Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
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Laticia Bowman

Hampton,VA

Summary

Dependable and devoted professional, with a desire to take on new challenges, with a strong work ethic. Productive relationship builder; excel at listening to customer needs, articulating product benefits and creating solutions that provide value to the customer. Commended for consistently driving team success with knowledgeable enforcement of company procedures and skillful personnel training.

Overview

9
9
years of professional experience

Work History

Healthcare Claims Denials Specialist

Centerwell/Humana
Hampton, VA
02.2023 - Current
  • Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables
  • Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
  • Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
  • Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.

MEDICARE SALES REPRESENTATIVE

Humana
Las Vegas, NV
06.2019 - 02.2023
  • Educate Medicare-eligible individuals while adhering to company policies, National Association of Insurance Commissioners (NAIC) guidelines and CMS regulations
  • Provided detailed explanations of Medicare benefits, services, and coverage options to customers
  • Processed enrollments, changes, cancellations, and terminations according to established guidelines
  • Adhered strictly to all HIPAA privacy rules when handling confidential patient information
  • Proofread documents carefully to check accuracy and completeness of all paperwork
  • Responded promptly to customer inquiries about coverage options, claims status, and other related topics.

ADMINSTRATIVE ASSISTANT

Humana
Las Vegas, NV
01.2017 - 06.2019
  • Pleasantly welcomed visitors, answered phone calls, and maintained front reception desk.
  • Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
  • Entered data into spreadsheets using Microsoft Excel or other similar programs.
  • Provided administrative support to the executive team, including scheduling meetings and managing calendars.

Insurance Claims Representative

United Healthgroup
Las Vegas, NV
06.2015 - 01.2017
  • Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities
  • Analyze and identify trends and provides reports as necessary
  • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment)

Education

Bachelor of Arts - Clinical Psychology

University of Nevada - Las Vegas
01.2025

Associate of Arts -

College of Southern Nevada
07.2023

Skills

  • Data Entry Experience
  • Documentation Proficiency
  • Leadership Skills
  • Organizational Skills
  • Multitasking and Prioritization
  • Verbal and Written Communication
  • Proficiency in MS Office
  • Quality Assurance
  • Medical Terminology Knowledge
  • Recordkeeping Organization
  • Regulatory Compliance Understanding
  • Analytical Thinking

Additional Information

References available upon request., Chaplain Assistant & Water Treatment Specialist- United States Reserves 2013-2021, Honorably Discharged

Timeline

Healthcare Claims Denials Specialist

Centerwell/Humana
02.2023 - Current

MEDICARE SALES REPRESENTATIVE

Humana
06.2019 - 02.2023

ADMINSTRATIVE ASSISTANT

Humana
01.2017 - 06.2019

Insurance Claims Representative

United Healthgroup
06.2015 - 01.2017

Bachelor of Arts - Clinical Psychology

University of Nevada - Las Vegas

Associate of Arts -

College of Southern Nevada

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Laticia Bowman