Summary
Overview
Work History
Education
Skills
Assessments
Additional Information
Timeline
SoftwareEngineer

LaTosha Payne

Lizella,GA

Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Seasoned collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills.

Overview

11
11
years of professional experience

Work History

Legal Assistant

Hawk Law Firm
02.2023 - Current
  • Filed court documents and legal pleadings with court clerk on behalf of attorneys.
  • Organized documents to manage paper and electronic filing systems of clients.
  • Maintained strict confidentiality, protecting sensitive client information as required by legal ethics and regulations.
  • Handled office scheduling and made notes for deadlines, motions, and other important dates.

• Answered phones, ordered medical records for the

the client’s cases

Medical Billing Specialist

RSI
10.2021 - 02.2023
  • Researched CPT and REV codes to make sure they were accurate and billable codes
  • Followed up on denied and rejected claims
  • Worked high dollar claims and low dollar claims
  • Worked Medicare, Medicaid and commercial claims
  • Located errors within the claim and resubmitted the claims
  • Worked closely with insurance companies to have claims paid
  • Worked with web portals Experian, SSI, CMS, Emomed and several others.
  • Supervised insurance claims for equitable resolutions on behalf of both client and insurer.
  • Used Software to process benefit transactions.
  • Contacted insurance companies to discuss and resolve unpaid claims and incorrectly paid claims.
  • Streamlined claim processing for quicker reimbursements, implementing a digital documentation system.
  • Enhanced customer satisfaction by efficiently resolving health insurance claims and inquiries.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Filed and updated patient information and medical records.
  • Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.

Legal Assistant

Mann Law Firm
04.2021 - 10.2021
  • Filed documents with courts on behalf of attorney
  • Diligently edited legal correspondence for grammar and spelling
  • Assisted attorneys in collecting information such as employment, medical and other records
  • Created, indexed and maintained client binders
  • Scheduled and made appointments for the attorney
  • Entered new cases into company database
  • Received and placed telephone calls to clients and prospective clients
  • Answered and directed calls using multi-line switchboard
  • Prepared legal correspondence and wrote professional letters for the attorney.
  • Organized documents to manage paper and electronic filing systems of clients.
  • Maintained strict confidentiality, protecting sensitive client information as required by legal ethics and regulations.
  • Increased client satisfaction by efficiently managing case files and promptly addressing inquiries.
  • Delivered exceptional service to clients by assisting them with routine needs like obtaining copies of pertinent records or directing them to appropriate resources when needed.
  • Gathered key information during initial client intake interviews that contributed significantly to the formulation of effective legal arguments.

Legal Secretary

Sedghi Law Firm
08.2016 - 07.2020
  • Scheduled all appointments
  • Filed documents with courts on behalf of attorney
  • Assisted attorneys in collecting information such as employment, medical and other records
  • Created, indexed, and maintained client binders
  • Maintained calendar
  • Entered new cases into company database
  • Received and placed telephone calls to clients and prospective clients
  • Answered and directed calls using multi-line switchboard
  • Screened telephone calls and forwarded to appropriate departments
  • Organized envelopes, postage and mail correspondence for staff and management, maintaining postage meter and coordinating with delivery and courier services
  • Prepared legal correspondence and wrote professional letters for legal assistants and attorneys.

Medical Billing Specialist

Life Line Home Health Care
07.2013 - 07.2016
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
  • Reviewed patient records, identified medical codes and created invoices for billing purposes
  • Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts
  • Evaluated patients' financial status and established appropriate payment plans
  • Managed collections claim for unpaid bills against insurance companies and clients
  • Located errors and promptly refiled rejected claims
  • Prepared billing statements for patients and verified correct diagnostic coding
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Filed and updated patient information and medical records.
  • Liaised between patients, insurance companies, and billing office.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Posted payments and collections on regular basis.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Delivered timely and accurate charge submissions.

Education

Accounting And Business Management

Central Georgia Technical College
Macon, GA

High School Diploma -

Crawford County High School
Roberta, GA
05.1997

Skills

  • Litigation Support
  • Scheduling/Planning
  • Document preparation
  • Administrative Support
  • Needles Program and Abacus
  • Relationship building
  • Case Management
  • Client service and support
  • 40 WPM typing speed
  • Official Notary of the Public
  • Document filing
  • Medical Billing
  • Database Administration
  • Calendar Management
  • EMR Systems
  • CPT Coding
  • Medical Records
  • HIPAA
  • Medical Coding
  • Legal Research
  • ICD-10
  • Insurance Verification
  • MS Word, Excel, Power Point (10 years)
  • Adobe Acrobat
  • ICD coding
  • Medical office experience
  • Legal drafting
  • Paralegal
  • Customer service (10 years)
  • Microsoft Outlook
  • Patient care
  • ICD-9
  • Time management
  • Medical terminology
  • Microsoft Office
  • Legal Document Preparation
  • Notary Public
  • Legal/Court Processes
  • Correspondence
  • Data Management
  • Project Management
  • Attention to Detail
  • Critical Thinking
  • Customer Service
  • Proficient in MS Office
  • Case File Management
  • Data Confidentiality
  • Good Judgment and Decision Making
  • Work Prioritization
  • LexisNexis
  • Trial Preparation Assistance
  • Court Document Filing
  • Inventory Management

Assessments

  • Administrative assistant/receptionist, Proficient, 07/01/19
  • Case management & social work, Highly Proficient, 05/01/20
  • Principles of accounting, Familiar, 04/01/21
  • Attention to detail, Proficient, 04/01/21
  • Filing & organization, Familiar, 04/01/21
  • Customer focus & orientation, Proficient, 06/01/21
  • Basic attention to detail, Familiar, 08/01/21

Additional Information

Notary Republic

Timeline

Legal Assistant

Hawk Law Firm
02.2023 - Current

Medical Billing Specialist

RSI
10.2021 - 02.2023

Legal Assistant

Mann Law Firm
04.2021 - 10.2021

Legal Secretary

Sedghi Law Firm
08.2016 - 07.2020

Medical Billing Specialist

Life Line Home Health Care
07.2013 - 07.2016

Accounting And Business Management

Central Georgia Technical College

High School Diploma -

Crawford County High School
LaTosha Payne