Latonya Harris
Longview,TX
Summary
Experienced with insurance policy analysis, risk assessment, and client management. Utilizes analytical skills to evaluate and mitigate risks, ensuring policy compliance and client satisfaction. Track record of effective communication and problem-solving in diverse situations.
Overview
30
30
years of professional experience
Work History
Insurance Specialist
Community Health Systems, CHS
Nashville, TN
06.2023 - Current
- Analyzed insurance claims for accuracy and compliance with regulatory standards.
- Collaborated with healthcare providers to streamline claim submission processes.
- Developed training materials for new staff on insurance protocols and systems.
- Implemented process improvements that enhanced workflow efficiencies in claims processing.
- Conducted audits of claims to identify discrepancies and ensure proper resolution.
- Led initiatives to improve communication between departments regarding insurance matters.
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Oversaw compliance with state and federal regulations related to insurance practices.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Streamlined policy management by regularly updating client information and tracking policy changes.
Admissions Clerk
Longview Regional Medical Center
Longview, Texas
10.2009 - Current
- Processed patient admissions efficiently, ensuring accurate data entry into electronic health record systems.
- Verified insurance information and eligibility to facilitate timely patient registration.
- Assisted patients in completing necessary paperwork and navigating the admissions process smoothly.
- Coordinated with medical staff to ensure compliance with hospital policies and procedures during admissions.
- Trained new clerical staff on admissions protocols and system usage for improved operational efficiency.
- Monitored and maintained inventory of admission supplies, ensuring readiness for daily operations.
- Served as a point of contact for resolving patient inquiries related to admissions processes promptly.
Inpatient Coordinator
Longview Regional Medical Center
Longview, Texas
10.2009 - Current
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with case management department to facilitate decision-making for patient admissions and insurance coverage.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated with insurance companies regarding patient eligibility and authorization of services
- Communicated with patients, ensuring that medical information was kept private
Bed Control Coordinator
Christus Good Shepherd Medical Center
Longview, Texas
08.1999 - 11.2019
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Communicated with patients, ensuring that medical information was kept private.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Assign beds by physician, nursing and patient preference and care type criteria.
- Assigns hospital beds based on bed availability balancing with direct admits, hospital procedures and Emergency Room admissions.
- Transfers patients in-house as needed, ensuring that critical transfers are given priority and while following hospital procedure.
- Processes requests from physicians, clinics and hospitals to schedule an admission, obtain demographic information and communication to the physician offices of the rooms assigned for the incoming patients, contacts any referring facilities with the notification of rooms assigned in order to expedite the transfer of patients to facility.
Office Data Entry Clerk
Career Personnel
Longview, Texas
05.1999 - 08.2000
- Completed data entry tasks with accuracy and efficiency.
- Scanned documents and saved in database to keep records of essential organizational information.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Compiled data and reviewed information for accuracy prior to input.
- Sorted documents and maintained organized filing process.
- Corrected data entry errors to prevent later issues such as duplication or data degradation.
Collections Representative
Valu Line Of Longview
Longview, Texas
02.1996 - 05.1999
- Negotiated to collect balance in full.
- Processed payments and contracts on accounts.
- Counseled debtors on payment options and arranged installment agreements.
- Resolved challenging situations with friendly but firm strategies.
- Reviewed collection reports to determine status of collections and amounts of outstanding balances.
- Recorded all information regarding financial status of customers.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Maintained high volume of calls and met demands of busy and productive group.
- Processed payments and applied to customer balances.
Education
High School Diploma -
05-1992
Skills
- Documentation skills
- Policy analysis
- Reporting skills
- Account management
- Regulatory compliance
- Claims management
- Customer service
- Client relations
- Client account management
- Health insurance
Timeline
Insurance Specialist - Community Health Systems, CHS
06.2023 - Current
Admissions Clerk - Longview Regional Medical Center
10.2009 - Current
Inpatient Coordinator - Longview Regional Medical Center
10.2009 - Current
Bed Control Coordinator - Christus Good Shepherd Medical Center
08.1999 - 11.2019
Office Data Entry Clerk - Career Personnel
05.1999 - 08.2000
Collections Representative - Valu Line Of Longview
02.1996 - 05.1999
Longview High School - High School Diploma,