Summary
Overview
Work History
Education
Skills
Timeline
Generic

LaTeehah Linton

Summary

Developed skills in fast-paced healthcare environment, focusing on data analysis and process optimization. Expertise in identifying and resolving discrepancies, ensuring accurate financial reporting, and improving workflow efficiency. Seeking to leverage these transferrable skills in new, challenging field.

Overview

19
19
years of professional experience

Work History

Account Resolution Specialist II

Wellstar Heath System
04.2022 - Current
  • Assessed individual situations and developed effective and appropriate resolutions.
  • Streamlined account resolution processes, leading to increased efficiency and reduced turnaround times.
  • Resolved account discrepancies by analyzing financial data and collaborating with internal departments.
  • Upheld strict confidentiality when dealing with sensitive client information as per company policies and regulatory guidelines.
  • Participated in process improvement initiatives aimed at optimizing workflows for greater efficiency within the accounts receivables department.
  • Prevented revenue loss by promptly identifying and addressing potential payment delinquencies.
  • Developed customized reports for management, providing valuable insights into outstanding receivables and collection performance metrics.
  • Documented all actions performed and interactions with customers.
  • Contributed to team success by proactively identifying areas for improvement and implementing solutions to enhance overall performance.
  • Monitored aging accounts and reached out to customers to discuss payments.

Revenue Cycle Coordinator

Hemophilia Of Georgia
02.2020 - 04.2022
  • Optimized charge capture processes, resulting in increased net revenue for the organization.
  • Actively participated in industry conferences and workshops to stay current on best practices for maximizing revenue cycle performance.
  • Partnered with hospital leadership to identify revenue cycle challenges, developing strategic solutions that directly addressed problem areas.
  • Identified areas of opportunity within the organization''s existing payer contracts, negotiating favorable terms that increased reimbursement levels.
  • Improved overall patient satisfaction with billing and insurance procedures for a more positive experience.
  • Coordinated cross-departmental efforts for timely resolution of account discrepancies, improving cash flow management.
  • Collaborated effectively with clinical teams to address documentation issues impacting reimbursement rates, leading to higher revenues overall.
  • Conducted regular audits of billing records to ensure compliance with industry regulations, minimizing potential risk exposure.
  • Maintained strict adherence to regulatory guidelines by staying informed on changes in healthcare legislation affecting revenue cycle operations.

Revenue Cycle Analyst

JTS Health Partners
03.2018 - 02.2020
  • Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
  • Assisted in staff training and development, sharing best practices for revenue cycle management within the team.
  • Ensured regulatory compliance throughout the revenue cycle by staying abreast of industry changes and updating internal processes accordingly.
  • Coordinated closely with clinical departments, ensuring accurate and timely capture of all relevant charges for services provided.
  • Leveraged technology tools to automate routine tasks, allowing greater focus on strategic initiatives aimed at enhancing financial performance within the revenue cycle framework.
  • Led team of 10 in managing accounts valued up to $10.5 million.
  • Contributed to improved cash flow by monitoring and resolving aged account balances in a timely manner.
  • Collaborated with cross-functional teams to develop strategies for optimizing the revenue cycle process.
  • Implemented process improvements that reduced denial rates and increased overall reimbursement levels.
  • Created well-researched presentations on revenue cycle data to deliver to upper management and executives.
  • Provided exceptional customer service when addressing patient inquiries or concerns, fostering trust and satisfaction in the billing process.
  • Enhanced revenue cycle efficiency by streamlining processes and identifying areas for improvement.
  • Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with stakeholders.
  • Developed strong working relationships with payers, promoting collaboration in resolving complex reimbursement challenges.
  • Supported timely claim submission by reviewing and validating all relevant billing information.
  • Managed appeals process effectively, successfully overturning denied claims to secure payment for services rendered.
  • Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
  • Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
  • Provided valuable insights to leadership by analyzing key performance indicators related to the revenue cycle process.
  • Conducted root cause analysis on denied claims, implementing corrective measures to prevent future denials and protect revenues.
  • Communicated revenue cycle information to non-technical audiences in easily-understood terms.
  • Tracked and reported variances between revenue plans and actuals.
  • Wrote and distributed quarterly evaluations of revenue cycle processes and recommendations to senior management.
  • Balanced and reconciled accounts.
  • Identified and resolved payment issues between patients and providers.

