Latosha Thomas
Claims Representative Associate
Pooler,GA
Summary
Highly motivated and driven professional offering 15 years of experience in medical office and customer service positions. Demonstrate consistent achievement of objectives, strong multi-tasker dedicated to organizational goals, and willingness to take on any challenge.
Overview
15
15
years of professional experience
2
2
Certification
Work History
Claims Representative Associate
eviCore/Carecore National
04.2017 - Current
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair payable amount.
- Collaborated with other agents within team to resolve member claims.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Finalize member files for insurance claim payment release by using negotiating and problem-solving skills.
Scheduling Coordinator
Evicore
03.2013 - 04.2017
- Developed strong working relationships with management and executive team through effective scheduling and communication skills.
- Senior Agent of 10-15 scheduling coordinators.
- Scheduled procedures, surgeries and doctor appointments for average of 85 patients per day.
- Implemented and assisted with scheduling policies for team members.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Verified insurance coverage and obtained pre-authorizations.
Customer Service Representative
Evicore
09.2011 - 03.2013
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Met customer call guidelines for service levels, handle time and productivity.
Intake Coordinator
Evicore
06.2009 - 09.2011
- Completed data entry tasks with accuracy and efficiency.
- Scanned documents and saved in database to keep records of essential organizational information.
- Maintained ongoing communication with relevant departments to confirm accurate data delivery.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Enhanced office productivity by handling high volume of callers per day.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
Education
Some College (No Degree) - Accounting And Business Management
Virginia College
Savannah, GASkills
- Customer Relationship Management
- Administrative Support
- Claims Procedures
- Microsoft Word
- Microsoft PowerPoint
- Microsoft Office
- Patient and Insurance Inquiries
- Excellent Customer Service Skills
- Typing: 50 wpm
- Microsoft Excel
- Client Rapport-Building
- Work Organizing and Prioritizing
Certification
- Georgia Real Estate Salesperson Certificate
- Certified Mobile Notary Agent
Timeline
Claims Representative Associate
eviCore/Carecore National
04.2017 - Current
Scheduling Coordinator
Evicore
03.2013 - 04.2017
Customer Service Representative
Evicore
09.2011 - 03.2013
Intake Coordinator
Evicore
06.2009 - 09.2011
Some College (No Degree) - Accounting And Business Management
Virginia College
- Georgia Real Estate Salesperson Certificate
- Certified Mobile Notary Agent
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