Summary
Overview
Work History
Education
Skills
Timeline
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Latisha Coleman

Louisville,KY

Summary

To obtain a challenging position utilizing abilities developed through my experience, education & training with the opportunity for growth based on performance.

Overview

12
12
years of professional experience

Work History

Adjudicator, Provider Claims Rep/Inbound CSR 3

Molina HealthCare
Louisville, KY
08.2021 - Current
  • The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues
  • This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems.

Inbound Customer Service Rep

Advantum Health
Louisville, KY
02.2020 - 08.2021
  • Assist patients via telephone on their medical billing needs, process payment, collection balance on past due medical bills, answer any question on medical bills
  • Make outbound calls to follow up on billing questions.

Physician Recruiter

Advantum Health
Louisville, KY
10.2019 - 01.2020
  • Recruiting qualified physicians for medical plans that will be launched to network, assist with signing contracts, processing medical contracts in web track for the physician.

Case Manager II/ Insurance Verification Specialist

Remx Staffing/Mckesson Speciality Pharmacy
Louisville, KY
05.2019 - 08.2019
  • Contacts a patient's insurance company to verify coverage levels and works with individuals to educate them on their benefits information
  • Call insurance company to verify pharmacy benefits, Prior authorization.

Patient Care Coordinator

Acaria Health Specialty Pharmacy
Houston, TX
08.2017 - 04.2019
  • Handle inbound and outbound calls, including the processing and upkeep of pharmacy orders and handling order inquiries and issues
  • Reach out to all new patients and introduce them to services and products via telephone.

Customer Service Rep

Harris County Toll Authority
Houston, TX
05.2014 - 08.2017
  • Assisted customers regarding violation using the toll road in Harris County and Fort Bend County
  • Assisting customers regarding their EZ Tag account information.

Customer Service Rep Team Lead

Centerpoint Energy Inc
Shreveport, Loui
07.2012 - 03.2014
  • Provided guidance and support to Customer Service Representatives on a daily basis.
  • Created, implemented and maintained departmental policies and procedures.
  • Developed customer service strategies to improve customer satisfaction ratings.
  • Monitored team performance metrics such as call wait times, average handle time and first call resolution rates.
  • Assisted with the hiring process of new Customer Service Representatives.

Education

Medical Insurance and Coding -

Remington College Technical School
04.2010

Medical Assistant -

Eastern College of Health Vocational School
02.2005

High School Diploma -

Fair Park High School
05.1996

Skills

  • Claims Evaluation
  • Administrative Procedures
  • Documentation and Recordkeeping
  • Hearings and Depositions
  • Calm Under Pressure
  • Quality Assurance
  • Multitasking
  • Problem-Solving

Timeline

Adjudicator, Provider Claims Rep/Inbound CSR 3

Molina HealthCare
08.2021 - Current

Inbound Customer Service Rep

Advantum Health
02.2020 - 08.2021

Physician Recruiter

Advantum Health
10.2019 - 01.2020

Case Manager II/ Insurance Verification Specialist

Remx Staffing/Mckesson Speciality Pharmacy
05.2019 - 08.2019

Patient Care Coordinator

Acaria Health Specialty Pharmacy
08.2017 - 04.2019

Customer Service Rep

Harris County Toll Authority
05.2014 - 08.2017

Customer Service Rep Team Lead

Centerpoint Energy Inc
07.2012 - 03.2014

Medical Insurance and Coding -

Remington College Technical School

Medical Assistant -

Eastern College of Health Vocational School

High School Diploma -

Fair Park High School

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Latisha Coleman