Project Billing Team Lead

Avery Partners Technology
01.2017 - 02.2018
  • Spearheaded the implementation of new billing software, optimizing workflow efficiency and reducing manual data entry errors.
  • Conducted regular performance reviews for team members, providing constructive feedback and identifying areas for improvement.
  • Mentored junior staff members through ongoing professional development opportunities; contributing towards cultivating a high-performance culture within the billing team.
  • Enhanced client satisfaction with organized follow-ups on outstanding invoices, leading to improved cash flow management.
  • Managed a team of eight billing specialists for timely and accurate invoice generation and payment processing.
  • Maintained detailed records of all transactions processed by the billing team; enabling faster resolution of disputes or inquiries from clients when necessary.
  • Streamlined billing processes by implementing efficient procedures, resulting in reduced errors and increased productivity.
  • Negotiated with vendors to secure better pricing on essential tools and services for the billing department, reducing overall operational costs.
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
  • Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Provided guidance and support to team members during peak billing periods, ensuring efficient workload distribution and consistent adherence to established deadlines.
  • Created monthly reports highlighting revenue generation patterns as well as potential bottlenecks affecting cash flow or invoice accuracy rates; facilitating informed decision making at the executive level.
  • Ensured compliance with federal, state, and industry regulations by staying informed of updates in policies or guidelines related to medical coding practices or other relevant financial matters.
  • Developed comprehensive training materials for new hires, expediting the onboarding process and ensuring consistent performance standards.
  • Established clear communication channels between the billing team and other departments within the company; improving collaboration efforts toward resolving issues quickly.

Coding/Billing Specialist

Dekalb Medical Center
01.2014 - 01.2017
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked with multiple departments to check proper billing information.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
  • Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
  • Identified opportunities for process improvement, leading to more streamlined billing operation.
  • Facilitated staff training on new billing software, enhancing team productivity and billing accuracy.
  • Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
  • Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
  • Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
  • Streamlined billing process efficiency by implementing updated billing system.
  • Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
  • Enhanced interdepartmental communication to ensure accuracy and completeness of billing information.

Insurance Resolution Specialist Supervisor

Hollis Cobb Associates
02.2007 - 01.2014
  • Analyzed root causes of recurring issues to implement preventive measures, reducing the number of future complaints.
  • Assisted colleagues in navigating challenging situations by sharing expertise and offering guidance when requested or needed.
  • Maintained detailed records of all interactions and resolutions for future reference and analysis purposes, improving overall efficiency in handling similar cases down the road.
  • Managed high volumes of customer inquiries for efficient resolution, enhancing overall client experience.
  • Trained new team members on company policies and resolution techniques, ensuring consistency in service delivery across the team.
  • Streamlined resolution processes with established guidelines, leading to faster outcomes and better customer satisfaction.
  • Provided regular reports on key performance indicators related to complaint resolutions, identifying opportunities for process improvements or training enhancements where necessary.
  • Improved team morale with regular training sessions on conflict resolution.
  • Led team in adopting proactive approach to identify potential issues before escalation.
  • Participated actively in ongoing professional development opportunities to stay current on industry best practices and enhance personal skillset.
  • Collaborated effectively with cross-functional teams to provide comprehensive solutions for clients'' concerns.
  • Exceeded performance targets consistently by prioritizing workload effectively and managing time efficiently during periods of high call volume or complex caseloads.
  • Implemented effective communication skills to deescalate high-tension situations, fostering positive relationships between customers and the company.
  • Coordinated with internal departments as needed to gather information on each individual case, facilitating a more accurate and timely response.

