LATAVIER GARRETT
Carrollton
Summary
Over 10 years in customer service, credentialing and data Entry Specialist with over 5 years of experience in healthcare and billing, leveraging advanced skills in Zendesk and Salesforce. Demonstrates exceptional communication and problem-solving abilities, ensuring compliance and enhancing patient satisfaction. Committed to pioneering efficient processes and fostering collaborative environments to elevate service quality.
Proficient insurance professional with top-notch skills in organizing paperwork, conducting research, and satisfying customer needs. Offering many years of experience in claims.
Skilled in claims resolution with experience negotiating and settling complex insurance disputes. Brings strong analytical skills, adeptness at interpreting policy language, and ability to effectively communicate with all stakeholders. Known for providing comprehensive problem-solving while maintaining high levels of customer satisfaction. Previous work has led to reduced case backlog and improved operational efficiency.
Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of auto appraisals and CCC pathways estimations.
Overview
6
6
years of professional experience
Work History
Claims Resolution Specialist
Chenega / TriWest Healthcare Alliance
01.2024 - Current
- Credential providers with TRICARE, ensuring HIPAA compliance and enhancing customer satisfaction.
- Process payments form monthly, quarterly, yearly payments for premiums.
- Along with activation members insurance coverage.
- Process EFT, credit, debt, and set up auto payments.
- Coded CPT codes for referrals, authorizations, maintaining accurate documentation and efficient operations.
- Collaborate with teams to address complex healthcare issues, improving member experiences.
- Streamline scheduling workflows, reducing wait times and boosting efficiency.
- Provide empathetic support to military families, fostering trust and engagement.
- Identified recurring member concerns, collaborating with management to implement solutions that produced measurable improvements in satisfaction.
- Monitored call patterns to anticipate high-traffic periods, enabling proactive staffing adjustments and ensuring uninterrupted member support.
- Remote
- Reviewed and processed claims for accuracy and compliance.
- Communicated with clients to resolve inquiries and claim issues.
- Analyzed claims data to identify discrepancies and trends.
- Collaborated with healthcare providers to gather necessary documentation.
- Updated claims records in the electronic system for tracking purposes.
- Educated clients on claim processes and benefits eligibility.
- Reconciled accounts receivable balances against payment records on a regular basis.
- Negotiated settlements between claimants and insurance companies in order to reach an agreement.
- Analyzed claim documents, such as medical records, bills and invoices, to ensure accuracy of information.
- Processed payments, refunds, and adjustments.
- Investigated and resolved customer inquiries related to the status of their claims.
- Provided guidance and advice regarding policies and procedures for filing a claim.
- Researched claims in order to evaluate correct coverage and liability.
- Input claim information and payments into company database.
Home Health Aide
Mecare Home Health
Dallas
06.2021 - 12.2025
- Coordinates patient appointments, ensuring accurate billing and enhancing service quality.
- Efficiently resolves billing issues, maintaining high care standards and seamless service continuity.
- Guides patients through transitions, fostering independence and well-being with adaptive care routines.
- Tracked medication adherence and reported discrepancies, enabling prompt interventions that improved patient safety and minimized health risks.
- Schedule appointments for members appointments.
- Dallas, TX
- Followed HIPAA regulations to maintain confidentiality of sensitive patient information.
- Answered patient calls promptly, providing assistance or referring them to appropriate personnel when needed.
- Assisted in scheduling appointments, verifying patient information, and collecting payments.
- Assisted with administrative tasks such as scheduling appointments and ordering supplies.
- Verified insurance eligibility prior to scheduling appointments.
- Performed administrative duties such as scheduling appointments and verifying insurance coverage.
- Assisted with scheduling appointments while ensuring efficient workflow.
- Performed administrative duties such as filing paperwork, scheduling appointments.
- Assisted with scheduling appointments for new and existing patients.
- Assisted with scheduling appointments and maintained appointment calendars.
Operations Manager
Loopie Laundry
Dallas
01.2020 - 11.2023
- Streamlined driver schedules, boosting efficiency and satisfaction.
- Enhanced order fulfillment processes, achieving measurable improvements.
- Used teams to schedule and route appointments for drivers to pickup and drop-off laundry.
- Daily team meetings with managers to bring in more clientele, marketing, inventory and hire more employees.
- Resolved complex service requests, maintaining high satisfaction levels.
- Supported Dallas market growth by scaling operations effectively.
- Improved onboarding processes, ensuring faster integration of new staff.
- Facilitated cross-team knowledge sharing, strengthening communication and ensuring consistent service quality across all shifts.
- Monitored compliance with safety protocols, reducing incidents and fostering a culture of accountability within the team.
- Dallas, TX
- Implemented inventory management systems for tracking supplies and equipment.
- Processed customer payments using secure payment gateways and transaction software.
- Assisted customers with inquiries related to payment processing and account issues.
- Processed and sent invoices, adjustments, and credit memos to customers.
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Provided timely assistance to customers via live chat support platform.
- Documented interactions in detail to maintain accurate customer records.
- Trained new staff on chat protocols and customer service best practices.
- Monitored chat metrics and reported trends to enhance performance strategies.
- Monitored chat queues for incoming requests from customers requiring assistance.
- Resolved customer complaints in a timely manner while maintaining a positive attitude.
- Assessed customer satisfaction levels throughout the interaction process.
- Conducted follow-up calls and chats with customers after resolving their inquiry.
- Promoted available products and services to customers during service, account management and order calls.
- Collected deposits or payments and arranged for billing.
Education
ASSOCIATE DEGREE - ELECTRONICS AND COMPUTER TECHNOLOGY
Remington College-Dallas Campus
Garland, TXSkills
- Customer Support
- Healthcare & Billing
- Microsoft Office
- Salesforce
- Zendesk
- Scheduling
- Data Entry
- Credentialing
- Problem Solving
- Communication
- Cpt coding
Accomplishments
- In sales top 5 out of 280 companies and top 3 out of the district
Timeline
Claims Resolution Specialist
Chenega / TriWest Healthcare Alliance
01.2024 - Current
Home Health Aide
Mecare Home Health
06.2021 - 12.2025
Operations Manager
Loopie Laundry
01.2020 - 11.2023
ASSOCIATE DEGREE - ELECTRONICS AND COMPUTER TECHNOLOGY
Remington College-Dallas Campus