Summary
Overview
Work History
Education
Skills
Timeline
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Latonia Brown

Far Rockaway,NY

Summary

Personable and dedicated Customer Service Supervisor candidate with extensive experience in the heath insurance industry. Enthusiastic team player with upbeat, positive attitude and investigating and resolving complex claims matters. Motivated to collaborate with other departments on cross functional tasks and projects. Specialize in adhering to quality standards, turn-around times and process optimization. Results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.

Overview

11
11
years of professional experience

Work History

Escalation Response Specialist

Centene
Long Island City, NY
12.2021 - Current
  • Ensured all customer inquiries were handled in accordance with company standards and regulations.
  • Collaborated closely with upper management on projects involving new initiatives or improvements within the department.
  • Resolved escalated customer disputes in a timely manner while maintaining contact with customers.
  • Supervised and trained special project staff to ensure compliance throughout the project.
  • Ensured compliance with applicable laws, regulations, policies and procedures throughout the project.
  • Drafted daily reports summarizing progress made on project for review by leadership team.

Call Center Representative

Fidelis Care
Rego Park, NY
09.2017 - 12.2021
  • Ability to provide clear and concise plan descriptions.
  • Strong writing, typing and communication skills. Comfortable Listening and accurately documenting interactions with members in computer databases such as Facets and Salesforce.
  • Assist members and providers with issues regarding claims, authorizations, coverage status and benefits, billing adjustments, refunds and mail outs.
  • De-esculates issues by patiently listening to members, determining the best solution and follows up with member if required.
  • Understands the daily production metrics and the importance of quality service to retaining membership.
  • Lead Assignment of Benefits processor and Billing Resolution trainer.

Assistant Office Manager

Dr. Prabha Krishnan, DDS
Rego Park, NY
07.2015 - 09.2017

• Liaison and Point of contact between providers, patients and staff. Supervised Dental Assistants and Receptionists.

• Recruited, trained and developed dynamic dental team, supporting all office growth and productivity objectives.

• Provided patient education on hygiene and post-operation literature.

• Managed billing and claims to ensure proper payment of rendered services.

• Adhered to compliance with various insurance companies.

• Coordinated office activities and operations to secure efficiency and compliance with company policies.

Dental Assistant

Dr. Doris Ohevshalom, DDS
Brooklyn, NY
04.2013 - 07.2015
  • Created dental x-rays using traditional and digital methods to detect tooth decay, cavities and other issues needing treatment.
  • Prepared exam and treatment rooms by setting up required instruments, tools, supplies and equipment.
  • Educated patients on techniques to optimize oral hygiene, control plaque and protect teeth and gums.
  • Proficient in EasyDental Software.
  • Enforced company policies and procedures to strengthen operational standards across departments.

Education

Dental Assistant Certification - Dental Assisting

The New York School For Medical And Dental Assistants
Long Island City, NY
02.2009

GED -

Urban Strategies
Brooklyn, NY
11.2007

Skills

  • Efficient in reporting and documentation
  • Logistics and operations
  • Quality assurance optimization
  • NYM, CHP, EP Transportation and HBX expertise
  • Troubleshooting issues
  • 35 WPM
  • SalesForce CRM system expert

Timeline

Escalation Response Specialist

Centene
12.2021 - Current

Call Center Representative

Fidelis Care
09.2017 - 12.2021

Assistant Office Manager

Dr. Prabha Krishnan, DDS
07.2015 - 09.2017

Dental Assistant

Dr. Doris Ohevshalom, DDS
04.2013 - 07.2015

Dental Assistant Certification - Dental Assisting

The New York School For Medical And Dental Assistants

GED -

Urban Strategies
Latonia Brown