Account Resolution Specialist

Physician Diagnostic Hearts
08.2005 - 02.2007
  • Participated in process improvement initiatives aimed at optimizing workflows for greater efficiency within the accounts receivables department.
  • Conducted thorough research on complex cases to provide accurate information and facilitate informed decisionmaking.
  • Resolved account discrepancies by analyzing financial data and collaborating with internal departments.
  • Streamlined account resolution processes, leading to increased efficiency and reduced turnaround times.
  • Contributed to team success by proactively identifying areas for improvement and implementing solutions to enhance overall performance.
  • Developed customized reports for management, providing valuable insights into outstanding receivables and collection performance metrics.
  • Monitored aging accounts and reached out to customers to discuss payments.
  • Enhanced client satisfaction through timely resolution of billing disputes and payment issues.
  • Negotiated arrangements to manage defaults, payment plans, or full remittance of balance owed.
  • Prevented revenue loss by promptly identifying and addressing potential payment delinquencies.
  • Documented all actions performed and interactions with customers.
  • Negotiated payment arrangements with clients, maintaining strong relationships while safeguarding company interests.
  • Upheld strict confidentiality when dealing with sensitive client information as per company policies and regulatory guidelines.
  • Improved account reconciliation accuracy by implementing new tracking systems and tools.
  • Provided exceptional customer service, handling inquiries and resolving issues in a professional manner.
  • Assessed individual situations and developed effective and appropriate resolutions.
  • Managed a portfolio of high-value accounts, ensuring prompt collection of outstanding balances.
  • Assisted in the development of collections policies, contributing towards improved cash flow management within the organization.
  • Completed in-depth research to investigate claims and resolve problems.
  • Maintained up-to-date knowledge of industry trends and regulatory changes to ensure compliance in account resolution practices.

Education

Certificate in Medical Insurance Billing - Medical Insurance Billing

Central Carolina Technology
Sumter, SC

Associate of Science - Healthcare Management

Ultimate Medical Academy
Clearwater, FL
03.2018

High School Diploma -

Hillcrest High
Dalzell, SC
05.1995

Certificate - Computer Technology

Sumter County Career Center
Sumter, SC
05.1995

Skills

  • Client relationship building
  • Claims processing
  • Goal-oriented mindset
  • Documentation skills
  • Data entry proficiency
  • Information coordination
  • Claim handling
  • Integrity reviews
  • Active listening
  • Decision-making
  • Goals and performance
  • Account reconciliation
  • Customer research
  • New hire training
  • System maintenance
  • Conflict resolution techniques
  • Proficiency in Epic, Allscript, McKesson, AEos, Huron Productivity, Invision, Epremis, Premis, Unity, Navinet,
  • Risk management
  • Performance improvements
  • Team oversight
  • Financial management
  • Issue investigation
  • Payment posting
  • Balance collection
  • Payment plan management
  • Investigation due diligence
  • Acquisition managements
  • Billing problem resolution
  • Insurance policies
  • Performance improvement techniques
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Updating customer accounts
  • Reliability
  • Critical thinking
  • Clear communication
  • Organizational skills
  • Adaptability and flexibility
  • Effective communication
  • Verbal and written communication
  • Data entry skills
  • Creative problem solving
  • Microsoft office
  • Payment scheduling
  • Multitasking Abilities
  • Teamwork and collaboration

Timeline

Account Resolution Specialist II

Wellstar Heath System
04.2022 - Current

Revenue Cycle Coordinator

Hemophilia Of Georgia
02.2020 - 04.2022

Revenue Cycle Analyst

JTS Health Partners
03.2018 - 02.2020

Project Billing Team Lead

Avery Partners Technology
01.2017 - 02.2018

Coding/Billing Specialist

Dekalb Medical Center
01.2014 - 01.2017

Insurance Resolution Specialist Supervisor

Hollis Cobb Associates
02.2007 - 01.2014

Account Resolution Specialist

Physician Diagnostic Hearts
08.2005 - 02.2007

Certificate in Medical Insurance Billing - Medical Insurance Billing

Central Carolina Technology

Associate of Science - Healthcare Management

Ultimate Medical Academy

High School Diploma -

Hillcrest High

Certificate - Computer Technology

Sumter County Career Center

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LaTeehah Linton