Latonya Townsend-Wilson
Cheraw,SC
Summary
Detail-oriented healthcare administration professional with expertise in pharmaceutical reimbursement, Medicare enrollment, and medical billing and coding. Skilled in managing insurance claims, ensuring compliance with federal guidelines, and optimizing reimbursement accuracy. Proficient in ICD-10, CPT, and HCPCS coding with a strong focus on efficiency, accuracy, and patient support.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Pharmaceutical Reimbursement Specialist
CareMetx
Charlotte, NC
12.2025 - Current
- Processed and submitted reimbursement claims for various insurance plans, ensuring adherence to compliance standards.
- Collaborated with healthcare providers to resolve billing discrepancies and expedite payment processes.
- Managed patient inquiries regarding claim status, providing timely updates and support for resolution.
- Analyzed reimbursement trends to identify areas for process improvement and efficiency gains.
Financial Service Specialist
Alorica
Cheraw, SC
09.2021 - Current
- Manage financial health of the lending institution while supporting customers in maintaining their vehicle ownership.
- Resolve delinquent accounts while providing quality customer service on inbound and outbound calls.
- Address questions and concerns regarding accounts.
- Make arrangements with customers to pay balance in full or set up payment plans.
- Coordinate with a repossession agent to recover the vehicle.
- Comply with relevant laws and regulations to protect the lender and the borrower's rights.
- Document collection activity in databases in a concise and accurate manner.
- Safeguard private and confidential information.
Enrollment Specialist
ResultsCX
Jacksonville NC
10.2025 - 12.2025
Facilitated informed decision-making for clients regarding Medicare coverage through effective communication and support. Achieved high client satisfaction rates by providing exceptional customer service and resolving issues promptly. Cultivated strong organizational skills and attention to detail in managing enrollment applications and compliance.
Customer Service Representative
Transcom
Cheraw, SC
10.2017 - 03.2019
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Reviewed customer account information to determine current issues and potential solutions.
- Educated customers on special pricing opportunities and company offerings.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- Assisted customers in making payments on accounts and setting up payment plans
- Uphold strict quality control policies and procedures during customer interactions
- Documented conversations with customers to track requests, problems and solutions.
Customer Service Representative
OneStop Finance
Cheraw, SC
09.2010 - 03.2016
- Trained new employees on procedures and policies to maximize team performance.
- Made outbound calls and de-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Assisted customers in making payments on accounts and setting up payment plans.
- Supported operational improvements and resolution of problems to deliver top-notch customer service.
- Exceeded company productivity standards on a consistent basis.
- Prior experience includes work at West At Home as a Customer Service Representative and It's Fashion as a Retail Assistant Manager
Education
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
01.2025
Skills
- Managed medical billing processes to ensure accurate and timely claims submission
- Processed customer invoices and payments accurately Assisted in maintaining organized records of accounts receivable Supported team in resolving billing discrepancies efficiently
- Managed collections processes to ensure timely recovery of outstanding debts
- Administered co-pay collections to ensure accurate billing processes
- Assisted clients in understanding deductible options Supported team in processing deductible claims efficiently Helped maintain accurate records of deductible transactions
- Administered co-insurance policies to ensure compliance with regulatory standards
- Executed electronic order billing system (EOBS) management to streamline financial processes
- Streamlined medical office procedures to enhance operational efficiency
- Oversaw revenue cycle management processes to optimize financial performance
- Processed and recorded payment transactions efficiently
- 1 Spearheaded initiatives for Medicare and Medicaid program enhancements
- Negotiated terms and managed relationships with third-party payers
- Executed insurance verification processes to ensure accurate patient billing
- Assisted in managing electronic health records to support patient data accuracy Helped maintain compliance with healthcare regulations through diligent record-keeping Supported healthcare teams in accessing and utilizing EHR systems effectively
- Managed electronic medical records (EMR) systems to ensure accurate patient data management
- Oversaw managed care operations for HMO, PPO, and POS plans
- Executed comprehensive insurance claim processing to ensure timely resolution
- Assisted in processing CMS 1500 forms for healthcare claims Supported team members in maintaining accurate patient records Contributed to timely submission of claims to ensure prompt reimbursement
- Executed CMS 1450 (UB-04) form submissions to ensure accurate billing and compliance
- Administered workers' compensation claims to ensure timely processing and compliance with regulations
- Assisted in managing front office operations to support daily activities Coordinated communication between departments to enhance workflow efficiency Provided administrative support to ensure smooth office functioning
- Coordinated schedules for team meetings and project deadlines Assisted in organizing resources to support project timelines Managed calendar updates to facilitate effective communication among team members
- Mastered medical terminology to enhance communication within healthcare teams
- Assisted in understanding human body systems and functions Supported peers in studying anatomical structures and physiological processes Contributed to group discussions on health and wellness topics
- Ensured adherence to HIPAA regulations to protect patient privacy and confidentiality
- Executed medical coding utilizing ICD-10-CM, HCPCS, and CPT systems
Certification
American Academy of Professional Coders (AAPC) Certification
Awards
High Academic Honors Recognition – Dean’s List | Honor Roll., Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
CUST
- Able to de-escalate customer situations through effective communication and problem-solving skills.
- Attention to detail necessary to collect and report data with accuracy and timeliness.
- Cooperative team player, equally effective and self-motivated working independently.
- Microsoft Office Applications – Word, Excel, and PowerPoint.
Timeline
Pharmaceutical Reimbursement Specialist
CareMetx
12.2025 - Current
Enrollment Specialist
ResultsCX
10.2025 - 12.2025
Financial Service Specialist
Alorica
09.2021 - Current
Customer Service Representative
Transcom
10.2017 - 03.2019
Customer Service Representative
OneStop Finance
09.2010 - 03.2016
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy