Biller
Post acute medical
06.2021 - 12.2021
AR Specialist II
Home Care Providers of Texas Inc.
04.2019 - 05.2021
Medical Billing and Coding Specialist
WellCare
11.2017 - 12.2018
Customer Service Recovery Specialist
Check City Partnership
07.2016 - 09.2017
Collector, Loss Mitigation
Jp Morgan Chase&Co
01.2012 - 11.2015
Certification - MEDICAL BILLING AND CODING
BRIGHTWOOD COLLEGE